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How Much Does Endovascular Surgery for AVM Cost in Vietnam?
In Vietnam, the cost of Endovascular Surgery for an Arteriovenous Malformation (AVM) typically falls between USD 14000 - USD 25000, depending on several variables, including the size, location, and complexity of the AVM, whether the procedure is performed as a definitive treatment or as part of a staged management plan alongside microsurgery or radiosurgery, the techniques employed, the type and quantity of endovascular devices or embolic agents used, the hospital’s infrastructure, the interventional neurosurgeon or neuroradiologist’s expertise, and the overall complexity of the procedure.
The overall cost may also be affected by additional expenses for preoperative neurological assessments and imaging (MRI/CT, cerebral angiography), intraoperative monitoring, use of advanced endovascular equipment, anaesthesia, hospital and ICU stays, if required, postprocedural medications, and follow-up imaging and specialist consultations.
Factors Influencing the Cost of Endovascular Surgery for AVM
- Type and Location of AVM: Costs vary with the AVM's size, location, and complexity. AVMs located in critical brain regions or deep structures typically require more advanced planning and are more expensive.
- Endovascular Technique and Devices: The choice of embolic agents, catheters, and microcatheters, as well as whether the procedure is done in multiple stages or combined with surgery/radiosurgery, affects the total cost.
- Hospital and Location: Leading hospitals in Hanoi, Ho Chi Minh City, and Da Nang charge higher fees due to specialised neuro-interventional suites, high-resolution imaging systems, and multidisciplinary teams experienced in AVM management.
- Surgeon’s Expertise: Experienced interventional neuroradiologists or neurovascular surgeons with extensive expertise in AVM embolisation may charge higher consultation and procedural fees.
- Complexity of the Case: Patients with large, multi-feeder, previously treated, or anatomically challenging AVMs may require longer operative times, additional imaging, or multiple sessions, increasing the overall cost.
- Post-Procedural Care: ICU or hospital observation, post-procedure medications, follow-up imaging, and specialist consultations all contribute to the overall treatment expense.
Cost of Endovascular surgery for AVM in Major cities of Vietnam
| City | Minimum Cost (USD) | Minimum Cost (VND) | Maximum Cost (USD) | Maximum Cost (VND) |
|---|---|---|---|---|
| Can Tho | USD 14000 | 363510000 | USD 25000 | 649125000 |
| Ha Noi | USD 14000 | 363510000 | USD 25000 | 649125000 |
| Ho Chi Minh | USD 14000 | 363510000 | USD 25000 | 649125000 |
| Nha Trang | USD 12600 | 327159000 | USD 22500 | 584212500 |
Endovascular surgery for AVM Cost : A Global Comparison
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Inside your body, blood flows through tiny tubes called blood vessels. Sometimes, these tubes get all twisted and messy in one spot — that’s called an AVM, or Arteriovenous Malformation. It can cause problems, such as headaches or even bleeding, if not treated.
To fix it, doctors use a special method called Endovascular Embolisation. This method repairs the AVM from within the body, eliminating the need for large incisions.
First, the doctor helps you fall asleep so you won’t feel anything. Then, they gently slide a soft, thin tube into a blood vessel, usually in your leg. Using pictures on a screen, they guide the tube to the location of the AVM.
When the tube is in the correct position, the doctor inserts a small amount of special material, such as glue or soft plugs, to block the twisted vessels. This prevents blood from flowing in the wrong direction and helps prevent further complications. Once the AVM is blocked off, the doctor slowly removes the tube, and you rest in the hospital to recover.
This way, your blood flows more efficiently, and the risk of serious issues, such as bleeding, decreases.
Endovascular surgery for AVM is performed to reduce or eliminate abnormal blood flow between arteries and veins in the brain or spinal cord.AVMs can cause bleeding (hemorrhage), seizures, neurological deficits, or chronic headaches.This minimally invasive approach blocks the AVM from within the blood vessels, reducing rupture risk and stabilizing symptoms.
Consult a neurologist or neurosurgeon if you experience sudden severe headaches, seizures, blurred vision, weakness, or numbness, which may indicate a cerebral AVM.Even asymptomatic AVMs discovered incidentally on imaging (MRI/CT) may require evaluation.If the AVM poses a high risk of bleeding or grows, intervention is usually recommended.
Diagnosis is confirmed with cerebral angiography, MRI, or CT scan to map the AVM's size, location, and blood supply.Patients undergo blood tests, cardiac clearance, and must avoid blood thinners before the procedure.A detailed preoperative plan is created to decide whether endovascular embolization will be standalone or followed by surgery/radiosurgery.
Performed under general anesthesia, a catheter is inserted through the femoral artery (groin) and guided up to the brain vessels.Liquid embolic agents (e.g., Onyx, NBCA) or coils are injected into the AVM’s feeding arteries to block abnormal blood flow.The procedure may be done in one or multiple stages depending on AVM complexity and location.
Endovascular embolization typically takes 2 to 4 hours.Hospital stay is 1 to 3 days, depending on the patient’s condition and whether further treatment (surgery or radiosurgery) is needed.Recovery is usually rapid with minimal pain.
- Stroke or transient ischemic attack (due to clot or vessel spasm)
- Vessel perforation or bleeding
- Headache, nausea, or temporary neurological symptoms
- AVM recurrence or incomplete obliteration
- Allergic reaction to contrast dye (rare)
- Minimally invasive and performed through a small catheter — no large incision
- Reduces AVM size or bleeding risk prior to surgery or stereotactic radiosurgery
- Can relieve symptoms like headaches or seizures
- Suitable for deep-seated or surgically inaccessible AVMs
- Often used as part of a multimodal AVM treatment plan
Patients are observed in ICU for 12–24 hours post-procedure for neurological monitoring.Most return to normal activities within 3–7 days, barring complications.Follow-up imaging (MRI or angiography) is done to assess AVM closure and plan further treatment if needed.
The success rate of partial or complete embolization of AVMs ranges from 70–90%, depending on size and vascular structure.When combined with radiosurgery or open surgery, cure rates exceed 90% in many cases.Recurrence is rare if the AVM is fully obliterated, and long-term outcomes are excellent with proper follow-up.
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Vinmec Central Park International Hospital
Ho Chi Minh, Vietnam
- A modern multi-speciality hospital with 178 inpatient beds across seven floors and three basements.
- Equipped with advanced diagnostic imaging technologies including MRI, CT Scan, X-ray, Ultrasound, and Digital Mammography.
- The cardiology department features state-of-the-art facilities, including cardiovascular intervention suites and advanced echocardiography equipment.
- The Oncology centre offers comprehensive cancer diagnosis and treatment with access to modern radiotherapy and chemotherapy equipment.
- Sophisticated life-support systems and continuous patient monitoring technology support ICU and emergency units.
- Operating theatres are equipped with high-tech surgical instruments and infection control systems to ensure safety and precision.
- Neonatal and pediatric care units are equipped with specialised equipment to support the health of newborns and children.
- Gastroenterology and endoscopy services utilise high-definition endoscopic imaging for accurate diagnosis and minimally invasive procedures.
- Laboratory services certified to international standards offer fast and accurate testing, utilising advanced automation.
- Pharmacy services ensure the availability of a wide range of medications with stringent quality control.
- Integrated IT systems facilitate online patient registration, appointment scheduling, and real-time access to medical results.
- Pain management and anaesthesia departments utilise modern techniques to enhance patient comfort during procedures.
- Specialised centres for obstetrics, gynaecology, and general surgery deliver comprehensive care with expert medical teams.
- Focus on personalised treatment plans developed through collaboration with international medical experts and continuous training.
Vinmec Times City
Ha noi, Vietnam
- Vinmec Times City International Hospital is the first hospital to be launched within the Vinmec Healthcare System.
- It is located in the Times City urban complex in Hanoi, offering a central and convenient location for patients.
- The hospital spans 24,670 square meters with a modern infrastructure of seven floors above ground and two basement levels.
- It is the first general hospital in Vietnam to receive JCI accreditation, a globally recognised certification for healthcare quality and safety.
- The medical team comprises highly qualified Vietnamese and international doctors with extensive clinical expertise.
- Vinmec Times City provides comprehensive healthcare services, including outpatient care, inpatient treatment, and emergency services.
- The hospital features specialised departments, including Internal Medicine, Paediatrics, Obstetrics and Gynaecology, Orthopaedics, and Neurology.
- It is equipped to perform advanced medical procedures, including robotic-assisted surgery and organ transplants.
- The facility features a world-class IVF centre and offers dedicated services in endocrinology, dermatology, and traditional medicine.
- On-site imaging, radiology, and laboratory departments ensure fast and accurate diagnostic support.
- With a strong focus on patient-centred care, the hospital offers a safe, comfortable, and internationally standardised medical experience.
Vinmec Smart City Hospital
Ha noi, Vietnam
- Vietnam’s growing population and rising expectations for medical quality have put increasing pressure on the national healthcare system.
- Many public hospitals are operating at full capacity, resulting in long waiting times and limited access to advanced treatments.
- There is a clear need for well-equipped private hospitals that can offer efficient, modern, and internationally standardised healthcare.
- To meet this demand, Vinmec Smart City International Hospital was established in the rapidly developing Vinhomes Smart City area of Hanoi.
- The hospital was designed with the capacity to serve tens of thousands of patients annually, addressing both local and international healthcare needs.
- Vinmec Smart City International Hospital officially opened in October 2024, marking the eighth addition to the Vinmec healthcare network.
- The facility spans a large, modern campus and comprises 14 specialised departments, covering areas such as surgery, obstetrics, rehabilitation, and internal medicine.
- It integrates high-end medical technologies sourced from globally recognised brands to enhance diagnostic accuracy and treatment outcomes.
- A significant innovation is the implementation of a fully digital electronic medical records system, enabling the fast and secure sharing of patient data among healthcare teams.
- Artificial Intelligence (AI) tools are applied in various clinical processes, such as disease screening, diagnosis, and designing personalised treatment plans.
- The hospital also features a dedicated Cell and Gene Therapy Centre, offering breakthrough therapies such as CAR-T cell therapy for cancer patients, thereby positioning the hospital at the forefront of medical advancements.
- The hospital strives to deliver exceptional medical care that meets international healthcare standards, prioritising safety, quality, and a patient-centred approach.
- It aims to alleviate pressure on overloaded public hospitals by providing high-quality, efficient, and accessible private medical services.
- By combining innovation, skilled professionals, and modern infrastructure, Vinmec Smart City strives to become a regional leader in medical excellence.
- The long-term vision includes becoming a referral centre for complex treatments, not only in Vietnam but also across Southeast Asia.
Vinmec Nha Trang
Nha Trang, Vietnam
- Located on Tran Phu Street in Vinh Nguyen Ward, Nha Trang City, is a prime area easily accessible to residents and tourists.
- Built on a total area of over 19,000 ?, with eight above-ground floors and one basement, designed to support modern healthcare delivery.
- Provides private inpatient rooms, each with one bed, ensuring comfort and personalised care for every patient.
- Holds international accreditation from a globally recognised body (JCI), reflecting a strong commitment to safety, quality, and patient-centred care.
- Equipped with advanced imaging systems and diagnostic tools to support accurate and timely treatment.
- Offers services across primary specialities, including cardiology, paediatrics, obstetrics, surgery, and diagnostics.
- Utilises digital healthcare systems to streamline operations and enhance treatment precision.
- Staffed by a team of experts who are regularly trained through partnerships with global medical institutions in countries like France, Japan, the U.S., and Singapore.
- Welcomes both Vietnamese and international patients, promoting high-quality care and regional medical tourism.
- Operates as part of a nationwide private hospital network developed by Vingroup, focused on delivering premium healthcare across Vietnam.
- Built with strict sterilisation and infection control standards to protect patient health.
- Continuously updates its technology and practices to align with global medical advancements.
Vinmec Can Tho Hospital
Can Tho, Vietnam
- Located in the heart of Can Tho city, it addresses the growing healthcare needs of the Mekong Delta region.
- Regional access to international-standard medical services was limited, especially in southern Vietnam.
- Rising demand for modern infrastructure and specialised healthcare due to population growth and urbanisation.
- Established as the 9th hospital in the Vinmec Healthcare System, covering 41,000+ ? with six floors and 155 beds.
- Launched with 21 medical specialities and centres, supported by advanced medical equipment and highly qualified personnel.
- Implemented cutting-edge technology (e.g., 3.0 Tesla MRI, 512-slice CT scanner, digital mammography, AI-integrated mobile X-ray).
- Rolled out incentive programs for community engagement (e.g., free health screenings, discounted cancer checkups).
- Built an expert-led service model focused on early screening, precise diagnosis, and modern treatment protocols.
- To deliver world-class healthcare locally and reduce the need for patients to travel to major cities for treatment.
- To improve public health outcomes in the Mekong Delta by combining advanced technology with expert care.
- To align with Vinmec's mission of providing high-quality, patient-centred care and promoting innovation in Vietnamese healthcare
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+99Process Involved for Endovascular surgery for AVM in Vietnam
- Initial Evaluation: Doctors review medical history and symptoms.
- Imaging tests, such as MRI, CT, or angiography, are used to locate the AVM.
- Preoperative Preparation: Fasting, consent, and planning for anaesthesia.
- Procedure Day: A catheter is inserted through the groin and guided to the AVM.
- Embolisation: Special material is injected to block the abnormal vessels.
- Recovery Room: The patient is monitored after the procedure to ensure their safety.
- Hospital Stay: A short stay is required to check for complications.
- Follow-up Care: Regular checkups and imaging to ensure success.
- Brain AVMs: Block abnormal blood flow in tangled brain vessels.
- Spinal AVMs: Fix faulty blood vessels within the spinal area.
- Bleeding AVMs: Helps control and stop bleeding from the AVM.
- Non-bleeding AVMs: treated early to reduce the risk of future bleeding.
- Deep or risky AVMs: Used when surgery is too dangerous.
- Seizure-linked AVMs: Helps alleviate seizures associated with blood flow issues.
- AVMs near key brain parts: Safely targets AVMs near areas that control body functions.
- AVMs causing swelling: Treats pressure or pain from an enlarged AVM.
- Patient Preparation: The person is given anaesthesia so they feel no pain and stay relaxed.
- Catheter Insertion: A narrow, bendable tube is carefully placed into a blood vessel, usually through the upper thigh
- Guiding the Tube: Doctors use special X-ray tools to move the tube through the body toward the AVM.
- Blocking the Vessels: A special glue-like material or small particles are sent through the tube to block the abnormal blood flow.
- Checking the Result: Imaging is performed immediately to determine if the AVM has been successfully sealed.
- Removing the Tube: The tube is slowly removed once the job is complete.
- Watching the Patient: The patient is closely monitored during recovery to ensure their well-being and overall health.
- Follow-up: Doctors check in later with scans and visits to ensure the AVM remains closed.
- Craniotomy
- Radiosurgery
- Angiography
- Coiling
- Stenting
- Thrombectomy
- Catheterisation
- Fluoroscopy
- Embolisation
- Microsurgery
- The treatment does not require cutting open the head.
- Patients often go home within a couple of days.
- Recovery is quicker compared to traditional surgery.
- There is usually little to no pain after the procedure.
- It can stop bleeding from the abnormal blood vessels.
- The tangled blood vessels can shrink or close off.
- Sometimes it helps prepare the AVM for another type of treatment.
- The risk of infection is low.
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