Best Ventricular Assist Device Implantation Surgeons in India

Profile Highlights:

  • Dr. Anvay Mulay is a well-known cardiothoracic and vascular surgeon in Mumbai and one of the best heart transplant surgeons in India.
  • He holds an extensive experience of close to 3 decades and has been associated with renowned cardiac hospitals in India, US, and UK.
  • Dr. Mulay is one of the top surgeons for Adult cardiac procedures in India. He was the first to introduce LVAD in West and Central India when he performed the surgery on a 49-year-old patient.

Profile Highlights:

  • Dr. K R Balakrishnan is a highly coveted cardiac surgeon in India and is probably one of the best heart transplant surgeons in the country.
  • He has performed the largest number of heart transplants in the country including 180+ heart transplants, 23 lung transplants, and 9 heart & lung transplant procedures. He performed the first permanent artificial heart transplant in India with HeartMate II LVAD.
  • Dr. K R Balakrishnan has over 40 years of experience in the field and has the expertise to perform cardiac surgeries on patients of all ages. He has performed over 16000 cardiac surgeries for various types of heart diseases and disorders till date.

Profile Highlights:

  • Dr. Manoj Luthra is a highly experienced and renowned Cardiac surgeon who has 30+ years of experience and performed the first heart transplantation surgery in the Indian Armed Forces.
  • Till date, Dr. Manoj Luthra has performed more than 12,000 cardiac surgeries including 8000 heart bypass surgeries. He has also performed many heart transplants and aneurysm 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. 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. 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. Rachit Saxena is an experienced cardiac surgeon, who is known for his extreme dedication to his profession, and for providing absolute patient satisfaction.
  • Supported by an efficient cardiac surgical team, Dr. Saxena is known for successfully managing the most complex of cardiac surgical problems.
  • Dr. Rachit Saxena is known especially known for the capability to perform cardiac surgery with minimal blood requirement and ensure early mobilization and return to work.

Best VAD Implantation Hospitals in India

Fortis Escorts Hospital, New Delhi

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.

Rela Hospital, Chennai

Hospital Highlights:

  • RIMC is a multi-specialty hospital in a sprawling area of ​​36 acres located in Chromepet, Chennai, Tamil Nadu, India.
  • The facility has 450 beds including 130 critical care beds, 9 operating rooms, modern reference laboratories and radiology services, and is conveniently located near road, rail and air transportation.
  • RIMC is led and managed by world-renowned physicians committed to healthcare.
  • RIMC offers the broadest range of clinical care, education, and research. The hospital offers state-of-the-art technology and modern treatment facilities designed to provide health care at an affordable cost.
  • Rela Institute is driven by patient needs, comfort and confidence.

CARE Hospitals, Hyderabad

Hospital Highlights:

  • CARE Hospitals were established in the year 2000, by CARE Group.
  • The multispecialty hospital has 435 beds, including 120 critical care beds, with an annual inflow of 180000 outpatients and 16,000 in-patients.
  • The hospital provides specialty medical services in Cardiology, Cardiothoracic Surgery, Pediatric Cardiology, Pediatric Cardiothoracic Surgery, Neurology, Neurosurgery, Nephrology, and Urology.
  • The hospital has the first dual source, 128 slice CT scanner (for high precision cardiac imaging) – the first of its kind in south India.
  • The hospital offers a wide range of accommodation facilities for the convenience of its varied patient base, ranging from general wards to super deluxe rooms.

Fortis Hiranandani Hospital, Mumbai

Hospital Highlights:

  • Fortis Hiranandani hospital was established in 2007.
  • The hospital is an advanced tertiary care, multi-specialty hospital equipped with 149 beds.
  • The hospital is equipped with a super ICU to provide emergency medical care to critically ill patients.
  • The hospital is NABH accredited.
  • The critical care facility in the hospital is augmented with the state-of-the-art facilities that facilitate speedier diagnosis and efficient monitoring.
  • The hospital provides specialty medical services in cardiology, orthopedic science, pediatric science, neurology, diabetic care, urology, nephrology, ENT, obstetrics, gynecology, cosmetic surgery, bariatric surgery, neuro and spine care.

Fortis Hospital, Anandpur, Kolkata

Hospital Highlights:

  • Fortis Hospital, Anandapur, Kolkata is a world-class super-speciality equipped with the latest technologies in the medical world.
  • The hospital is NABH accredited.
  • This state-of-the-art facility specializes in cardiology and cardiac surgery, urology, nephrology, neurosciences, orthopaedics, digestive care, emergency care and critical care.
  • The hospital, governed by integrated Building Management System (IBMS), has a pneumatic chute system, for quick vertical and horizontal transportation between floors, facilitating speedy transfer of patient specimens, documents, reports, and medicines to the concerned departments.
  • The hospital also has a nephrology department with over 28 advanced dialysis units.

Fortis Hospital Banerghatta, Bengaluru

Hospital Highlights:

  • Fortis Hospital Bannerghatta, Bengaluru was established in 2006.
  • The hospital is a 276 bedded multi-specialty tertiary care facility.
  • The hospital specializes in cutting-edge medical technology and dedicated patient care services.
  • The hospital is equipped with state-of-the-art technologies like trans-radial angioplasty, trans-abdominal cardiac surgery, and computerized TKR navigation surgery.
  • The hospital provides specialty medical services in cardiology, cardiac surgery, orthopedics, neurology, neuro-surgery, GI, and Minimal Access Surgery (MAS).

Fortis Hospital, Malar, Chennai

Hospital Highlights:

  • Fortis Malar was established in 1992 and was formerly known as Malar Hospital.
  • The hospital specializes in cutting-edge medical technology and dedicated patient care services.
  • The hospital is multi-specialty, tertiary care facility with 180 beds.
  • The hospital offers comprehensive medical care in specialties such as cardiology, cardio-thoracic surgery, neurology, neurosurgery, orthopedics, nephrology, gynecology, gastroenterology, urology, pediatrics, and diabetes.

Gleneagles Global Hospital, Parel, Mumbai

Hospital Highlights:

  • Gleneagles Global Hospital The 450-bed facility comprises of 17-stories, housing state-of-the-art infrastructure, and advanced medical care facilities.
  • The hospital offers end-to-end clinical, surgical, and diagnostic services. It is equipped with a team of eminent medical professionals aided by qualified nurses and medical staff
  • The Hospital offers advanced Endoscopic procedures, Hepatobiliary and Liver Surgeries, Surgical and Medical Gastroenterology, Bariatric Surgery, and Robotic surgery.
  • The hospital is a center of excellence for Orthopedics, Joint Replacement, Knee Replacement, and Hip Replacement surgery.

Jaypee Hospital, Noida

Hospital Highlights:

  • Jaypee Hospital is the flagship hospital of the Jaypee Group.
  • This hospital has commissioned 525 beds in the first phase and has been planned and designed as a 1200 bedded multi-specialty facility.
  • It holds the accreditation of the NABH and NABL.
  • The hospital has state-of-the-art infrastructure equipped with the latest technologies and modern equipment like 64 Slice PET CT, Dual Head 6 Slice SPECT CT, Gamma Camera, and Da Vinci Robotic Surgery for comprehensive robotic surgical solutions.
  • It has special Centers dedicated to the major specialties to provide hassle-free and high-quality clinical care.

Manipal Hospital, Dwarka, Delhi

Hospital Highlights:

  • Manipal Hospitals, Dwarka, is a super-specialty hospital in Dwarka, New Delhi, which is a part of Manipal Hospitals Group.
  • The hospital aims to provide the best treatment on par with international standards at a fraction of the cost.
  • Equipped with 380 beds, the hospital is also one of the new age hospitals which are equipped fully with state-of-the-art infrastructure, cutting-edge technology as well as the latest and advanced clinical practices. The hospital also has 13 modular Operation theatres with 118 beds which are solely meant for critical care.
  • The hospital comprises internationally acclaimed doctors and highly professional and experienced hospital and medical staff who are able to provide preventive, therapeutic, and diagnostic services all under one roof.

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.

Purpose

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.

Procedure

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.

Risks

Some of the few risks that are associated with this procedure include:

  • Infection
  • Stroke
  • Internal bleeding
  • Blood clots
  • Heart failure
  • Device failure
  • Respiratory failure
  • Kidney failure

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