TAVR (Transcatheter Aortic Valve Replacement) Treatment in India

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TAVR (Transcatheter Aortic Valve Replacement) Treatment in India

Overview

Transcatheter aortic valve replacement (TAVR) has brought about a significant shift in how we manage aortic valve disease, providing a less invasive option compared to traditional open-heart surgery. With TAVR, a new valve is carefully guided through a catheter inserted into a blood vessel, taking the place of the old, damaged valve and allowing blood to flow properly again. This approach has had a profound impact on numerous patients, especially those who were at high risk for surgery, offering them a chance at improved health and quality of life.

Understanding aortic valve stenosis

Aortic valve stenosis occurs when the aortic valve narrows, making it difficult for blood to flow from the heart to the body. This narrowing can cause symptoms like chest pain, difficulty breathing, and feeling tired. While age-related wear and tear are the main causes, it can also happen from birth or due to other health issues.

In the past, aortic valve stenosis treatment typically required open-heart surgery, which involves opening the chest to reach the heart and replace the affected valve. Though effective, this surgery poses substantial risks, particularly for older individuals or those with existing health issues. Enter TAVR treatment in India, offering a transformative alternative.

What is TAVR and how does it work?

Transcatheter Aortic Valve Replacement (TAVR) is a minimally invasive procedure available in India, aimed at replacing a damaged aortic valve with a new one. This innovative approach involves inserting a catheter into a blood vessel, through which the new valve is carefully guided to the heart. Usually crafted from biocompatible materials, the new valve is positioned using sophisticated imaging methods.

In the TAVR procedure, a minor incision is made in either the groin or chest. Through this opening, a catheter is carefully inserted and guided through the blood vessels until it reaches the aortic valve. The new valve, compressed and attached to the catheter, is precisely positioned within the damaged valve. Once in place, the new valve is expanded, displacing the old valve and assuming its role, thereby restoring proper heart function.

Benefits of TAVR compared to traditional surgical options

TAVR treatment in India provides numerous advantages over traditional open-heart surgery for aortic valve replacement. Firstly, TAVR is minimally invasive, eliminating the need for a large chest incision and reducing the associated risks of open-heart surgery. This leads to shorter recovery times, less pain, and fewer postoperative complications.

Additionally, TAVR is frequently deemed a suitable choice for patients considered high-risk or ineligible for traditional surgery. This encompasses older individuals, those with multiple health conditions, and individuals in poor overall health. TAVR offers a crucial alternative for these patients, granting them the chance to enhance their quality of life without encountering the risks associated with open-heart surgery.

Risks and complications associated with TAVR

Although TAVR is generally regarded as safe and efficient, like any medical intervention, it does entail certain risks and potential complications. Among the common risks are bleeding, infection, and the possibility of damaging blood vessels or the heart during catheter insertion. Additionally, there is a slight risk of stroke, valve leakage, or the necessity for a subsequent procedure in the future.

To minimize these risks, thorough assessment and meticulous patient selection are essential. An experienced and dedicated team comprising cardiologists, cardiac surgeons, and imaging specialists evaluates each patient’s suitability for TAVR. Preoperative tests and imaging studies play a crucial role in identifying potential risks and ensuring that the procedure is conducted with the utmost safety and precision.

Preparing for a TAVR procedure

Before your scheduled TAVR procedure, your medical team will offer thorough instructions on how to prepare. This could involve adhering to specific dietary restrictions, making adjustments to your medications, and discontinuing certain medications before the procedure. Depending on your individual health status, additional tests or consultations may be necessary to evaluate your overall health and determine the best approach for your TAVR procedure.

The TAVR procedure step-by-step

During the TAVR procedure, which usually occurs in a specialized cardiac catheterization laboratory or an operating room, you will receive anesthesia to ensure your comfort and pain-free experience. The steps involved in a TAVR procedure are as follows:

  • Access site preparation: The medical team will begin by cleaning and sterilizing the access site, typically located in the groin or chest area, where the catheter will be inserted.
  • Insertion of the catheter: A small incision is made at the access site, and a catheter is carefully inserted into a blood vessel. This catheter is then guided through the blood vessels toward the heart.
  • Placement of the new valve: The new valve, compressed onto a balloon, is meticulously positioned inside the damaged aortic valve using advanced imaging techniques. Once in place, the balloon is inflated, expanding the new valve and securing it firmly in position.
  • Testing and adjustments: The medical team will carry out several tests to verify the proper functioning of the new valve and to ensure there are no leaks or complications. They will make any necessary adjustments to optimize the valve’s performance.
  • Catheter removal and site closure: Once the procedure concludes, the catheter is meticulously withdrawn, and the access site is closed using dissolvable sutures or a closure device. Pressure is applied to the site to minimize bleeding.

After Procedure

Following the TAVR procedure, you will be closely monitored in a recovery area for a period to ensure your vital signs remain stable and there are no immediate complications. The duration of this monitoring period may vary depending on your individual circumstances. 

After the TAVR procedure, most patients notice a significant improvement in their symptoms. Yet, it’s crucial to follow the instructions provided by your medical team for post-procedure care. This may involve taking medications, adhering to physical activity restrictions, and attending follow-up appointments.

TAVR Surgery cost in India are as follow

Treatment Cost in USD Hospital Stay
TAVR (Transcatheter Aortic Valve Replacement) Surgery 15000-25000 3-5 Days
CABG Minimally Invasive Surgery 6000-7000 7-8 Days
Heart Valve Replacement (MVR/AVR) 7000-8000 7-8 Days
Heart Transplant 60000 7-8 Days
CABG Surgery/Heart Bypass Surgery 4000-6000 7-8 Days

Frequently Asked Questions

Q:What preparation is required before TAVR (Transcatheter Aortic Valve Replacement) Treatment?

A:Before TAVR treatment, patients undergo medical evaluations, imaging tests, and medication reviews. They may need to fast, undergo blood tests, and provide informed consent. Following specific pre-procedure instructions is crucial for a successful outcome.

Q:How long does the procedure typically take?

A:The duration of a TAVR (Transcatheter Aortic Valve Replacement) procedure typically ranges from 1 to 3 hours. However, the exact time can vary depending on factors such as the patient’s specific condition, the complexity of the case, and any unforeseen complications encountered during the procedure.

Q:What is the success rate of TAVR treatment in India?

A:The success rate of TAVR (Transcatheter Aortic Valve Replacement) treatment in India varies depending on factors such as the patient’s overall health, the expertise of the medical team, and the specific characteristics of the case.

Q:How do I choose a hospital for TAVR (Transcatheter Aortic Valve Replacement) procedure in India?

A:Kindly share your reports.

team

Fortis Hospital

Experience:

Gurgaon

Fortis Hospital Gurgaon, founded in 1996, stands as a beacon of healthcare excellence with a network spanning 55 sites across India and internationally. Recognized as the ‘Mecca of Healthcare’ for the Asia Pacific region, it holds the distinction of being ranked second among the world’s most technologically advanced hospitals

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Artemis Hospital

Experience:

Gurgaon

Artemis Hospital, a 400-plus bed state-of-the-art multi-speciality hospital in Gurgaon, India, was founded in 2007. It is spread across 9 acres. In Gurgaon, Artemis Hospital is a JCI and NABH-accredited hospital. Their medical techniques and procedures are research-based and benchmarked against the best in the world. Top-notch services in a pleasant, open, patient-centred environment and affordability

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Max Hospital

Experience:

New Delhi

Max Smart Super Speciality Hospital, Saket, a unit of Gujarmal Modi Hospital & Research Centre for Medical Sciences, stands as a beacon of cutting-edge healthcare in the heart of India’s capital. Boasting a capacity of 250 beds, the hospital is fortified with 12 state-of-the-art modular operation theaters and an emergency resuscitation and observation unit, ensuring swift and precise medical interventions when every second counts

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Apollo Hospital

Experience:

New Delhi

Indraprastha Apollo Hospital is a comprehensive multidisciplinary institute. Indraprastha Apollo Hospital was the first hospital in India to be accredited by JCI in 2005. They have been reaccredited by JCI for the 5th time in April 2017. Indraprastha Apollo Hospital is part of one of the largest cardiovascular groups in the world with an unmatched record of over 1,70,000 heart surgeries, which include complicated coronary artery bypass operations

Treatments

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BLK-Max Hospital

Experience:

New Delhi

BLK Super Speciality Hospital was established by Dr. B.L. Kapur in 1959. It was inaugurated by the then Prime Minister of India, Pandit Jawahar Lal Nehru. BLK Super Specialty Hospital, New Delhi is both NABH and NABL accredited. BLK has a unique combination of the best in class technology, put to use by the best names in the professional circles to ensure world-class health care to all patients. Spread on five acres of land, with a capacity of 700 beds

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Manipal Hospital Dwarka New Delhi

Experience:

New Delhi

Manipal Hospital Dwarka is a prominent multi-speciality and quaternary care providing hospital with first-rate healthcare services and integrated facilities.

Treatments

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Medanta Hospital

Experience:

Gurgaon

Medanta – The Medicity is amongst India’s largest and most renowned multi-super speciality healthcare centre with 1250 beds, 29 super speciality units and more than 800 accomplished doctors. Supported by state-of-art infrastructure, all the departments in the hospital are fully equipped with cutting-edge technology, modular Operation Theatre and modernized monitoring systems in ICUs. The leading hospital in India, Medanta Hospital, was established in 2009 by the famous Cardiovascular and Cardiothoracic surgeon, Dr. Naresh Trehan. The panel of doctors from Medanta, headed by A.S.Soin performed the first successful intestinal transplant in India.

Treatments

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