Best Doctors in India for Endovascular Aneurysm Repair (EVAR) Treatment
Best Hospitals in India for Endovascular Aneurysm Repair (EVAR) Treatment
- City: New Delhi, India
Hospital Highlights:
- Equipped with 650 beds, BLK-Max Super Speciality Hospital is the largest stand-alone private sector hospital in Delhi.
- With over 1500 healthcare providers and 150 globally renowned super specialists, the hospital is one of Asia’s largest BMT Centres. The hospital is known for having some of the best cancer doctors in the country.
- The hospital is NABH and NABL accredited and was inaugurated by the first Prime Minister of India. Pt. Jawahar Lal Nehru.
- City: Hyderabad, India
Hospital Highlights:
- Located in the vibrant city of Hyderabad, Apollo Health City is a world-renowned medical facility that provides outstanding care and treatment to patients coming from different parts of the world.
- Founded in 1988, this 550-bed multispecialty hospital with 50 specialties and 12 Centres of Excellence continues to deliver outstanding outcomes for patients with the simplest to the most complicated medical conditions.
- Backed by the latest medical equipment and a dedicated team of professionals, the hospital provides comprehensive treatment across various specialties including, cardiology, critical care, neurosciences, cancer, orthopedics, gynecology, ENT, transplants, gastroenterology, etc.
- Apollo Health City is a cutting-edge healthcare facility that combines various facilities under one roof. These may include state-of-the-art physical medicine, rehabilitation, and wellness services with education, research, telemedicine, innovative medical devices, disease management programmes, and medical talents.
- The hospital is known for offering top-notch cancer treatment accompanied by cutting-edge facilities and technology.
- The hospital also offers a broad spectrum of cosmetic procedures that improve not just appearance but also comfort.
- In 2011, Apollo Health City was the recipient of the Asian Hospital Management Award (AHMA).
- In 2013, the Government of India recognized Apollo Health City as the top medical tourism destination in the country.
- City: Mumbai, India
Hospital Highlights:
- Kokilaben Dhirubhai Ambani Hospital, Named after the wife of Indian industrialist Dhirubhai Ambani, the founder of Reliance Industries, this is one of the top hospitals in Mumbai. This 750-bed multi-specialty hospital became operational in 2009. Known as one of India’s most advanced tertiary care facilities, the hospital is designed to raise India’s global standing as a healthcare hub, with an emphasis on excellence in clinical services.
- Kokilaben Dhirubhai Ambani Hospital uses Protocol and Care Pathway based treatment models to ensure the best outcomes for patients.
- The hospital represents a confluence of top-notch talent, cutting-edge technology, state-of-the-art infrastructure, and, most importantly commitment.
- The hospital also holds the accreditation of the NABH, NABL, CAP, and JCI.
- The hospital has been recognized as the No. 1 Multispecialty Hospital in Mumbai and the West Zone for the fifth year in a row in 2020 by The Week.
- City: Chennai, India
Hospital Highlights:
- Apollo Cancer Centre in Teynampet, Chennai is one of the best super speciality hospitals in India. It is the country’s first ISO-certified healthcare facility.
- Additionally, it is the first hospital in Chennai and the first oncology hospital in India to receive NABH accreditation.
- The hospital provides advanced tertiary care in oncology, orthopedics, neurology and neurosurgery, head and neck surgery, and reconstructive and plastic surgery.
- Additionally, it offers specialized healthcare of international standards with results comparable to those of the best hospitals in the world.
- It is outfitted with 300 beds, the newest and greatest technology, a large pool of highly qualified specialists, and a committed team of medical and paramedical professionals.
- It is one of the first few medical facilities in India to offer comprehensive cancer care. A team of skilled medical, surgical, and radiation oncologists makes up the Tumour Board, which is a component of the complete treatment planning system. After reviewing reported cases, the Board determines in concert with diagnostic specialists what course of action is best for each individual patient. The panel is further supported by dieticians, medical counselors, speech therapists, and other pertinent specialists.
- The hospital launched the first ExcelsiusGPS® Spine Robot in South India and has completed over 50 surgeries till date.
- It is also one of the few cancer hospitals in India to offer Cyber Knife therapy. Till now it has completed 1320 Cyber Knife therapies.
- The institution is also one of the few in India with the capacity to do transplants and find a prospective unrelated donor. The hospital has performed over 1000 BMTs till now.
- Furthermore, it has an exceptional milestone of performing exultant Micro vascular free tissue transfer and Aesthetic surgeries on more than 1000 patients with success.
- City: Chennai, India
Hospital Highlights:
- Apollo Hospitals, Chennai, is one of the best hospitals for heart care in India. Over the years, Apollo has expanded all over India, as a healthcare chain.
- India’s first ‘Only Pancreas’ transplant was performed in Apollo Hospital. The hospital is known for successfully performing Asia’s first en-bloc combined heart and liver transplant, and over the years, it has attained a remarkable achievement in the global healthcare space. Around 3-4 organ transplants are performed in the hospital per day.
- Equipped with over 500 beds, this hospital in Chennai was established in 1983 and since then has been among the most preferred hospital for patients from all over the world.
- The hospital holds accreditation of the NABH and JCI and is the first hospital in India to be ISO 9001 and ISO 14001 certified. It is also the first South Indian Hospital to receive subsequent reaccreditation from the JCI USA 4 times.
- City: Chennai, India
Hospital Highlights:
- Established in 1999, Gleneagles Global Hospital, Chennai, is one of the top healthcare facilities in Southern India. It is part of the Gleneagles Hospital Chain, which is the fourth largest healthcare chain in the country. The hospital specializes in multi-organ transplants of kidneys, liver, lungs, heart, etc.
- The hospital has an excellent infrastructure and state-of-the-art lab and equipment set-up. The hospital boasts cutting-edge technologies, a highly skilled team of doctors and surgeons, and trained support staff. Located in Perumbakam, Chennai, it is one of India’s premier health care destinations. The hospital has performed some of the most complex surgical and clinical procedures in India including multi-organ transplantations.
- The hospital’s lung transplantation program is one of the best in the country. The hospital is known for having performed India’s first single lung transplant and first minimal invasive lung transplant. It is also the only Indian hospital to be associated with King’s College Hospital, London, United Kingdom for liver transplantations.
- City: Hyderabad, India
Hospital Highlights:
- KIMS Hospital (a brand name of Krishna Institute of Medical Sciences) is one of the largest and best multi-speciality hospitals in Hyderabad. The hospital provides various treatments to an enormous number of patients.
- The hospital has a capacity of more than 3000 beds. KIMS Hospitals offers different healthcare services in more than 25 specialities and super specialities.
- The hospital is equipped with modern medical equipment and technology. It has robotic equipment to provide minimal invasive techniques for patients.
- The hospital is aimed at providing world-class healthcare facilities and services at an affordable cost for patients.
- The various specialities and departments of the hospital include neurosciences, gastroenterology & hepatology, robotic science, reproductive sciences, dental science, oncological sciences, organ transplantation, heart and lung transplantation and mother and child care.
- City: Kolkata, India
Hospital Highlights:
- Established in 2003, Apollo Gleneagles Hospitals is a 750-bed multispecialty tertiary care hospital situated in Kolkata.
- With 33 Centres of Excellence and more than 50 specialties, Apollo Gleneagles Hospitals, Kolkata is capable of handling all sorts of patients.
- This tertiary care hospital, which is a 100% subsidiary of Apollo Hospitals Enterprise Ltd., India, is regarded as one of Kolkata’s top hospitals.
- The facility is a complete blend of cutting-edge technology, state-of-the-art infrastructure, and genuine hospitality.
- Focusing on numerous specialties, the hospital provides all-inclusive medical treatments supported by cutting-edge technology and a staff of highly qualified medical specialists.
- Patients across the globe come to Apollo Gleneagles Hospitals Kolkata for their treatment. Moreover, international patients receive full attention and assistance for their treatment and are provided with a hassle free experience.
- Apollo Gleneagles Hospitals, Kolkata is the only hospital in Eastern India to hold the Joint Commission International (JCI) certificate.
- It is also the only hospital in Kolkata to hold the NABL accreditation in six different categories, which includes Clinical Biochemistry, Clinical Pathology, Hematology & Immunohematology, Microbiology & Serology, and Histopathology & Cytopathology.
- Furthermore, Apollo Gleneagles Hospitals, Kolkata is known for performing the first ever Reverse Shoulder Prosthesis Replacement in East India.
- City: Bengaluru, India
Hospital Highlights:
- Established in 1991, Manipal Hospital, Old Airport Road, Bangalore is the flagship facility of the Manipal Hospitals Group, which is one of the largest networks of Multispecialty Private Hospitals in India.
- The facility is well-known for its state-of-the-art technology, performance-driven, patient-centric, and evidence-based approach.
- The facilities offered at Manipal Hospital meet the highest international standards, allowing the hospital to attract a large number of national and international patients.
- Their expertise encompasses the diagnosis and treatment of a wide range of diseases in several specializations that address both simple as well as complex medical procedures.
- There are total 600 beds accessible in the hospital for the in-patients so they may heal while being closely watched after by the medical team. In addition, it has 144 critical care units, including NICUs, ICCUs, and ICUs. Apart from that, the hospital also offers 20 contemporary, modular state-of-the-art operating rooms with all the amenities needed.
- The hospital has several departments that are overseen by highly skilled, certified, and experienced medical experts.
- One of the best departments in the hospital is that of the Cancer department which is known for its advanced cancer diagnosis and treatment facilities such as Intracavitary Chemotherapy, Biological Therapy, HIPEC, PIPEC, Nuclear Medicine, Radiation Therapy, etc.
- It is one of the few hospitals in Bangalore that provides full range of pediatric services, including pediatric emergency services, pediatric gastroenterology, pediatric neurology, pediatric cardiology, pediatric orthopaedics, pediatric allergies, pediatric immunology, and infectious diseases.
- Furthermore, Manipal Hospital, Old Airport Road, Bangalore is also regarded as one of the best hospitals for bone and spine related disorders.
- City: Mumbai, India
Hospital Highlights:
- Established in 2016, Apollo Hospitals, Navi Mumbai is one of Maharashtra’s most advanced multispecialty hospital. This 500-bed hospital provides sophisticated treatments and integrated super specialty services under one roof.
- The hospital features a cutting-edge infrastructure that houses 13 state-of-the-art operating rooms, advanced laboratory and medical diagnostics, and 120 ultra-modern I.C.U. beds, including N.I.C.U. and P.I.C.U., monitored round the clock by critical care specialists.
- With 57 specialties and subspecialties, the hospital boasts a team of renowned medical specialists who offer accurate diagnosis and treatment with easy accessibility to their patients.
- Additionally, the hospital offers highly customized, individualized health check programs that are made to fit each person’s needs in terms of lifestyle.
- Apollo Hospitals, Navi Mumbai has been accredited by both the National Accreditation Board for Hospitals and Healthcare Providers (NABH) and the Joint Commission International (JCI).
- Apollo Hospitals Navi Mumbai has been awarded the “Best Practices-International Services Award” at the annual awards for service excellence and operations excellence.
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.