Best ICD/AICD Implantation Doctors in India

Dr. Murtaza A Chishti
Director, CTVS (Adult Cardiac Surgery and Heart Lung Transplant) Artemis Hospital, Gurgaon, Haryana

Profile Highlights:

  • Dr. Murtaza A Chishti is one of the most well-known and distinguished Cardio-Thoracic and Vascular surgeons in North India
  • He has more than 3 decades of experience in the field of cardiac surgery with a specialization in heart and lung transplantation surgeries.
  • He has performed more than 6000 cardiac procedures that include Total Arterial revascularization, aortic surgery, complex and re-operative coronary surgery, CABG, and several other cardiothoracic surgeries.

Profile Highlights:

  • Dr. Nandkishore Kapadia is one of the leading Cardiothoracic and vascular surgeons in India excelling in heart and lung transplant surgeries.
  • He has 36+ years of experience in the field during which he has performed over 10000 CABGs, 2000 heart valve repairs, and 800 minimally invasive cardiac surgeries.
  • He has also performed more than 5000 open heart surgeries, 200 heart and lung transplant surgeries, and 150 VAD and ECMO implantation procedures.

Profile Highlights:

  • Dr. Rajneesh Malhotra is a distinguished cardiovascular and thoracic surgeon in India with over 30 years of experience.
  • He is an expert in all kinds of cardiac surgeries with a special interest in Robotic Cardiac surgery along with minimally invasive cardiac surgery and other traditional heart surgeries.
  • Dr. Rajneesh Malhotra has performed several complex and high-risk cases and also specializes in heart transplant surgeries and surgeries for heart failure.

Profile Highlights:

  • Dr. Surendra Nath Khanna is a leading cardiovascular and thoracic surgeon specializing in minimally invasive cardiac surgeries, heart valve repairs, and heart failure surgeries.
  • Dr. Surendra Khanna has 26+ years of experience in cardiac care and has performed more than 17000 surgeries that include beating heart surgery, mitral and aortic valve surgery, and double valve replacement surgery.
  • His expertise lies primarily in adult cardiac surgeries and has done some of the most complex cardiac surgeries in India

Profile Highlights:

  • Dr. Suresh Rao is a highly experienced cardiac surgeon specializing in congenital heart diseases and has performed more than 12,000 surgeries for congenital heart diseases and disorders.
  • Dr. Rao holds an extensive experience of over 33 years in Pediatric and congenital cardiac surgery and has performed numerous simple and complex heart defect surgeries with successful outcomes.
  • Dr. Suresh Rao introduced the Modified Ultrafication procedure after congenital heart surgery in India and has used the procedure in the treatment of a large number of pediatric as well as adult patients.

Profile Highlights:

  • Dr. Suresh V Joshi is a cardiac surgeon in Mumbai with expertise in undertaking complex surgeries as a result of congenital heart diseases.
  • He holds an extensive experience of over 3 decades in cardiac surgery and specializes in Coronary Artery Bypass Grafting (CABG); specifically Beating Heart CABG and Minimally Invasive Cardiac Surgeries.
  • He is an expert in all kinds of coronary and interventional cardiac procedures and has performed over 15,000 cardiac surgeries for different kinds of heart defects and disorders.

Profile Highlights:

  • Dr. Sushant Srivastava is a renowned cardiovascular and thoracic surgeon specializing in heart transplantation.
  • He specializes in performing Beating Heart Bypass surgeries and is credited with performing the procedure on the oldest patient in India (96 years old). He also performed the first awake CABG in North India.
  • He has taken up close to 10000 cardiac cases in his career and performed 3000+ cardiac surgeries related to Coronary Artery Bypass Grafting (CABG), redo coronary artery surgery, heart failure surgeries, heart valve surgeries, and various other types of cardiac surgeries.

Profile Highlights:

  • Dr. Vivek Jawali is a renowned Cardiothoracic and Vascular Surgeon in India and has performed more than 18,000 cardiothoracic and cardiovascular surgeries.
  • He has several firsts to his credit that including the first beating heart bypass surgery in 1992 and the first Minimally Invasive Heart Bypass surgery in 1994 in India.
  • He performed the first Awake Cardiac Surgery in 1999 which is done without general anesthesia or ventilator but under continuous high thoracic epidural. He also performed the first awake open heart surgery in the world without general anesthesia or ventilator on a 74-year-old patient for triple bypass with aortic valve replacement.

Profile Highlights:

  • Dr. Yugal Kishore Mishra is a well-known cardiovascular and thoracic surgeon in Delhi specializing in Minimally Invasive and Robotic cardiac surgeries.
  • He has 3 decades of experience in CTVS and has performed more than 19,000 open heart surgeries to date that including various types of minimally invasive cardiac procedures such as the port access approach for valve surgery and ASD closure.
  • He is the founder of the Robotic Cardiac Surgery Program at Fortis Escorts Heart Institute where he has performed over 500 robotic cardiac surgeries.

Profile Highlights:

  • Dr. Zainulabedin Hamdulay is one of the best cardiac surgeons in Mumbai, India, and specializes in devising new and innovative techniques for cardiac surgeries.
  • He has 24+ years of experience and has performed over 8000 cardiac surgeries that included complex valve repairs, congenital cardiac surgery, CABG, and several minimally invasive cardiac surgeries.
  • With a motive to provide the best, affordable and comprehensive cardiac care to all his patients, he founded the Hamdulay Heart Foundation to provide aid to the economically backward community.

Best ICD / AICD Implantation Hospitals in India

AICD Implantation

Automated Implantable Cardioverter-Defibrillator (AICD) or an implantable cardioverter-defibrillator (ICD) is a device that is placed in the chest & monitors the heart rate & rhythm. In case, a fast abnormal heart rhythm is detected, the device provides energy to the heart muscle which normalize the heart rhythm.

The ICD comprises of two parts:

First part is the Lead(s) which are made up of wires and sensors that monitors the heart rhythm and delivers energy used for pacing.

The second part is the Pulse Generator which has a battery that houses energy, & a tiny computer that receives information from the leads to determine how the heart is beating.

Types of ICDs

Single-chamber ICD

A lead is attached in the right ventricle that provides energy to the ventricle to restore a normal heart rhythm.

Dual-chamber ICD.

Leads are attached in the right atrium and the right ventricle which provides energy to the right atrium and then to the right ventricle that helps the heart to pace in a normal sequence.

Biventricular ICD

Leads are attached in the right atrium, the right ventricle and the coronary sinus that lies adjacent to the left ventricle and helps the heart beat in a more efficient way. It is specifically used for patients suffering with heart failure.

Functions of ICD

  • When the heart beat is too fast, a chain of small electrical impulses are delivered to the heart muscle which restores heart rate and rhythm. This is known as Antitachycardia Pacing (ATP)
  • A low-energy shock is delivered which restores heart rhythm. This is known as Cardioversion.
  • When the heart is beating too fast, a high-energy shock is delivered to the heart muscle which restores heart rhythm. This is known as Defibrillation.
  • When the heart beat is too slow, a small electrical impulses is delivered to the heart which stimulates the heart muscle to maintain a suitable heart rate. This is known as Bradycardia pacing.

Conditions in which ICD is implanted

  • Episode of sudden cardiac arrest (ventricular fibrillation).
  • People who are at high risk for sudden cardiac arrest.
  • Hypertrophic cardiomyopathy.
  • Dilated cardiomyopathy.
  • Ventricular tachycardia.

ICD Implant Procedure

The ICD may be implanted in two ways:

1. Endocardial (transvenous) Approach

The first way is the endocardial (transvenous) approach. It the most approach in which ICD is implanted. In this approach, a small incision is made under the collar bone. The lead is inserted into the heart, through a vein. The generator is placed in the upper chest, under the skin & attached to the lead(s).

2. Epicardial Approach

The second way is epicardial approach. This requires open-heart surgery. The lead is sewn onto the heart instead of placing the lead through a vein.

The morning after the implant, the patient will undergo a chest X-ray to make sure the ICD leads are in the proper position and the ICD will be programmed to ensure it is functioning properly.

Precautions after ICD Implantation

Short-term precautions

  • Avoid vigorous exercises, including golf, tennis, swimming, bicycling, bowling or vacuuming
  • Don’t lift anything weighing more than 5 pounds
  • Avoid strenuous exercise programs

Long-term precautions

  • It is safe to talk on a cellphone, but avoid placing the cellphone within 6 inches of the ICD implantation site when the phone is turned on.
  • After surgery, the patient will receive a card that stating he/she have an ICD. Show this card to airport personnel because the ICD may set off airport security alarms.
  • Avoid scanning with a hand-held detector to less than 30 seconds over the site of the ICD or make a request for a manual search.
  • Some procedures, such as magnetic resonance imaging (MRI), magnetic resonance angiography (MRA), and radiofrequency or microwave ablation are not recommended after ICD implant.
  • Stand at least 2 feet (0.6 meters) from welding equipment, high-voltage transformers or motor-generator systems.
  • Keep magnets at least 6 inches (15 centimeters) from the ICD site.

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