Left Ventricular Assist Device (LVAD) Surgery Cost in India
A left ventricular assist device (LVAD) is a small pump that helps restore normal blood flow in individuals with heart disease. It’s used to keep people alive with end-stage heart failure disease or as a bridge to a heart transplant. An LVAD surgery in India allows a person whose heart has been weakened by heart disease to regain normal blood flow.
An incision in the middle of the chest is made, followed by the separation of the chest bone and the opening of the rib cage to let the surgeon operate on the heart. The VAD is then implanted, and a cable connecting the pump to the control unit and battery pack outside your body is inserted through the skin. The right doctor to consult for Coronary Thrombectomy is a Cardiac Surgeon. The success rate ranges from 60 to 70%. The LVAD surgery cost in India is comparatively affordable as compared to other European countries.
What is LVAD?
A mechanical pump called a left ventricular assist device (LVAD) is placed in individuals with heart failure. It helps in the pumping of blood from your heart’s bottom-left chamber (left ventricle) to the aorta and the rest of your body. It’s called a Left Ventricular Assist Device for a reason.
This mechanical, battery-operated device is surgically placed right below the heart in a person’s chest. The LVAD does not replace the heart; instead, it assists a heart that is too weak to pump on its own in maintaining its pumping ability. By transporting blood to the rest of the body, the device assists the primary pumping chamber (left ventricle).
Patients with severe heart failure who do not respond to medicines or who are awaiting a heart transplant can benefit from the LVAD. Patients who receive an LVAD report decreased fatigue, increased strength, and improved breathing, as well as a longer survival rate.
How does LVAD Surgery work?
The Left Ventricular Assist Device (LVAD) is a mechanical pump that is surgically implanted and attached to the heart. An LVAD is not the same as an artificial heart. An artificial heart totally replaces the failing heart, whereas an LVAD assists the heart in pumping more blood with less effort. This is done by continuously transferring blood from the left ventricle to the aorta, which then transports oxygen-rich blood throughout the body.
The device is implanted in the left ventricle (the heart’s main chamber) and is used to circulate oxygen-rich blood throughout the body. When the heart is too weak to operate normally, the mechanical pump is used in emergency situations.
Both internal and external components make up the LVAD. The actual pump rests on or near the left ventricle of your heart, with a tube connecting it to your aorta. A driveline is a cable that runs from the pump out through the skin and links it to a controller and power sources that are worn outside the body.
To keep the pump running properly, the driveline must be linked to the controller, and the controller must be connected to power at all times. Batteries or electricity are used to operate the pump. Each item comes with its own carrying case, allowing you to move around freely.
Based on your needs and medical condition, the doctor will recommend the best option for you. There are several different LVADs available in the market, all of which are portable, each system generally has four main parts:
- Heart pump– Moves blood from the heart to the rest of the body; connected to the left side of the heart.
- Batteries– When the system is not hooked into an outlet, batteries provide electricity.
- Driveline – a cable that connects the controller and the cardiac pump to transfer power and information.
- Controller – controls and monitors the pump and driveline, as well as provide feedback on how the system is performing.
Who is the right candidate for this LVAD Surgery?
For some individuals with end-stage heart failure, LVAD surgery in India is a viable therapy option. If you’re considering an LVAD, you’ll need to be evaluated to see if it’s the correct treatment option for you.
For certain patients, an LVAD is not the best therapy option. If you have clotting difficulties, kidney failure, liver disease, lung disease, or infections, you might not be a good candidate for an LVAD.
To determine if you are a candidate, you must have a thorough examination by a team of cardiac surgeons. This team also cares for you after you get your LVAD in the hospital as well as after you leave the hospital for follow-up appointments.
Several tests and a review by the Heart Failure Committee are part of your medical examination.
- Metabolic stress test
- Heart catheterization
Your surgeon or your heart failure cardiologist may prescribe these tests. Some of these tests may have been done before and will only be done again if they have not been done recently (within the last 6 to 12 months, depending on the type of test).
LVAD Surgery Cost in India
LVAD surgery cost in India starts from USD 80000.
How LVAD surgery is Performed?
An LVAD treatment in India requires open cardiac surgery to be implanted. You will be asleep the entire time because the surgery is performed under general anesthesia. The operation takes 4-6 hours to complete.
To reach your heart and attach the LVAD, the surgeon will make an incision below your chest and open your chest bone (sternum). Doctors may choose to create an incision on the left side of your chest depending on your situation (Thoracotomy).
A heart-lung bypass machine may be used during the procedure to distribute oxygen-rich blood throughout your body. During the surgery, a breathing machine (ventilator) will take over your breathing. After the LVAD is installed, the incision will be closed.
Because each patient’s rehabilitation is unique, the duration you will spend in the hospital is determined by your specific needs. The average hospital stay following LVAD surgery in India is 14-21 days.
This implanted device alleviates symptoms such as persistent exhaustion, and shortness of breath, and improves survival and quality of life.
What are the risks associated with LVAD surgery?
The LVAD procedure, like any other surgical procedure, comes with risks and complications. Your doctor will go over the exact risks and benefits of having an LVAD implanted with you. Bleeding, the development of blood clots, heart failure, respiratory failure, kidney failure, stroke, infection, and device failure are all possible risks.
When you visit with your doctor, be sure you understand why LVAD is recommended and the dangers associated with the procedure. Following the implantation operation, you and your caretakers will get LVAD training, including detailed instructions to ensure the safe and proper use of the LVAD. You’ll learn how to use the device and how to deal with potential emergency situations. Your LVAD staff will assist you in understanding:
- How does the device work?
- Importance of the alarms
- Proper system maintenance
- Procedures are carried out on a daily, weekly, monthly, and annual basis.
- How to monitor for changes
- When should you inform the LVAD staff of any changes or concerns?
You must demonstrate your knowledge of the device before being discharged from the hospital, and your care team may administer a test. Physical and occupational therapists will work with you to increase your strength in order to help you establish independence with self-care activities. Additionally, now that you have an LVAD, you should visit a nutritionist to discuss a “heart-healthy” diet.
The goal is to get you home as quickly as possible, although most patients stay in the hospital for 14 to 21 days on average. The time of your discharge will be determined by your physical recovery, medical condition, and familiarity with LVAD care. Some patients are admitted to an intermediate care facility or a rehabilitation center until they are ready to go home.
After receiving an LVAD, recovering and resuming normal daily activities is a gradual process. You will be able to conduct most activities after having an LVAD. You can shower, bicycle, hike, and even return to work, in some cases. You can also travel with minor modifications.
Patients who use an LVAD are unable to swim or bath, participate in contact sports, lift heavy weights, or be away from an electrical power supply.
It’s critical to live a healthy lifestyle both before and after receiving your LVAD, which includes:
- Quitting tobacco use
- Eating a “heart-healthy” diet
- Stopping alcohol use
- Not using illegal drugs
- Exercising regularly
When you get an LVAD or become a caregiver for someone who has one, it’s not unusual to feel anxious or depressed. Reach out to your treatment team, family, and friends if you’re particularly anxious or upset. You could also wish to talk to a professional counselor or join an LVAD support group.
The Most Important Frequently Asked Questions
Q: Is LVAD surgery considered open-heart surgery?
A: The implantation of an LVAD requires open-heart surgery, which typically takes 4 to 6 hours. The LVAD is implanted within the body, in the upper abdomen (just below the heart), with the driveline connected to the pump.
Q: Is an LVAD a significant procedure?
A: The implantation of an LVAD necessitates extensive surgery and a two-week stay in the hospital. Bleeding, blood clots, stroke, and infection are some of the dangers associated with the surgery.
Q: What occurs once an LVAD is implanted?
A: After the LVAD device is placed, patients normally stay in the hospital for two to three weeks before continuing their recovery at home for many weeks. People will be able to resume practically all of their routine activities, including employment, in the end.
Q: Is a pacemaker the same as an LVAD?
A: A pacemaker and an LVAD serve different purposes. While an LVAD aids in the efficient pumping of blood, a pacemaker aids in the correction of an irregular or slow heartbeat. A pacemaker does not assist with pumping; rather, it generates electrical stimulation that regulates the heartbeat.
Q: What is the best way for LVAD patients to shower?
A: Place the complete LVAD carrier in the bag, including the controller and batteries. Make sure your driveline is facing the side of the shower bag with the zipper stopper, not the zipper side. Close the outer layer by pinching the toggle and tightening the drawstring.
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Consultant , MBBS, MS
6 years of experience Chennai , India
Consultant , MCh, MD, MBBS
9 years of experience Chennai , India