Angioplasty in India
In this article, we will look at the following:
- Understanding Angioplasty – Types
- Angioplasty and bypass surgery
- Candidates for angioplasty
- Recovery and advantages
- Cost of angioplasty in India
- Top surgeons conducting angioplasty in India
- Top Hospitals for Angioplasty in different cities of India
Angioplasty is one of the most common heart procedures done today. It is estimated that about one-third of patients with Coronary Artery Disease (CAD) undergo coronary angioplasty and stenting. Every year over three lakh angioplasties are done in India. In spite of being common, there is prevailing lack of awareness about the procedure.
What is Angioplasty?
Angioplasty is a non-surgical procedure with no cuts or stitches. It clears or unblocks the narrowed or blocked arteries that are the reasons for chest pain or heart attacks. It is done in the cardiac catheterization laboratory or cath-lab by the team of cardiologists and vascular surgeons who insert a catheter through a wire into the narrowed blood vessels. The balloon is then inflated to a fixed size to expand the vessel and then deflated and withdrawn. Angioplasty is performed without anesthesia. The procedure takes about one to three hours to complete.
Based on the procedure followed to unblock the arteries, angioplasty can be divided into:
In balloon angioplasty, a balloon-tipped catheter is used to push the plaque against the arterial wall, making space for the blood flow in the artery.
Stents are small wire metal mesh tubes placed inside the blocked arteries with the help of balloon-tipped catheter to allow the smooth flow of blood.
Sometimes the cardio surgeon may also decide based upon your medical condition, to put the stents containing medicines (drug-eluting stents) inside the arteries to reduce the risk of re-blockage. Most of the angioplasties involve the placement of stents.
Cutting Balloon angioplasty
Generally used to treat in-stent restenosis, in this, the cutting balloon catheter has a special balloon tip with about three to five small blades. When the balloon is inflated in the artery, the blades are activated. The small blades cut the plaque and the balloon compresses the plaque against the artery wall.
Rarely used today, atherectomy done in a cath-lab involves removal of plaque from an artery using different methods such as rotational and directional atherectomy.
Who undergoes angioplasty?
Your cardiologist decides best if you need this procedure or not based on medical tests reports. If you have any of the below, you would be advised angioplasty:
- Atherosclerosis (condition of reduced blood flow to the heart due to hard, narrow, or stiffen arteries)
- A heart attack
- Frequent chest pain (angina) that is not responding to medications and lifestyle changes
Angioplasty and Bypass surgery
Both angioplasty and bypass surgery (CABG) are basically the procedures to clear the blocked arteries for allowing smooth blood flow. Based on type of blockage and other medical conditions, your cardiologist decides, which procedure to perform of the two. Generally angioplasty is done in case of one to three arteries blockage while bypass is considered when there is significant blockage of main coronary arteries or when all the three coronary arteries are blocked.
Who is not advised for it?
- Severe blockage in coronary arteries
- When the main artery that brings blood to the left side of heart is narrow
- When your heart muscle is weak
- When you have multiple diseased blood vessels
- If you have diabetes
Recovery after angioplasty
The recovery of angioplasty patients is faster. The hospital stay is about one day. You would be able to walk within two to six hours and return to normal activities in a week. But you need to avoid physical activities, strenuous work or any kind of weight lifting for about two weeks. A gradual exercise regime would be recommended by your doctors.
In case of stents, medications for up to one month to one year would be prescribed, based on your medical condition, to prevent blood clots.
For complete recovery and preventing reoccurrence of the disease, it is essential to maintain a healthy lifestyle minus smoking, high cholesterol diet and weight gain.
- Increases the flow of blood to the heart
- Decreases heart attack risk
- Reduces angina risk
- Smaller incision so spend less time in the hospital
- Faster recovery
Cost of angioplasty
Generally, cardiology hospitals compile their total cost for the procedure in a “package”. The “package” comprises your doctor’s fees, room charges, medicines, and investigations etc. during your hospital stay. The final actual cost may vary with patient to patient depending upon his medical conditions.
In addition to this, post your hospital discharge you would have to also spend on medicines, post-surgery tests, if required (ECG, EKG, or cardiac CT etc.) and consultation fee (INR 800-1,500/visit or above) of regular doctor visits. These expenses are separate from the hospital package.
Angioplasty cost using one stent would come to over US$ 3,100-4,600 (INR 2-3 lakh). The surgery cost goes up with number and type of stents used. A bare metal stent is priced over US$ 310-615 (INR 20,000-40,000) while each drug-eluting stent would cost between US$ 2,300-3,100 (INR 1.5-2 lakh) based on specifications.
If you are an international patient you would be spending somewhere about 60-70% more than Indian counterparts, for the whole process which would be still far less than the spent for the heart surgery in the U.S. or Europe.
Top Surgeons conducting angioplasty in India
Every year India alone conducts lakhs of angioplasties. You can imagine the experience Indian heart and vascular surgeons bring along with them. This also gives them an upper hand in dealing with all sorts of complicated cases.
Here you will find some of the top cardio and vascular surgeons like Dr. Naresh Trehan, Dr. Ramakant Panda, Dr. Zainulabedin Hamdulay, Dr Hasmukh Ravat, Dr. Rahul Kaiche, Dr. Rajarajan Venkatesan, Dr. Sanjay Gupta, Dr. Govini Balasubramani, Dr Dharma Rakshak Ayapati, Dr. M.M. Yusuf, Dr. Ambuj Choudhary, Dr. Joseph Xavier, Dr. Srikrishna S V, Dr. P.V. Rao, Dr. Suresh Rao, Dr. Mani Sivasubramanian, Dr. Jamshed Dalal, Dr. Surinder Bazaz, Dr. Vijit Cherian, Dr. R Sekhar, Dr. Adil Sadiq, Dr. Devi Shetty, Dr. Gilbert Joseph, Dr. Praveen Kulkarni etc.
How to decide which hospital is best for me?
There are over 500 cardiology hospitals in different Indian cities that conduct advanced cardio surgeries including all types of cardiac procedures. Although India has best of medical facilities for heart care surgeries, it is still not easy for a heart patient to decide which hospital is best for him or her to undergo a certain heart procedure.
If you or your loved one is also advised angioplasty, you will have to look into many factors like highly trained doctors, availability of latest technology, expertise in patient care, and good infrastructure for choosing the right hospital.
To name some of the good angioplasty private hospitals in India are Medanta – The Medicity, Fortis Hospital, Apollo Hospital, Paras Hospital, BLK Hospital, Wockhardt Super Speciality Hospital, Narayana Multispecialty Hospital, Kokilaben Dhirubhai Ambani Hospital, Fortis Flt Lt Rajan Dhall Hospital, Ram Manohar Lohia Hospital, Max Super Speciality Hospital, Sir Ganga Ram Hospital, Jaslok Hospital, MIOT Institute of Cardiac Care, B.M Birla Heart Research Centre, and Rabindranath Tagore International Institute of cardiac sciences.
Now, let’s take a quick look at some of the good hospitals for heart surgery in major cities of India.
Angioplasty hospitals in Delhi NCR
Delhi NCR has over 30 heart specialty hospitals, which have proven record of good heart patient care and world-class facilities. In angioplasty surgery, some of the trusted hospitals in Delhi NCR are Fortis Escorts Heart Institute and Research Centre, Medanta – The Medicity (Gurgaon), Indraprastha Apollo Hospital, Ram Manohar Lohia Hospital, Jaypee Hospital, Max Super Speciality Hospital, Saket, Sir Ganga Ram Hospital, and Metro Hospital and Heart Institute (NOIDA).
Angioplasty hospitals in Mumbai
Mumbai has over 41 cardiology hospitals with world-class facilities and good cardiac care that witness high volume of patients. Some of the trusted hospitals in Mumbai performing all kinds of surgeries are SL Raheja Hospital, New Age Wockhardt Hospitals, Apollo Hospital, Kokilaben Dhirubhai Ambani Hospital, Hiranandani Hospital, Sir H. N. Reliance Foundation Hospital and Research Centre (RFH), Jaslok Hospital, Asian Heart Institute, and Seven Hills Heart Hospital.
Angioplasty hospitals in Chennai
Chennai has over 25 cardiology hospitals offering all types of heart surgeries like angioplasty, angioplasty. Some of the trusted names in the city are Bharathiraja Superspeciality Hospital & Research Centre, Apollo Hospitals, Frontier Lifeline Hospital (Dr. K.M. Cherian Heart Foundation), Fortis Malar, SIMS Hospital, Oxymed Hospital, and MIOT Institute of Cardiac Care.
Angioplasty hospitals in Bangalore
There are over 20 world-class cardiology hospitals in Bangalore. Some of the best cardio hospitals here are Narayana Multispecialty Hospital, Fortis Hospital, Apollo Hospital, The Bangalore Hospital, Manipal Heart Foundation, Jayadeva Hospital, Sakra World Hospital, and Sri Sathya Sai Institute of Higher Medical Sciences.
Angioplasty hospitals in Kolkata
Kolkata has over 30 heart specialty hospitals. Some of its top heart hospitals are Apollo Gleneagles Hospital, Fortis Hospital, Narayana Multispecialty Hospital, Rabindranath Tagore International Institute of cardiac sciences, BM Birla Heart Research Centre, Medica Super Speciality Hospital, and Desun Hospital and Heart Institute
How can MedGurus guide me to the best hospital?
Based on our multilevel research on cardiac surgeries and best cardio surgeons in India, we see Indian hospitals as a reliable and appropriate location for all types of heart surgeries not just for people living in the country but foreign nationals.
You should also note that some surgeons have special expertise in handling particular kind of procedure such as stent implant or balloon procedure. Also, if you are having other complications you may need a specific surgeon who can better handle your case.
So if you been advised angioplasty by your cardiologist, you need not worry as you will be in safe hands at the best of hospitals in the country.
MedGurus is happy to advise you for high quality and affordable heart procedures in any part of India and make your job (of selecting heart surgery hospital and best cardiac surgeons in India) simpler.