Best Ventricular Assist Device Implantation Surgeons in India
- Dr. Z S Meharwal is a well-known cardiac surgeon in India who has performed more than 20,000 cardiac surgeries in his career that including some of the most complex and high-risk cardiac procedures.
- Dr. Meharwal is a member of the founding team that started the Fortis Escorts Heart Institute and has been associated with the hospital since then.
- His interest lies in Minimally Invasive Cardiac procedures, valve repair, and replacement, and heart transplants among other major vascular and thoracic surgeries.
- Dr. Bhaba Nanda Das is a well-known cardiovascular and cardiothoracic surgeon and has performed the first Coronary Artery Bypass Grafting (CABG) on a beating heart in India.
- He has performed over 20,000 cardiac surgeries and does more than 800 cardiac surgeries annually.
- With a keen interest in cardiovascular and thoracic procedures, Dr. Das is the first cardiac surgeon to use all arterial grafts for multiple coronary revascularizations. He was also the first to use coronary sinus in Fontan’s circulation.
- Dr. Sandeep Attawar is a highly recognized Heart and Lung transplant surgeon in India who has over 2 decades of experience as a cardiac surgeon and has performed more than 10,000 cardiac surgeries on adult and pediatric patients.
- Dr. Attawar specializes in all types of surgeries for adults as well as pediatric heart patients and finds interest in heart and lung transplant surgery, congenital heart surgery, Aortic aneurysm repair, and implantation of heart failure devices.
- Dr. Ajay Kaul is a leading name in the field of Cardiothoracic and Vascular Surgery in India with over 3 decades of experience.
- He specializes in Coronary Bypass surgery and is one of the best with the highest number of total arterial coronary bypass surgery (4000+) by using two internal mammary arteries from the chest and without any cuts on arms and legs.
- He is also an expert in minimally invasive cardiac surgeries (MICS) and has performed more than 4000 MICS which is the highest by any cardiac surgeon in India.
- Dr. Anil Bhan is an excellent Cardiovascular and thoracic surgeon who has performed more than 15,000 cardiac and vascular surgeries that include heart transplant surgery, aortic aneurysm surgery, pediatric cardiac surgery, valve repairs, and peripheral vascular surgery among several others.
- He is one of the best pediatric cardiac surgeons in Delhi/ NCR and is credited with performing heart bypass surgery on the youngest patient in India in 2007 (18 months).
- He performed the first extracorporeal membrane oxygenation and was the first to use a harmonic scalpel for harvesting radial mammary artery conduits in India in 2000 and 1995 respectively.
- Dr. Naresh Trehan is one of the most highly skilled and globally recognized cardiothoracic and vascular surgeons.
- He started his career as a Cardiac Surgeon at New York University Medical Centre where he performed over 3000 coronary artery surgeries and returned to India in 1988 and founded the Escorts Heart Institute and Research Center in New Delhi.
- Dr. Trehan is the Founder Chairman of Medanta- The Medicity in Gurugram, a premier multi-specialty hospital with state-of-the-art infrastructure and equipped with the latest and advanced technologies.
- Dr. K Madhan Kumar is a well-known Cardiac Surgeon in Tamil Nadu, having many years of experience in the domain.
- His experience came from practice and teaching. These days, he is associated with Apollo Hospital Greams Road in Chennai as a Senior Consultant Cardiothoracic & Transplant Surgeon.
- Dr. Kumar has also completed Fellowships in Cardiothoracic Surgery at SGH in London as well as ECMO, VAD, and transplantation at HH in London.
- Dr. Mukesh Goel is a reputed Cardio-Thoracic and Vascular surgeon serving as a Senior Consultant of the specialty at Indraprastha Apollo Hospital, New Delhi.
- He carries an experience of 16+ years and has performed more than 3000 different cardiac surgeries. Dr. Mukesh Goel is constantly on the lookout to develop new and innovative techniques to perform cardiac procedures that help in quick recovery with minimum incisions.
- His expertise lies in on and off-pump bypass surgeries and also finds interest in beating heart bypass surgery, open-heart surgery, minimally invasive heart valve surgery, and pediatric cardiac surgery among several others.
- Dr. Mukesh Goel received his training in CTVS from one of the most renowned cardiac surgeons in India, Dr. Naresh Trehan, and has been using the exposure to perform various advanced and complex heart surgeries.
- Before joining Indraprastha, Dr. Goel has been associated with other prestigious heart centers in India like Escorts Heart Institute, Apollo Hospital in New Delhi, and Medanta in Gurugram where he helped in starting the Heart surgery unit.
- He frequently gets invited to attend cardiology conferences and seminars to deliver lectures and present papers. He also regularly takes part in workshops and CMEs for cardiac surgeries.
- Dr. Mukesh Goel is a keen researcher and has published a number of papers and articles on CTVS in renowned national and international medical journals.
- Dr. Rahul Chandola is a renowned cardiothoracic and vascular surgeon in India specializing in Adult CTVS along with heart and lung transplant surgeries.
- He is an expert heart and lung transplant surgeon and has performed over 100 heart transplant surgeries with successful results in both adult and pediatric patients.
- Dr. Vishal Rastogi is a leading Interventional Cardiologist in Delhi specializing in Heart Failure Management.
- Dr. Vishal Rastogi has over 20 years of experience in the field and holds the credit for the largest number of Impella Left Ventricular Assist Device (LVAD) implants in critically ill patients in India.
- He has performed a large number of Coronary and Peripheral Angiographies and diagnostic cardiac catheterizations in both adult and pediatric patients among several other interventional cardiac procedures.
Best VAD Implantation Hospitals in India
Indraprastha Apollo Hospital, New Delhi
- 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 hospital also has one of the largest dialysis units in India along with a dedicated Bone Marrow Transplant unit.
- 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 Brachytherapy, Brain Lab Navigation System, Tilting MRI, Portable CT scanner, 3 Tesla MRI, 128 Slice CT scanner, DSA Lab, Endosonography, Hyperbaric Chamber and Fibro scan.
Fortis Memorial Research Institute, Gurugram
- Fortis Memorial Research Institute is a multi-super-specialty, quaternary care hospital with 1000 beds. The hospital comprises reputed clinicians, and international faculty and is also equipped with cutting-edge technology. The hospital is a part of Fortis Healthcare Limited, a reputed chain of private hospitals in India.
- It is a NABH-accredited hospital that is spread across 11 acres of land and has a capacity of 1000 beds. The hospital has 55 specialties and is one of the premier health care centers in the Asia Pacific region popularly known as “the Mecca of Healthcare”.
- The hospital has 260 diagnostic centers and is also equipped with the latest and advanced techniques that include 3 Telsa which is the world’s first Digital MRI technology. The hospital also has world-class Radiation Therapy techniques which have been developed by leading technology experts from Elekta and Brain Lab.
Apollo Hospital, Chennai
- 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.
Medanta-The Medicity, Gurgaon
- 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.
Max Super Specialty Hospital, New Delhi
- 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.
Artemis Hospital, Gurugram
- One of the most well-known hospitals in the Delhi NCR, Artemis Hospital is the first hospital in Gurugram to get accredited by the Joint Commission International.
- With more than 40 specialties, the hospital has been designed to be one of the most technically advanced hospitals in the country, with the best medical and surgical health care. The hospital has eleven special and dedicated centers, for Heart, Cancer, Neurosciences, etc.
- The latest technologies in the hospital include Endovascular Hybrid Operating Suite and Flat panel Cath Labs for the cardiovascular department, 3 Tesla MRI, 16 slice PET CT, 64 Slice Cardiac CT Scan, HDR Brachytherapy, and highly advanced Image Guided Radiation Therapy techniques (LINAC) are installed in the hospital.
- The hospital has won several awards as well, since its inception.
BLK Max Super Specialty Hospital, New Delhi
- Equipped with 650 beds, BLK Superspecialty 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 Bone Marrow Transplant 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.
Gleneagles Global Hospitals, Chennai
- 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.
Fortis Hospital, Mulund, Mumbai
- Fortis Hospital in Mulund is a 315-bed multi-speciality tertiary care hospital with five JCI accreditations that offers a wide variety of diagnostic and therapeutic services. The Fortis Hospital in Mulund delivers patient-centred treatment with cutting-edge technology, highly skilled and experienced surgeons, and paramedical staff.
- This institution houses Maharashtra’s largest multi-organ transplant centre. It is also the first heart transplant centre in western India to conduct 100 or more consecutive heart transplants in under four years. It is the only hospital in the city to have multi-organ transplants and has handled the youngest patient for angioplasty. Fortis Hospital Mulund now boasts the first advanced surgical robot in central Mumbai.
- Cardiology and heart surgery, urology, nephrology, neurosciences, orthopaedics, digestive care, emergency and critical care, and maternity care are among the services provided by the hospital.
Kokilaben Dhirubhai Ambani Hospital, Mumbai
- 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.
Ventricular Assist Device
A ventricular assist device is a mechanical pump implanted inside the chest of a person, suffering from a weak heart or heart failure. It can help you pump blood from the lower chambers of your heart to the rest of the body. Though this device is mostly placed in the left ventricle, it can be placed in the right or even center.
A patient can have a ventricular assist device while they are waiting for a heart transplant or waiting for their own heart to become stronger so that it is able to pump blood on its own. It can also be recommended as a long-term treatment if you are having heart failure, but you are not a good candidate for having a heart transplant. However, it is to be noted that a ventricular assist device cannot replace the real heart, though it can help the heart do its job.
A ventricular assist device can help to support the lower left heart chamber, or the lower right heart chamber, or in some cases both the lower heart chambers. It can help to relieve several symptoms, such as constant tiredness or shortness of breath.
In some rare cases, it can also help the heart recover its normal ability by giving it a chance to rest. It maintains or improves other organs as well.
This procedure is generally recommended if:
- You are waiting for a heart transplant- You may have a ventricular assist device implanted, while you are waiting for a donor heart to become available. Even if your heart is diseased, the device can assist your heart to continue pumping blood. It can also help improve the functions of other parts of your body, which might not be working properly.
- You are not eligible for a heart transplant- In some cases, this device can also be implanted if despite having a weak heart, you are not eligible for a heart transplant due to factors such as age or any other medical conditions. This is generally known as destination therapy. In some cases, this device can help you improve your conditions so that you are able to become a heart transplant candidate, or you might even keep the device as a form of permanent treatment.
- Your heart’s function can get normal once more- If your heart failure is temporary, the ventricular assist device can be recommended till your heart is again healthy enough to pump blood on its own once again.
Before the procedure
Before you undergo the procedure for implantation of the device, your doctor and treatment team will be explaining to you what you can expect before, during and after your surgery. The potential risks are going to be discussed as well. Your team will also discuss any concerns that you might have regarding your surgery. Any hair at the location of your body, where the procedure will take place, will need to be shaved off.
You will also need to arrange for someone to help you after you return home.
You will also need to discuss with your doctor when you can take your regular medications, or whether you should continue taking them before the surgery.
You might need to stop eating or drinking the night before the procedure.
Before the device is implanted, you will likely need to stay in the hospital for some days. During your stay at the hospital, you might receive other treatments for your heart problems.
Your doctor will also need to review several factors before deciding that a ventricular assist device is the most appropriate treatment for your condition. Some of these factors include:
- The severity of your heart failure or ailment
- Any other medical conditions that might be affecting your heart or quality of life
- Whether you are able to take blood-thinning medications for long periods of time
- Whether you are mentally and emotionally stable for taking care of the device
- Whether you have appropriate support from your family and friends
Your doctor might also order some tests, to ensure that you are healthy enough for the surgery. Some of these tests can include an echocardiogram, blood tests, chest X-ray, or an electrocardiogram.
The procedure for implanting a ventricular assist device is generally an open-heart surgery which can take four to six hours. You will be sedated with general anesthesia and therefore you will be unconscious during the entire procedure, and will not feel any pain.
Then the healthcare team will connect you to a machine that will help you to breathe throughout the procedure. A tube will be run down your throat to your lungs, and then connected to a ventilator. In most cases, you may need to be connected to this ventilator for some days after the surgery.
The procedure for implanting the ventricular assist device can take as long as four to six hours.
First, a small incision will be made in the center of your chest. Your surgeon will need to separate your chest bone and open the rib cage, to operate on the heart.
You are going to be connected to a heart-lung bypass machine which will keep the oxygenated blood flowing through the body during the surgery if your heart needs to be stopped during the surgery.
Next, your surgical team is going to implant the device. An implanted left ventricular assist device has various parts. A tube carries the blood from the left ventricle of your heart to a pump. The pump delivers the blood through another tube to the aorta, the artery leading out to the body from the heart, which then delivers blood to your body. A cable inserted through the skin connects the pump to the control unit and battery pack outside the body.
Once the device is implanted and working well, your doctors are able to take you off the heart-lung bypass machine, so that the device can begin pumping blood through your heart.
After the procedure
After your procedure, you will need to stay in the intensive care unit for some time. You will receive fluids, nutrition, and medications through an IV line. Other tubes will be draining urine from your bladder, and will also be draining fluid and blood from your chest and heart.
You will be monitored by your treatment team for signs of infection or any other complications. Although your lungs might not work properly immediately after the surgery, it is likely that you are going to remain connected to a ventilator for some days after the surgery, until you are able to breathe on your own.
After you spend a few days in the ICU, you are going to be moved to a regular hospital room. The amount of time that you will need to spend in the ICU and at the hospital may vary, depending on your condition before the procedure and during your recovery.
As you continue to recovery, your nurses and other members will be helping you to become more active.
You will also receive medications and instructions from your doctor for taking them. If you have any questions regarding your medications, or you experience any side effects from them, let your doctor know.
Once you have recovered and have regained your strength, the treatment team will determine whether you should be released from the hospital. Sometimes if more time is required for your recovery, you might need to stay at a special care facility before you return home.
Make sure that you keep your follow-up appointments with your doctor and the treatment team so that they can check how well the device is working, and if it is leading to any complications. The follow-up appointments can also include a physical examination as well as several tests.