TAVR Procedure Cost in India

“The cost of TAVR/TAVI procedure in India starts from USD 29,000 with Indian implant and USD 50,700 with American implant. The cardiology hospitals in India promise unparalleled health treatments at low-cost packages.

The body’s main artery (aorta) and the left lower heart chamber (left ventricle) are separated by the aortic valve. Reduced blood flow from the heart to the body results from improper valve opening.

Aortic valve stenosis is the narrowing of the aortic valve, which prevents it from opening fully.

Transcatheter aortic valve implantation (TAVI) is another name for transcatheter aortic valve replacement. In 2019, TAVR became the most common method to replace the aortic valve, with 72,991 TAVR procedures compared to 57,626 surgical valve replacements.

Using a similar technique to how a cardiac stent is implanted, transcatheter aortic valve replacement delivers a replacement valve.

Both stopping the heart and opening the chest cavity are not necessary for this procedure. A thin wire (catheter) is used to deliver these ground-breaking valves, which are made of a combination of metal mesh and animal tissue. They are then expanded over the pre-existing valve. The valve starts working right away after it is installed.

The signs and symptoms of aortic valve stenosis, such as fatigue, shortness of breath, fainting, and chest pain, can be reduced with TAVR by restoring blood flow.

Transcatheter Aortic Valve Replacement or Transcatheter Aortic Valve Implantation has unquestionably emerged as a very promising treatment option, which has turned into a bonus option for cardiac patients around the world.
TAVR first provided a successful alternative where none had previously existed for patients who are unable to undergo surgery to replace narrowed valves. It recently also offered a minimally invasive substitute for those who could endure an operation but ran a moderate risk of complications.
The field of cardiology has undergone a revolutionary and welcome change as a result of this novel treatment option. Global cardiac specialists consider this to be a true game-changer, and patients everywhere are benefiting greatly from it.

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India as the Top-Rated Destination for TAVR

A team of Relationship Executives with extensive experience and training plans the medical trip.
The top priority when organizing your medical trip is patient safety and care.
All age groups, from infants to the elderly, can receive treatment.
Different forms of treatment are provided under one roof, allowing you to receive care for any illness in addition to your particular surgery.
India is far ahead of many other top nations in terms of such innovative cardiac treatment options.
Cardiology is one of India’s most developed medical specialties, and as such, the Indian healthcare industry is setting the standard for delivering the most cutting-edge cardiac treatment methods to patients around the world.
India is home to some of the most prestigious and well-known hospitals in the world, particularly cardiac hospitals, and these prestigious hospitals can proudly brag about the most modern technology and successful treatment methods currently being used.
These hospital chains make significant investments to maintain their parity with international standards; the amenities they offer are unmatched, and the caliber of their services is never compromised.
These hospitals are also distinguished by their extraordinarily skilled cardiac physicians and surgeons, who are extremely knowledgeable, meticulous, and capable of handling the most complex cardiac conditions. They offer much-needed relief to patients around the world suffering from these uncomfortable cardiac disorders.
Additionally, because the procedures are very reasonably priced in India, patients can receive very affordable cardiac treatment

The Objective of TAVR Surgery

Aortic stenosis, also known as aortic valve stenosis, is a condition in which the aortic valve of the heart becomes thickened and calcified, impairing its ability to fully open. This reduces the amount of blood that can flow from the heart to the rest of the body.

Chest pain, dizziness, fatigue, leg swelling, and shortness of breath are all symptoms of aortic stenosis. Heart failure and sudden cardiac death are additional potential outcomes.

Transcatheter aortic valve replacement (TAVR) is a minimally invasive procedure to replace the aortic valve.

Symptoms

The first signs are shortness of breath after exertion, such as climbing stairs or walking.
As the condition worsens, a person may also experience chest pain from inadequate blood flow to the heart muscles and dizziness or blackouts from inadequate blood flow to the brain.
If these signs are disregarded, the person may develop heart failure, which would result in extreme breathlessness, foot swelling, and sudden cardiac death.

These symptoms should not be disregarded if someone exhibits them. Valve issues can be identified with a straightforward echocardiography test. The heart’s sonography is called echocardiography.

Causes

The aortic valve becomes calcified with age, which is the most frequent cause of narrowing. People with uncontrolled high blood pressure and high cholesterol experience this process more quickly, so it is important to take good care of these risk factors.
The other causes are birth defects in the valve and rheumatic affection brought on by childhood rheumatic fever.

When is TAVR recommended?

When one is not a candidate for open heart surgery, TAVR may also be recommended. It may increase survival in patients who cannot have surgery or who have a high risk of surgical complications.

Patients of the following categories should also request a TAVR evaluation:

All patients with symptoms of severe aortic stenosis should request a TAVR assessment. In the case of symptomatic severe aortic stenosis, TAVR may be an option if the patient is at intermediate or high risk of complications from surgical aortic valve replacement.
In 2019, the FDA also approved TAVR for people who are at low risk for complications from surgery.
Regular valve replacement surgery is typically not an option for older patients due to the high risk involved. With the minimally invasive TAVR procedure, the narrowed aortic valve can be repaired without requiring major surgery.
If someone has already had a biological tissue valve that was implanted to replace the aortic valve but is no longer functioning properly, TAVR may also be an option.
Patients with symptoms related to the bicuspid aortic valve. Even though open-heart surgery is frequently the best choice, it is not the only one.

Transcatheter aortic valves and other artificial heart valves are susceptible to bacterial infection. The majority of bacteria that result in heart valve infections originate in the mouth.

Regular dental cleanings and good oral hygiene can help stop these infections. To prevent infections, your doctor may advise you to take medications prior to some dental procedures.

Evaluation of a Suitable Candidate for TAVR

If the TAVR procedure is appropriate for someone, a skilled TAVR physician who is part of a larger heart team performs a thorough evaluation.

The age of the patient.
The patient’s health condition at present.
Medical history.
If the patient will be able to endure this intricate surgery.
Condition of the patient’s heart.
If the patient has any history of fainting or passing out.
If the patient ever had a stroke.
If the patient ever has a Bypass surgery.
If any history of coronary artery disease (CAD) or Chronic or obstructive pulmonary disease.
If the patient has Cardiac Arrhythmias.

Diagnosis

Non-invasive Chest X-ray
PFA (Pulmonary Function Test)
Angiogram
TTE (Transthoracic Echocardiogram)
CT Scan (Computed Tomography)
TEE (Transoesophageal Echocardiogram)
MRI (Magnetic Resonance Imaging)

How can Lyfboat assist you getting TAVR Procedure in India?

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Lyfboat is a free advisory platform; we do not charge any fees from patients. In fact, we negotiate the price that Indian hospitals offer. In some cases we are able to reduce the cost by negotiating upto 20% of what Hospitals generally offer. We advise the best treatment from the top hospital/surgeon at best price.

Procedure

The TAVI/TAVR approach uses a catheter to deliver a completely collapsible replacement valve into the site, somewhat analogous to a stent placed in an artery.

The old valve is then forced out of the way as the new one expands, making it easier for the replacement valve’s tissue to control blood flow.

There are 3 types of approaches or methods that can be used:

Transfemoral Approach
Transapical Approach
Transaortic Approach

TAVR Devices

Devices that can be used during a TAVR procedure can be classified into three main categories.

Balloon expandable devices: The metallic stent/framework with the attached valve leaflets is crimped over a balloon and inserted into a catheter system.
Self-expanding devices: The metallic framework that is loaded into a catheter system has valve leaflets attached to it.
Mechanically expandable devices: These are the newest generation of valves, where the Nitinop framework is attached to bioprosthetic leaflets, allowing for repositioning and retrieval of the valve even before release, reducing issues like failure or malpositioning.

Consequences of The TAVR Procedure

Risks
There is some risk associated with every medical procedure.

Clinical trials have demonstrated the safety and efficacy of TAVR, which is carried out by qualified medical professionals in India. However, there is some risk associated with the procedure, which the team fully discloses beforehand and makes every effort to prevent:

Valve/Blood leaking: Around the new valve from time to time because the replacement was either too small, did not fully expand, or was obstructed by calcium build-up. However, hospitals in India have access to recently developed, more potent models.
A new valve may push aside an old valve flap in some patients, preventing blood flow to the heart. A rare but potentially fatal complication of TAVR is coronary artery obstruction.
Bruising, bleeding, or pain at the incision spot.
Infections
Pacemakers: When valves open during implantation, they may occasionally put pressure on the heart’s electrical system, necessitating the use of a pacemaker. Newer designs aim to solve this issue.
Kidney damage: Damage to the kidneys is possible from the contrast dye used in imaging, but most kidney damage is treatable.
Injury to vessels: Catheters may cause vessel damage if they are inserted through your arteries. Typically, a catheter or open vascular surgery can be used to repair the damage.
Stroke: A small proportion of patients undergoing TAVR experience a stroke either during the procedure or in the days right after it.
Death: Although TAVR is a successful and frequently necessary treatment for more seriously ill individuals, there is a very low risk that they will not survive the procedure.

What are the advantages of TAVI/TAVR?

It is a minimally invasive surgery much to the relief of the patients
Quicker recovery
Very low failure rates
Smaller incisions and thus less amount of blood loss
Lowered chances of infections
Patients who are not eligible for open heart surgeries have another treatment option with this
Multiple procedural approaches make it more advantageous
Improved quality of life
Very sophisticated technology and therefore assured and much safer outcomes

A number of TAVR patients mention advantages like:

retaining more vigour
breathing normally
feeling less discomfort
suffering from fewer symptoms
decreased anxiety

During the Procedure

TAVR can be done in a variety of ways, depending on your health and the condition of the blood vessels.

The most typical TAVR procedure uses the femoral artery, a blood vessel in your groin or thigh.
If the femoral artery is too small or damaged, the doctor may use blood vessels in the chest to direct the tube to the heart. The term “transapical access” refers to this method.
If a patient’s leg arteries are too narrow or damaged for a more common procedure called transcaval access, stomach area blood vessels may be used instead. This will allow high-risk patients to receive TAVR.
In case of a heart surgery already performed before or in case of another condition that makes it difficult to access other parts of the chest, accessing the heart through the vessel under the clavicle, or collar bone, may be an option.
Transaortic access refers to the practice of using the carotid artery in the neck to feed the feeding tube into the heart. Even though this procedure is uncommon, it might be used when all other options have failed.
Through the septum, the tissue wall separating the right and left atria of the heart, is another uncommon entry point. By directing the tube through a blood vessel from the thigh to the heart, the doctor is able to reach the damaged valve.

TAVI/TAVR is performed while the patient is under general anesthesia. The doctor will make a small incision, either in the upper chest, in the leg, or in the chest between the ribs, depending on the method of treatment.

At the site of the incision, the medical staff will apply a small, hollow tube known as a sheath. The damaged valve is then opened in order to make room for the replacement.

Through this sheath, a catheter is inserted in order to reach the aortic valve. A balloon is inflated at the termination point once it reaches the valve. The thickened tissue is pressed by the balloon, deflated, and then properly removed.

The new artificial valve is inserted through the sheath and then directed to the heart valve after the diseased valve leaflets have been opened.

When the catheter’s balloon is inflated, the new artificial valve expands inside the unhealthy valve. The balloon is deflated and subsequently removed after this new valve has been successfully positioned.

Several medications may be prescribed after TAVR, including:

Blood thinners (anticoagulants).
Antibiotics.

In case any new or deteriorating signs or symptoms is experienced, such as:

A feeling of faintness or dizziness
The ankles are swollen.
Unexpected weight gain
Extreme fatigue after activity
Infection symptoms or signs

Obtain immediate medical assistance if there is:

Chest pressure, tightness, or discomfort
Severe, unexpected breathlessness fainting

Recovery

Reduced healing time is also achieved by limiting the number and size of incisions. That implies less pain and a quicker recovery.

TAVR requires less time to perform and requires a shorter hospital stay than surgery.

Most patients go home the following day and recover more quickly, allowing them to resume their regular routines.

Some patients, though, might need more time to get home. More detailed information about how long the patient might spend in the hospital can be obtained from the physician.

Establishing details such as who will drive back home, stay with the patient, and/or assist them with meal preparation is crucial.

Within a few days of the TAVR procedure, individuals begin a cardiac rehabilitation regimen that the doctor who performed the surgery probably recommends.

Cardiac rehab programs involve a group of medical experts from various specialties, much like a prescribed exercise regimen.
Exercise physiologists, nutritionists, nurses, doctors, and other professionals are among them.
Their mission is to assist the patient in strengthening and endurance building their heart, which will aid in their recovery and long-term outlook.

With TAVR, patients have a more effective treatment option that doesn’t involve surgery and only needs a short amount of time in the hospital for recovery.

Open-Heart Surgery Vs TAVR/TAVI

The valves can be replaced using one of two methods. In the past, replacing the valve required open heart surgery, which involves cutting open the chest to reveal the heart.
For younger patients who require the metallic valve, this treatment continues to hold the line.
The more sophisticated option is TAVR or TAVI, which involves aortic valve replacement without the need for open heart surgery. In cases where surgery is not an option, it is occasionally performed on people under the age of 65.
Whenever possible, TAVR is preferable to open heart surgery because the recovery is quick, the ICU stay is under 24 hours, and the hospital stay is typically no longer than 48 hours. While open heart surgery requires general anesthesia, it is typically performed under local anesthesia.
Additionally, the likelihood of complications is lower. Within a few hours of the procedure, the patient can move around, get out of bed, and eat and drink normally.

Success Rate of TAVR Surgeries

Early clinical studies and trials discovered that in patients with higher risks for surgical complications, TAVR was more likely to be successful and less likely to result in death or serious complications.

Similar findings from later studies on low-risk subjects revealed that TAVR recipients had:

higher survival rates after one year.
lower stroke incidence.
lower rehospitalization rates after one year.

The success rate is about 97% to 98.5% because of the use of new technology and developments in the medical sector.

Life Expectancy in the Case of TAVR/TAVI

The age of the patient plays a significant role in the average life expectancy following TAVR, according to the most recent research.
For instance, the average life expectancy for a patient in their fifties is 31.5 years, whereas, for a patient in their nineties, it is only 4.6 years.
According to clinical trials, there are very few survival advantages for treating octogenarians (those between the ages of 80 and 89) with TAVR.
Additionally, the patient’s survival after TAVR is significantly impacted by co-morbid conditions like diabetes or hypertension. More importantly, after TAVR, the quality of life in terms of activity and general health significantly improves, which is more advantageous in old age than merely existing.

Verified By Dr. Surbhi Suden

Dr. Surbhi Suden is one of the founders of Lyfboat and a doctor with a renowned name in the Medical tourism industry. She has been working with international patients since 2008 and is a deeply committed professional with a long term vision of transforming the current healthcare scenarios.

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