Transcatheter Aortic Valve Replacement in India for International Patients

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Transcatheter Aortic Valve Replacement in India for International Patients

Transcatheter Aortic Valve Replacement in India

TAVR is a less invasive option to traditional surgical aortic valve replacement (sAVR), and is now the standard care for older patients.  

Instead of opening the chest, the new replacement heart valve is threaded on a long tube called a catheter — typically through an artery in the leg (transfemoral route) — and is expanded inside the damaged valve, allowing blood to flow normally again. It is typically recommended to patients with severe aortic stenosis who are at intermediate or high risk for surgical valve replacement.

Benefits of TAVR

  • Meanwhile, much less recovery than open-heart surgery.
  • Frequently carried out as local anaesthesia.
  • Duration of stay in hospital 2–5 days.
  • Faster improvement in symptoms including breathlessness and fatigue.

Who Is a Candidate?

TAVR is normally indicated in patients with:

  • Critical symptomatic aortic stenosis.
  • High or medium risk in conventional replacement of the aortic valve through surgery.
  • Noteworthy comorbidities posing a risk to open-surgery.
  • Your heart doctor will gauge the appropriateness depending on imaging, the heart and health functions.

TAVR procedure in India

Pre-operative Evaluation

  • Echocardiogram
  • CT scan
  • Cardiac catheterization
  • Blood tests

Anaesthesia

  • The procedure is generally done under general anaesthesia 

Catheter Insertion

  • A catheter is introduced via the femoral artery in the groin.

Valve Placement

  • The replacement valve is carried by the catheter and positioned inside the diseased aortic valve.

Valve Expansion

  • The new valve expands out and pushes the old valve leaflets out.

Completion

  • The catheter is taken out, and normal blood flow through the heart begins.­

The process generally lasts for one to two hours and people are able to go home after a few days.

Factors Affecting TAVR surgery cost in India

The following is a simple explanation of the main factors affecting the cost of the procedure of TAVR:

Valve Replacement Procedure type

  • The biggest cost driver

Surgical Aortic Valve Replacement 

  • Open-heart surgery
  • In most cases cheaper than TAVR.
  • Longer ICU stay & recovery

Transcatheter Aortic Valve Replacement 

  • Minimally invasive
  • More expensive because of the technology of highly developed valves and use of a cath-lab.
  • Shorter hospital stay
  • The cost of TAVR is 2-3 times more than the surgical replacement.

Type of Valve Used

Mechanical Valve

  • Lower upfront cost
  • On lifelong blood thinners needed.
  • Durable for 20–30+ years

Bioprosthetic Valve

  • Higher upfront cost
  • No chronic anticoagulation.
  • Lifespan ~10-15 years

Transcatheter Valves 

  • Devices of high precision imported.

Hospital Type & Location

  • The place you are treated to is significant.

Metro cities 

  • Higher costs

Tier-2 cities

  • Often more affordable

Individual corporate hospitals

  • Premium pricing

Surgeon and Heart Team Knowledge

  • International trained senior cardiac surgeons/interventional cardiologists.
  • Cardiologist, Surgeon, anaesthetist, imaging specialist (Heart Team)
  • TAVR centers with high volumes tend to be more expensive to pay, however, with improved outcomes.

Pre-Procedure Tests & Imaging

Prior to the replacement of valves, and usually paid independently:

  • 2D / 3D Echocardiography
  • CT angiography (TAVR is required by necessity)
  • Coronary angiography
  • Blood tests, pulmonary tests, anaesthesia clearance.
  • Innovative imaging = more expensive.

ICU Stay Length and Hospitalisation Length

Costs increase with:

  • Longer ICU stay
  • Ventilator support
  • Post-operative complications
  • Requirement of dialysis or long-term care.
  • TAVR tends to have a shorter ICU stay, but ICU/day expenditures are excessive.

Patient’s Medical Condition

  • Complicated patients are more expensive to treat.
  • Advanced age
  • Diabetes, renal disease, lung disease.
  • Weak heart function
  • Past heart surgery (redo cases)
  • Emergency vs prophylaxis surgery.

Associated or Additional Procedures

When it is done in conjunction with valve replacement, the costs are higher:

  • Stenting / coronary angioplasty.
  • Bypass surgery (CABG)
  • Pacemaker implantation
  • Valve-in-Valve procedures

Top cardiologists for TAVR in India

  • Dr. Amit Kumar Chaurasia
  • Dr. Naresh Trehan
  • Dr. (Col) Manjinder Sandhu
  • Dr. Balbir Singh

TAVR heart valve replacement India

India is an emerging medical tourism destination in the area of TAVR due to its combination of:

  • Reduced procedure prices relative to US, Europe or Gulf countries - can be 4070% cheaper than in the western countries.
  • High levels of cardiac teams and the sophistication of cath lab technology in most of the tertiary hospitals.
  • There are no long queues as witnessed in certain national systems.
  • International-specifically accredited and experienced world-class cardiac hospitals.

Best hospitals for TAVR in India

  • Artemis Hospital, Gurgaon
  • Medanta-The Medicity, Gurgaon
  • Fortis Memorial Research Institute, Gurgaon
  • Max Hospital, Saket

Conclusion

TAVR (Transcatheter Aortic Valve Replacement) in India has developed as a safe, effective, and more affordable alternative to open-heart aortic valve surgery particularly in the elderly patients and the ones who are at high risk of surgery. Nowadays, the Indian cardiac centres provide similar results as those found around the world and now with increased expertise, improved imaging, and current cath-lab facilities. The main advantages of India include clinical experience, shorter recovery duration, much lesser than the Western countries, and growing assistance to foreign patients. Even though the cost, patient selection, and availability continue to play a significant role, TAVR has become life-saving and a minimally invasive procedure in modern heart care. With increased awareness, TAVR will have an even greater role to play in the treatment of severe aortic valve disease in India, benefiting the international patients.

Transcatheter Aortic Valve Replacement in India with GetWellGo

GetWellGo is regarded as a leading supplier of healthcare services. We help our foreign clients choose the best treatment locations that suit their needs both financially and medically.

We offer:

  • Complete transparency
  • Fair costs.
  • 24 hour availability.
  • Medical E-visas
  • Online consultation from recognized Indian experts.
  • Help in identifying India's best hospitals for Transcatheter Aortic Valve Replacement.
  • Expert cardiologists with high success rate and experience.
  • Assistance during and after the course of treatment.
  • Language Support
  • Travel and Accommodation Services
  • Case manager assigned to every patient to provide seamless support in and out of the hospital like appointment booking
  • Local SIM Cards
  • Currency Exchange
  • Arranging Patient’s local food


 

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