Best Doctors in India for Endovascular Aneurysm Repair (EVAR) Treatment

Profile Highlights:

  • Dr. Rakesh Mahajan is a leading Vascular Surgeon in Delhi with over 35 years of extensive experience in the field.
  • He has been a Senior Consultant in Vascular Surgery at Indraprastha Apollo Hospital, New Delhi, since September 2004, where he has significantly advanced the department into one of the most trusted centers for vascular care.
  • Before joining Apollo, Dr. Mahajan worked as a Consultant Surgeon at Royal Gwent Hospital in the UK.
  • Dr. Mahajan is renowned for his expertise in a wide range of vascular conditions and treatments.

Profile Highlights:

  • Dr. Suhail Naseem Bukhari is a well-known Vascular Surgeon with an experience of 18 years.
  • He is proficient in carrying out procedures such as Spinal and Cerebral Tumor Embolization, Angioplasty and Stenting, Embolization for Fibroid, Head, and Neck Tumour Embolization and Acute Stroke Thrombectomy, etc.

Profile Highlights:

  • Dr. Himanshu Verma is a highly skilled Vascular Surgeon with over a decade of experience in India and the USA, including training at the renowned Mayo Clinic. His expertise lies in treating complex vascular diseases using advanced endovascular techniques and open surgical methods.
  • Presently, he is associated with Fortis Memorial Research Institute as a Consultant Vascular Surgeon.
  • Dr. Verma focuses on a wide range of conditions, including aortic aneurysms, redo vascular procedures (for cases where previous treatments have failed), peripheral gangrene, varicose veins, and diabetic foot issues.
  • He is particularly noted for performing intricate vascular surgeries under local anesthesia, which helps minimize risks and reduce hospital stays for his patients.
  • One of Dr. Verma’s notable achievements is his extensive experience with over 5,000 complex AV fistula surgeries for dialysis patients, showcasing his proficiency in managing critical vascular access needs.

Profile Highlights:

  • Dr. Jaisom Chopra is a highly skilled and accomplished vascular surgeon, widely recognized as one of the top specialists in Delhi.
  • With over three decades of experience, Dr. Chopra’s expertise spans both domestic and international practice, making him a leading figure in his field.
  • He currently practices at Indraprastha Apollo Hospital in New Delhi and also serves as a visiting consultant in multiple states, including Jammu and Kashmir, Himachal Pradesh, and Haryana.
  • Dr. Chopra’s practice encompasses a wide range of vascular surgeries, including leg bypasses, occlusive disease management, arterial and venous diseases, diabetic foot care, and dialysis access.

Profile Highlights:

  • Dr. K K Pandey is a highly experienced Thoracic and Vascular Surgeon based in Delhi, with nearly 30 years of dedicated service in the field.
  • As a prominent figure in cardiothoracic and vascular surgery, Dr. Pandey brings a wealth of expertise and a compassionate approach to his practice at Indraprastha Apollo Hospitals in New Delhi.
  • Dr. Pandey is well-regarded for his extensive work in treating complex heart and vascular conditions.
  • His academic qualifications include an MBBS, MS, and a Ph.D. in Cardiothoracic and Vascular Surgery (CTVS).

Profile Highlights:

  • Dr. (Col) Kumud Rai belongs to the top class of Vascular Surgeons in India. He has more than 25 years of experience in being a Vascular Surgeon.
  • Dr. Kumud Rai has been a Tutor for the Royal College of Surgeons in the UK and an examiner in several MCHs.
  • Dr. Rai has spent a major part of his life serving the Indian Army in both educational and professional sectors.

Profile Highlights:

  • Dr. Surinder Singh Khatana is an eminent name in the country for conducting more than 1000 vascular surgeries to date.
  • He has been the chief cardiac surgeon at various prestigious hospitals both nationally and internationally.
  • He has served in the Indian Army for 30 years.

Profile Highlights:

  • Dr. Balaji V is a highly respected vascular surgeon with over 22 years of experience in the field.
  • His expertise in treating complex vascular conditions has earned him a stellar reputation and numerous accolades. Dr. Balaji holds an MBBS, MS, and three prestigious Fellowships from the Royal College of Surgeons (FRCS), including one in General Surgery, showcasing his commitment to excellence and advanced knowledge in vascular surgery.
  • Currently, Dr. Balaji practices at Apollo Hospitals Greams Road in Chennai, Tamil Nadu, where he offers top-notch care and treatment for various vascular health issues. His extensive experience and dedication ensure that patients receive the highest standard of care for their vascular needs.

Best Hospitals in India for Endovascular Aneurysm Repair (EVAR) Treatment

Hospital Highlights:

  • One of India’s best and largest multi-specialty hospitals, Medanta was built with the aim to bring India to the highest standards of medical care. The hospital has been providing the best medical services to its patients, since its inception, with care, commitment, and compassion.
  • Equipped with 1250 beds, the hospital was founded by Dr. Naresh Trehan in the year 2009 with an aim to provide the best medical care at affordable costs. The hospital is spread across 43 acres and includes 45 operation theatres and 350 beds dedicated solely to ICU. The hospital includes over 800 doctors, and more than 22 specialty departments and has a dedicated floor for individual specialty in order to offer the best services under one roof.
  • The hospital is considered one of the premier institutes in India for Cardiac Care and includes staffs and members of high caliber. The hospital has 6 distinct centers of excellence.

Hospital Highlights:

  • Artemis Hospital, established in 2007 in Gurugram, India, is a leading multi-specialty institution known for its excellence in patient care and advanced medical technology, offering comprehensive services across specialties like Cardiology, Oncology, Neurology, Orthopedics etc.
  • Renowned for its patient-focused care, Artemis Hospital combines state-of-the-art infrastructure with a team of internationally trained doctors and surgeons, ensuring the highest standards of medical treatment.
  • Accredited by JCI and NABH, Artemis Hospital meets global healthcare quality and safety standards, reflecting its commitment to providing compassionate, personalized care.
  • The hospital is recognized for utilizing cutting-edge diagnostic and ther*peutic techniques, ensuring patients receive accurate diagnoses and effective treatments tailored to their needs.

Hospital Highlights:

  • The Apollo Proton Cancer Centre in Chennai is the most sought-after private cancer hospital in India. It is an integrated facility that provides cutting-edge, all inclusive cancer treatment to patients all over the globe.
  • The hospital is a part of the renowned Apollo Group which has a large network of over 74 hospitals in India and across the globe. Out of the 74 hospitals, 21 of them are cancer centres. However, Apollo Proton Cancer Centre is the only cancer hospital to have JCI accreditation.
  • The Centre, which was established on the principles of excellence and expertise, unites a formidable medical staff led by some of the most illustrious figures in cancer treatment.
  • The hospital follows the global ASTRO Model Policy. It is the same global policy which is followed by countries like USA, UK, and Europe.
  • Apollo Proton Cancer Centre is among the very few hospitals in India to receive patients from First World countries such as USA, Canada, New Zealand, Australia, Singapore, Thailand, etc.
  • Apart from that, it is also the first hospital in Chennai to receive patients from several countries like Uzbekistan, Kazakhstan, Turkmenistan, Georgia, Armenia, Azerbaijan, SAARC countries (Bangladesh, Nepal, Sri Lanka, Maldives, Bhutan, Afghanistan, and Pakistan), South Africa, Turkey, Egypt, etc.
  • In fact, there is a dedicated team at the Apollo Proton Cancer Centre that serves only international patients. Thus, on a monthly basis, the Centre receives patients from across 32 countries.
  • Moreover, there are certain treatments in Apollo Proton Cancer Centre that are not available in any other centre. APCC addresses all types of possible cancers that are usually not covered by any other centre.

Hospital Highlights:

  • Over the last 33 years, the Fortis Escorts Heart Institute has set new standards in cardiac treatment with groundbreaking research. It is now known around the world as a centre of expertise for Cardiac Bypass Surgery, Interventional Cardiology, Non-invasive Cardiology, Paediatric Cardiology, and Paediatric Cardiac Surgery.
  • The hospital has cutting-edge laboratories that perform a wide range of diagnostic tests in Nuclear Medicine, Radiology, Biochemistry, Haematology, Transfusion Medicine, and Microbiology.
  • Fortis Escorts Heart Institute boasts a diverse group of bright and experienced doctors who are backed up by a team of highly qualified, experienced, and devoted support professionals as well as cutting-edge equipment such as the recently installed Dual CT Scan.
  • Approximately 200 cardiac doctors and 1600 personnel currently collaborate to manage over 14,500 admissions and 7,200 emergency situations each year. The hospital now has a 310-bed infrastructure, as well as five cath labs and a slew of other world-class amenities.

Hospital Highlights:

  • Fortis Memorial Research Institute (FMRI) is a premier multi-super-specialty, quaternary care hospital, known for its exceptional international faculty, top-tier clinicians, super-sub-specialists, and specialized nurses, all supported by cutting-edge technology.
  • It is the flaship hospital of Fortis Healthcare Limited, part of IHH Healthcare Berhad, a leading integrated healthcare services provider in India. As one of the country’s largest healthcare organizations, Fortis operates 28 healthcare facilities with over 4,500 operational beds (including O&M facilities) and more than 400 diagnostic centers (including joint ventures).
  • Recognized as one of the top hospitals in India, FMRI serves as a leading referral center and aspires to be the ‘Mecca of Healthcare’ for India and beyond. Its 11-acre campus is a testament to its commitment to providing world-class healthcare.
  • Accredited by JCI and NABH, FMRI is dedicated to maintaining the highest standards of healthcare quality and safety, ensuring that every patient receives the best possible care. The hospital’s reputation is further enhanced by its state-of-the-art facilities and innovative medical practices.

Hospital Highlights:

  • The Indian Spinal Injuries Center (ISIC), provides state-of-the-art facilities for the management of all types of spinal ailments.
  • Staffed with internationally trained, acclaimed, and dedicated spine surgeons, the hospital provides cutting-edge medical & surgical technology. The hospital provides comprehensive management of spinal injury, back pain, spinal deformities, tumors, osteoporosis, etc.
  • The hospital performs motion-preserving spine surgeries including disc replacement and dynamic fixation, and minimally invasive spine surgeries such as endoscopic disc excision.
  • The orthopedic service of the hospital covers all orthopedic ailments including trauma, joint diseases & replacements, oncology, pediatric orthopedics & upper limb ailment.

Hospital Highlights:

In the sprawling city of Faridabad, where healthcare needs are diverse and ever-evolving, one institution has consistently stood out as a beacon of excellence in the field of medicine—Marengo Asia Hospital. Established with a vision to provide world-class healthcare services to the community it serves, Marengo Asia Hospital has emerged as a trusted name synonymous with quality, compassion, and innovation in healthcare.

Hospital Highlights:

  • Indraprastha Apollo Hospital is a 700-bedded multispecialty hospital in the heart of the capital of India. It is a part of Apollo Hospital group, one of India’s most reputed healthcare chains. Indraprastha Apollo Hospital has been accredited by Joint Commission International, making it the first internationally accredited hospital in the country in 2005.
  • There are 52 specialties in the hospital with one of the best cardiology centers in the country. The hospital is also equipped with State of the art infrastructure facilities with the largest Sleep Lab in Asia and the largest number of ICU bed facilities in India.
  • The latest and highly advanced technologies that are installed in the hospital include Da Vinci Robotic Surgery System, PET-MR, PET-CT, Cobalt-based HDR, Brain Lab Navigation System, Tilting MRI, Portable CT scanner, 3 Tesla MRI, 128 Slice CT scanner, DSA Lab, Endosonography, Hyperbaric Chamber and Fibro scan.

Hospital Highlights:

  • One of the well-regarded providers in India committed to the highest standards of clinical excellence and patient care, Max Super Specialty Hospital is a part of Max Healthcare, which is the second-largest healthcare chain in India. Regarded as one of the most well-regarded healthcare providers in the country, Max Super Specialty Hospital is committed to the highest standards of clinical excellence as well as patient care. The hospital is also equipped with the latest technology as well as cutting-edge research. The hospital is known to deliver and ensure the highest level of patient care.
  • The hospital has more than 500 beds and offers treatment for over 35 specialties. The hospital also holds the credit of having installed the first Brain Suite in Asia. This is a highly advanced Neurosurgical machine that allows MRI to be taken while surgery is ongoing.
  • Other advanced and latest technologies are also installed in the hospital such as the 1.5 Tesla MRI machine, 64 Slice CT Angiography, 4D ECHO, LINAC, and 3.5T MRI machine.

Hospital Highlights:

  • Founded in 2017, the HCG EKO Cancer Centre is a committed, all-inclusive cancer care facility in Kolkata.
  • The hospital was collaboratively established by India’s leading cancer care provider HCG (HealthCare Global Enterprises Ltd.), and EKO Diagnostic Pvt. Ltd., a top diagnostic and imaging chain in Eastern India.
  • With 88 beds, the hospital provides a full spectrum of services including diagnosis, prevention, screening, second opinions, treatment, rehabilitation, follow-up, and palliative care.
  • Additionally, the hospital contains a day-care chemotherapy ward, Neutropenic ward, medical ICU, pharmacy, blood bank, and an IPD wing.
  • At HCG EKO Cancer Centre Kolkata, a large team of cancer experts with experience in medical oncology, surgical oncology, radiation oncology, hemato oncology, BMT, and nuclear medicine collaborate to offer a variety of treatment options under one roof.
  • Furthermore, the hospital is also known for employing the most advanced radiation technology such as, the Radixact, a next-generation TomoTherapy equipment that provides greater radiation delivery precision.

Endovascular Aneurysm Repair (EVAR)

Endovascular aneurysm repair or EVAR is a procedure for treating an aneurysm or abnormal enlargement of the abdominal aorta. When the abdominal aorta gets enlarged, there are generally two ways to perform surgery. It might be performed through an open incision or in a minimally-invasive procedure known as endovascular aneurysm repair.

This technique has an advantage, which is that there is no abdominal surgery. This makes this technique safer than the traditional open surgery and you also need to spend lesser time at a hospital.

Purpose

The largest artery in your body is the aorta. It helps to transport blood from your heart to various other body parts. When the aorta runs through the chest, it is known as thoracic aorta and when it reaches the abdomen, it is called as the abdominal aorta. This aorta helps supply blood to the lower parts of your body. The normal diameter of this aorta is around 1 inch or 2 cm. However, when it gets weakened or stretched, then it might expand or bulge. This condition is known as abdominal aortic aneurysm. When this aneurysm is over 5.5 cm, this increases the risk of a rupture and your doctor might consider a surgery.

Preparation

First your doctor will explain you how the procedure is done and you will have the opportunity to ask any questions that you might have. Your doctor might need to examine your medical history to ensure that you are in good health. You might also need to undergo blood tests as well as other diagnostic tests.

You will be asked to fast for a minimum of eight hours before your procedure, generally after midnight.

You should notify your doctor if you are pregnant, or if you think you might be. You should also let your doctor know about any medications that you are taking.

If you have a history of bleeding disorders, or if you are having anticoagulant medications, then it might be necessary for you to stop taking these medications. If you smoke, you will need to stop it as soon you can before the procedure. Smoking can interfere with your chances of having a successful recovery from the surgery and to improve your overall health status.
The areas of your surgical site might require shaving before the procedure.

Procedure

Procedures might vary depending on your condition, as well as on the skills and experience of your doctor.

First you will need to lie on your back on the procedure table. Then your heart rate will be continuously monitored. Once you are sedated with anesthesia, a breathing tube is likely to be inserted through your lungs. You will be connected to a ventilator, which will help you in breathing throughout the surgery.

Your surgeon will make an incision in each groin, to expose the femoral arteries. Using a method known as fluoroscopy, he will be inserting a needle into the femoral artery through which a guidewire is going to be passed and advanced to the aneurysm site.

Then he/she will inject contrast dye to visualize the position of the aneurysm and its adjacent blood vessels. After this, he/she will use special endovascular instruments and X-ray images for guidance. A stent-graft is then going to be inserted through the femoral artery, and will be advanced up into the aorta to the site of the aneurysm. It will be expanded and attached to the wall of the aorta.

An aortogram is going to be done to check for an endoleak, i.e. blood leaking out into the aneurysm sac of the stent graft. Once it is determined, that there is no leak, the instruments are going to be removed.

Then the incisions are going to be sutured back together, and the doctor will apply a bandage or a dressing.

Recovery

Depending on your condition, you may or may not be sent to the ICU. However, it is likely that you are going to be taken to a post-anesthesia care unit. You are going to be connected to monitors that will be constantly displaying your ECG tracing, blood pressure, breathing rate, your oxygen level as well as other pressure readings.

If you experience any pain, you will receive the appropriate medicines.

Slowly, you will be able to increase your daily activities gradually.

Once you are home, make sure that you keep the surgical site clean and dry. You will receive instructions from your doctor regarding this. If the sutures or surgical staples were not removed before you left the hospital, they will be removed during a follow-up office visit.

You should not drive unless your doctor tells you to.

If you experience fevers or chills, redness, swelling or bleeding at the incision site, or increase in pain around the incision site, then you need to notify your doctor soon.

Risks

There is a small risk that you might experience any of the following after the surgery:

  • Heart attack
  • Kidney failure
  • Chest problem
  • Stroke
  • Loss of circulation in your legs or bowel
  • Infection in the graft which was used to replace your aorta

 

A small percentage of men might also have difficulty in sustaining an erection after the surgery. If you experience you should inform your doctor, as there are treatments that are able to help.

Another recognized risk is deep vein thrombosis, which most patients can experience during the stay at the hospital. Your surgeon can recommend a treatment to prevent this.

It is best to discuss all risks and possible complications with your surgeon, before you undergo the surgery.

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