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Das Personal ist kundenorientiert, freundlich und bereit, uns auf jede erdenkliche Weise bei der Lösung des Problems zu helfen. Ich empfehle die KSM-Klinik.","en":"Thank you Bookimed for choosing the clinic. The staff is customer oriented, friendly and ready to help us in every possible way in solving the problem. I recommend KSM clinic."},"order":{"diagnostic":{"id":162,"name":{"de":"Rücksprache mit einem Kardiologen","en":"Consultation with a cardiologist"}}},"clinic_info":{"id":460,"name":"KCM Klinik","alias":"kcm-clinic","flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":true}]},"created_at":"2023-01-12T17:37:04.000+00:00","flags":[{"name":"is_approved","value":true},{"name":"is_anonymously","value":true},{"name":"is_notification_sent","value":false},{"name":"would_recommend","value":true},{"name":"has_client_feedback","value":true},{"name":"deactivated_clinic","value":false}],"comment_about_bookimed":{"de":"Ja, vielen Dank","en":"Yes, thanks a lot"},"summary":{"positive":{"de":"&quot;Die Behandlungsergebnisse haben unsere Erwartungen übertroffen.&quot;Rückmeldung: Über den Arzt: &quot;Der Arzt ist sehr professionell und kompetent.&quot; Über die Klinik: &quot;Das Personal ist kundenorientiert, freundlich und bereit, uns bei der Lösung des Problems auf jede erdenkliche Weise zu helfen.&quot; Zu den Ergebnissen: &quot;Die Ergebnisse der Behandlung haben unsere Erwartungen ","en":"\"The results of the treatment exceeded our expectations.\"Return:  About the doctor: \"The doctor is very professional and knowledgeable.\" About the clinic: \"The staff is customer oriented, friendly and ready to help us in every possible way in solving the problem.\" About the results: \"The results of the treatment exceeded our expectations.\" About the experience: \"Thank you Bookimed for choosing the"}}}],"meta":{"total_count":1,"total_pages":1}},"offers":{"cards":[],"metadata":{"total_count":0}},"listingTexts":{"entity_texts":{},"texts":{"txt_procedure_3_clinics":{"text":"<p>Die Radiofrequenzablation des Herzens ist ein minimalinvasives Verfahren zur Behandlung von Herzrhythmusstörungen. Sie erfordert keine Schnitte und wird durch eine Punktion der Haut durchgeführt. Während der RFA zerstört der Arzt krankhafte Herzzellen mithilfe hochfrequenter Radioemissionen und beseitigt die Ursache der Erkrankung.</p>\n\n<h2>Wo kann eine RFA durchgeführt werden?</h2>\n\n<div class=\"accordion-item-text\">\n<p>Unterschiede bei der RFA in den GUS-Staaten und in ausländischen Kliniken:</p>\n\n<ul>\n\t<li>Qualifikation von Kardiologen und Herzchirurgen.</li>\n</ul>\n\n<p>In Kliniken in Deutschland, Italien und Israel haben Sie die Möglichkeit, sich von den besten Herzchirurgen der Welt behandeln zu lassen. Die Patienten werden von Spezialisten betreut, die Autoren verschiedener RFA-Methoden sind. Jeder von ihnen hat mehr als 100.000 Radiofrequenzablationen des Herzens durchgeführt.</p>\n\n<ul>\n\t<li>Medizinische Ausstattung für die Durchführung des Verfahrens.</li>\n</ul>\n\n<p>Für eine erfolgreiche RFA ist ein Gerät zur 3D-Visualisierung des Herzens erforderlich. Es erstellt ein dreidimensionales Bild des Organs, ermöglicht dem Arzt, die Quelle der Arrhythmie zu finden und präzise darauf einzuwirken. Eine solche Ausstattung ist in jeder Klinik vorhanden, die im Bookimed-Ranking vertreten ist. In den meisten Kliniken der GUS-Staaten wird die Radiofrequenzablation unter Kontrolle eines herkömmlichen Röntgengeräts durchgeführt, das kein präzises Bild erzeugt.</p>\n\n<ul>\n\t<li>Erfolgsstatistik.</li>\n</ul>\n\n<p>In Deutschland und Italien werden nach einer RFA 95 von 100 Patienten von Herzrhythmusstörungen befreit. In Krankenhäusern der GUS-Staaten werden mithilfe dieses Verfahrens 80 von 100 Patienten von Arrhythmie geheilt.</p>\n</div>\n\n<h2>Worauf achten unsere Patienten bei der Wahl einer Klinik für eine RFA?</h2>\n\n<div class=\"accordion-item-text\">\n<p>Bei der Auswahl einer Klinik werden folgende Faktoren berücksichtigt:</p>\n\n<ul>\n\t<li>Erfahrung und Qualifikation von Kardiologen und Herzchirurgen;</li>\n\t<li>das Vorhandensein von Ausstattung in der Klinik, die die Wirksamkeit der RFA erhöht (3D-Visualisierung);</li>\n\t<li>das Programm einer umfassenden kardiologischen Untersuchung.</li>\n</ul>\n\n<p>Das Verfahren wird nur Patienten verordnet, deren Gesundheitszustand strengen medizinischen Anforderungen entspricht.</p>\n</div>\n\n<h2>Wie läuft eine Radiofrequenzablation des Herzens ab?</h2>\n\n<div class=\"accordion-item-text\">\n<p><a href=\"https://www.heart.org/en/health-topics/arrhythmia/prevention--treatment-of-arrhythmia/ablation-for-arrhythmias\">Während einer RFA</a> des Herzens befindet sich der Patient unter leichter Sedierung. Der Arzt betäubt die Leistenregion und führt einen Katheter ein.</p>\n\n<p>Phasen der kathetergestützten Radiofrequenzablation:</p>\n\n<ol>\n\t<li>Der Herzchirurg führt einen Katheter durch die rechte oder linke Oberschenkelarterie ein und leitet ihn unter Röntgenkontrolle zum Herzen.</li>\n\t<li>Beim Patienten wird eine elektrophysiologische Untersuchung durchgeführt, um die genaue Lage der Arrhythmieherde zu bestimmen.</li>\n\t<li>Der Arzt führt einen Katheter mit einer Ablationselektrode zum ermittelten Herd. Die Radioemissionen werden über die Elektrode übertragen, erhitzen und zerstören den krankhaften Bereich.</li>\n\t<li>Nach der Behandlung des Bereichs führt der Arzt erneut eine elektrophysiologische Untersuchung durch. So beurteilt er, wie wirksam das Verfahren durchgeführt wurde.</li>\n\t<li>Der Herzchirurg entfernt den Katheter und legt an der Punktionsstelle einen Druckverband an, um Blutungen zu vermeiden.</li>\n</ol>\n\n<p>Die Dauer des Verfahrens beträgt je nach Herz-Kreislauf-Erkrankung 3–6 Stunden.</p>\n</div>\n\n<h2>Wie kann eine Person mit einer Herzerkrankung für eine RFA ins Ausland reisen?</h2>\n\n<div class=\"accordion-item-text\">\n<p>Bookimed hilft bei der Organisation einer Behandlung für Menschen mit kardiologischen Erkrankungen jeder Schwere. Wir schlagen die besten Kliniken unter Berücksichtigung des Gesundheitszustands und der finanziellen Möglichkeiten des Patienten vor.</p>\n\n<p>Menschen mit Herzfunktionsstörungen können einen Flug schwer vertragen, daher ist eine vorherige Konsultation mit einem Kardiologen erforderlich. Bei Bedarf hilft Bookimed bei der Organisation eines Spezialflugs mit einem Ärzteteam und Sauerstoffflaschen.</p>\n\n<p>Ein Arztkoordinator von Bookimed wird sich mit Ihnen in Verbindung setzen, nachdem Sie eine Anfrage auf der Website hinterlassen haben. Er beantwortet alle Fragen zur Diagnostik, zum Ablauf des Verfahrens und zur Organisation der Reise.</p>\n\n<p>Für eine Beratung ist es nicht notwendig, ins Ausland zu reisen. Um die Zweckmäßigkeit der Operation festzustellen, sendet der Koordinator medizinische Berichte und Testergebnisse des Patienten an die ausgewählte Klinik.</p>\n\n<p>Für die Entscheidungsfindung benötigen ausländische Kardiologen:</p>\n\n<ul>\n\t<li>EKG-Ergebnisse;</li>\n\t<li>einen medizinischen Befund zur Echokardiographie;</li>\n\t<li>Ergebnisse einer Gefäßangiographie;</li>\n\t<li>einen kardiologischen Befund.</li>\n</ul>\n\n<p>Wenn Sie Zweifel an der gestellten Diagnose haben, können Sie sich in der Klinik einer zusätzlichen kardiologischen Untersuchung unterziehen. Für 10 von 100 Patienten wählen Ärzte in ausländischen Kliniken eine andere Behandlung aus.</p>\n\n<p>Während Ihres Aufenthalts im Ausland und nach Ihrer Rückkehr nach Hause bleibt der Arztkoordinator mit Ihnen in Kontakt.</p>\n\n<div class=\"info-block-wrapper\">\n<p>Wichtig zu wissen: Bookimed ist eine unabhängige medizinische Plattform. Das Unternehmen vertritt nicht die Interessen eines der medizinischen Zentren weltweit. Unsere Dienstleistungen werden nicht von den Patienten, sondern von den Kliniken bezahlt.</p>\n</div>\n</div>"},"guide_mc":{"text":"<p>Tag 1</p><ul><li> Ankunft im Land und Transfer zum Hotel.</li><li> Ruhen Sie sich aus und gewöhnen Sie sich an die neue Umgebung.</li></ul><p> Tag 2</p><ul><li> Transfer vom Hotel zur Klinik.</li><li> Konsultation mit einem Spezialisten für eine präoperative Beurteilung.</li><li> Es wird eine MRT des zu behandelnden Bereichs durchgeführt.</li></ul><p> Tag 3</p><ul><li> Das Verfahren der Radiofrequenzablation wird durchgeführt.</li><li> Die Behandlung dauert unter örtlicher Betäubung etwa 1-3 Stunden.</li><li> Nach dem Eingriff wird der Patient in den Aufwachraum verlegt.</li></ul><p> Tag 4</p><ul><li> Nachuntersuchung beim Facharzt der Klinik.</li><li> Transfer zurück zum Hotel zur Ruhe und Erholung.</li></ul><p> Woche 1-2</p><ul><li> Rehabilitationsphase, leichte Aktivitäten werden empfohlen.</li><li> Regelmäßige Nachuntersuchungen beim örtlichen Arzt.</li></ul><p> Woche 3</p><ul><li> Allmähliche Rückkehr zu regulären Aktivitäten.</li><li> Setzen Sie die Nachsorge mit dem örtlichen Arzt fort.</li></ul><p> Woche 4</p><ul><li> Vollständige Genesung und Rückkehr zur Arbeit und zu sportlichen Aktivitäten.</li></ul><p> <i>Bitte beachten Sie, dass der Genesungszeitplan jedes Patienten je nach individuellem Gesundheitszustand und den Besonderheiten des Eingriffs geringfügig abweichen kann.</i></p>"}}},"articles":[{"id":"de:innovative-cancer-treatment-florin-s-radioembolization-for-liver-metastases","name":"Innovative Krebsbehandlung: Florins Radioembolisation bei 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Er gilt als Pionier der roboterassistierten Herzchirurgie mit dem Da Vinci-System in der Türkei.","specialities":[{"id":"crl.003","name":"Herz-Kreislauf-Chirurg","illness_kind_id":23}]},"updatedAt":"2026-11-11T18:12:50.000Z","activeCountries":["PL","TR","AT","ES","TH"],"operationIndicators":{"details":{"anesthesia":"local","days_in_clinic":1,"days_in_country":3,"rehabilitation_days":1,"satisfied_percent":78,"treatment_duration_hours":2},"illness_kind_details":{"requests_processed":6767}},"direction":{"id":4,"name":"Kardiologie","alias":"cardiology","name_forms":{"base_form":"Kardiologie","form_1":"der Kardiologie","form_2":"Kardiologie","form_3":"Kardiologie","form_4":"Kardiologe","form_11":"Kardiologen"}},"illness_kind":{"id":4,"name":{"en":"Cardiology"}},"parsed_details":{"procedure_type":"surgery","fields":{"anesthesia":["local","local_sedation"],"back_to_work_days":{"min":1,"max":3,"unit":"days","qualifier":"Desk work sooner; physical jobs later, depending on post-procedure soreness."},"complication_rate_pct":{"min":1,"max":5,"unit":"percent","qualifier":"Minor complications such as transient soreness flare, numbness or bruising; serious events under 1%"},"contraindications":["Active local or systemic infection","Uncorrected bleeding disorder or unsafe anticoagulation","Pregnancy","Implanted pacemaker or defibrillator needing special management","Inability to lie prone or tolerate the procedure"],"days_in_clinic":{"min":0,"max":0,"unit":"nights","qualifier":"Same-day outpatient procedure for facet-joint RFA; discharge after short observation."},"diagnostic_duration_minutes":null,"diagnostic_preparation":null,"diagnostic_referral_needed":null,"diagnostic_result_time_hours":null,"exercise_resume_weeks":{"min":1,"max":2,"unit":"weeks","qualifier":"Light activity first; strenuous exercise depends on soreness at the needle sites."},"final_result_months":{"min":1,"max":3,"unit":"months","qualifier":"Nerve ablation effect develops gradually after temporary post-procedure soreness settles."},"fly_home_after_days":{"min":1,"max":2,"unit":"days","qualifier":"Allow for positioning discomfort and soreness on long flights."},"follow_up_visits":[{"purpose":"wound_check","after":{"min":7,"max":14,"unit":"days","qualifier":"Only if site soreness, bruising or fever occurs."},"requirement":"conditional"},{"purpose":"result_review","after":{"min":28,"max":90,"unit":"days","qualifier":"Pain relief assessment, often by remote review for international patients."},"requirement":"routine"}],"indications":["Chronic facet-joint back or neck pain after positive diagnostic blocks","Sacroiliac joint pain after positive diagnostic blocks","Pain persisting despite physiotherapy and medication"],"main_risks":["Bleeding or hematoma at the needle site","Infection","Temporary burning, numbness or pain flare","Thermal injury to adjacent structures","Nerve injury"],"pain":"Mild to moderate soreness or burning at needle sites for several days to 2 weeks. Managed with simple analgesics, ice and rest.","preparation":["Pre-procedure assessment and imaging relevant to the target","Review of medications and allergies with the treating team","Blood tests as indicated","Fasting instructions if sedation or general anesthesia is planned","Arrange transport home when sedation is used"],"recovery_timeline":[{"phase":"Day of procedure","description":"Short observation after needle placement under imaging; leave the same day with a companion.","restrictions":["No driving","Rest for the day"]},{"phase":"Days 1-3","description":"Local soreness and possible temporary pain flare; resume light daily activity.","restrictions":["No heavy lifting","Avoid soaking in baths"]},{"phase":"Weeks 1-2","description":"Soreness fades; gradual return to normal activity and exercise.","restrictions":["Avoid strenuous exercise initially"]},{"phase":"Months 1-3","description":"Full pain-relief effect becomes evident; physiotherapy may support core strengthening.","restrictions":[]}],"rehabilitation_days":{"min":3,"max":14,"unit":"days","qualifier":"Time to ordinary daily function, depending on soreness and number of levels treated."},"result_longevity":"Pain relief typically lasts 6-12 months, sometimes up to 2 years, until the nerves regenerate. Treatment can be repeated.","revision_rate_pct":{"min":20,"max":40,"unit":"percent","qualifier":"Repeat ablation when pain returns, typically within 6-24 months; not a complication-driven revision"},"scars":"None; needle puncture sites only, healing without a visible scar.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"Single session, treating one or several spinal levels or both sides in the same visit."},"stages":[{"code":"rfa_session","label":"Image-guided radiofrequency nerve ablation","after":{"min":0,"max":0,"unit":"days","qualifier":"Same treatment visit; diagnostic blocks must be positive beforehand."}}],"qualifier":"One treatment session; repeat only when pain returns."},"success":{"metric":"Patients with at least 50% pain reduction","value":60,"unit":"percent of patients","horizon":"6 months","population":"Adults with chronic facet-joint pain after positive diagnostic blocks","evidence_status":"limited"},"techniques":[{"name":"Conventional thermal radiofrequency ablation","suits_whom":"Patients with confirmed facet or sacroiliac pain","recovery":"Return to usual activity within days."},{"name":"Cooled radiofrequency ablation","suits_whom":"Sacroiliac or knee pain needing a larger lesion","recovery":"Return to usual activity within days."},{"name":"Pulsed radiofrequency","suits_whom":"Patients with nerve-related pain where heat lesions are avoided","recovery":"Minimal downtime; usual activity within days."}],"treatment_conditions":["outpatient"],"treatment_duration_hours":{"min":0.5,"max":1.5,"unit":"hours","qualifier":"Increases with the number of levels and sides treated."},"initial_assessment_documents":["Recent spine MRI or CT report","Diagnostic medial branch block results","Current medication list and anticoagulant plan","Blood test results with coagulation profile","Allergy and prior anesthesia history"],"travel_trips":{"min":1,"max":1,"one_trip_possible":true,"qualifier":"Single session; same-day procedure with a short stay of 1-3 days."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Check that the treating doctor answers your questions before you sign consent","scope":"procedure","source":{"url":"https://www.mskcc.org/cancer-care/patient-education/about-your-ablation-procedure","host":"mskcc.org","quote":"They’ll talk with you about the procedure and answer any questions you have before you sign a consent form.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C2","text":"Check the qualifications of the medical team treating you","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"Have you checked the qualifications of the medical team treating you?","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C3","text":"Check whether you are satisfied with the facilities and standards","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"Are you satisfied with the facilities and standards at the clinic or hospital where you'll be treated?","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C4","text":"Ask whether follow-up care is scheduled at the same facility as the procedure","scope":"treatment_abroad","source":{"url":"https://www.cdc.gov/yellow-book/hcp/health-care-abroad/medical-tourism.html","host":"cdc.gov","quote":"Medical tourists should also know whether follow-up care is scheduled to occur at the same facility as the procedure.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":403}},{"id":"C5","text":"Check how your aftercare will be coordinated before you 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the procedure.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"W4","text":"Increased weakness or numbness in arm or leg","urgency":"contact_clinic","general":false,"source":{"url":"https://my.clevelandclinic.org/health/treatments/17411-radiofrequency-ablation","host":"my.clevelandclinic.org","quote":"Have increased weakness or numbness in an arm or leg.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"take_home":{"status":"ok","items":[{"id":"T1","text":"Image copies let the home doctor review scans at follow-up appointments","document":"copies of medical images","source":{"url":"https://www.radiologyinfo.org/en/info/article-your-medical-images","host":"radiologyinfo.org","quote":"You may want copies of your medical images to bring with you to a doctor's appointment.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"T2","text":"Lets the home 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