CABG Surgery Cost in India: Top Cardiac Hospitals & Doctors | Karetrip
Coronary Artery Bypass Grafting (CABG): Surgery, Cost & Top Hospitals in India
Coronary artery bypass grafting (CABG), also called heart bypass surgery, is a medical procedure to improve blood flow to the heart. It may be needed when the arteries supplying blood to the heart, called coronary arteries, are narrowed or blocked.
Coronary artery bypass grafting (CABG), also called heart bypass surgery, is a medical procedure to improve blood flow to the heart. It may be needed when the arteries supplying blood to the heart, called coronary arteries, are narrowed or blocked.
Symptoms Of Coronary Artery Bypass Grafting (CABG): Surgery, Cost & Top Hospitals in India
Symptoms
Narrowing of heart arteries
Severe chest pain
Blocked heart artery
Unsuccessful angioplasty
Types of conditions
There are three main types of Coronary Artery Bypass Grafting (CABG): Surgery, Cost & Top Hospitals in India
The average cost of the Coronary Artery Bypass Grafting (CABG): Surgery, Cost & Top Hospitals in India in
India is around ₹ 1,00,000 to ₹ 2,50,000.
₹ 2,50,000
High Cost
₹ 4,50,000
Average Cost
₹ 1,00,000
Low Cost
The LIST of AVERAGE COST of the Coronary Artery Bypass Grafting (CABG): Surgery, Cost & Top Hospitals in India across TOP
4 cities in India in Indian Rupee (INR) is as follows :
City
Lowest Cost
Average Cost
Highest Cost
Delhi
2 lakh
3 lakh
3.4 lakh
Mumbai
2 lakh
2 lakh
3.5 lakh
Hyderabad
2.5 lakh
3 lakh
4 lakh
Bangalore
2.1 lakh
3 lakh
3.6 lakh
Commonly Asked Questions
Know More About Coronary Artery Bypass Grafting (CABG)
"I had a successful surgery at Fortis Escorts Hospital, and it was all thanks to Karetrip's help in finding the right hospital for me. The entire process was smooth and stress-free, with Karetrip handling all the arrangements and answering any questions I had. The medical team at the hospital was outstanding, and the facilities were top-notch. I highly recommend Karetrip to anyone looking for a tension-free healthcare experience."
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Fatima
Chattogram
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Dhaka
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Sylhet
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I had a successful surgery at Fortis Escorts Hospital, and it was all thanks to Karetrip's help in finding the right hospital for me. The entire process was smooth and stress-free, with Karetrip handling all the arrangements and answering any questions I had. The medical team at the hospital was outstanding, and the facilities were top-notch. I highly recommend Karetrip to anyone looking for a tension-free healthcare experience.
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This classic approach involves open-heart surgery where a healthy blood vessel is harvested from elsewhere in the body and used to bypass blocked arteries, restoring blood flow to the heart.
In India, the CABG surgery costs can range anywhere between Rs 1,00,000 and Rs 4,50,000 or more, depending on the severity of the patient’s condition. The costs also depend on various subjective factors such as:
The surgeon’s experience
The hospital where the patient chooses to undergo the surgery
The type of metal used for reinforcing the breastbone.For instance, titanium plates, wires and screws are generally more expensive than stainless steel ones, which can increase the bypass surgery price.
Possible risks of coronary artery bypass graft surgery (CABG) include: Bleeding during or after the surgery. Blood clots that can cause heart attack, stroke, or lung problems. Infection at the incision site.
CABG may also be the best option when an artery is too calcified to support a stent, or when it's technically too difficult to place a stent in an artery.
After CABG, patients often report pain, discomfort, feelings of depression, lack of patience, loss of general well-being, and inability to function at the same level as before the procedure.
With an aging population and high prevalence of coronary artery disease, a percentage of patients will require a second intervention which is mostly carried out in the form of percutaneous coronary intervention.
This surgery takes about 3 to 6 hours, depending on how many arteries need to be bypassed.
In many cardiac surgery centers, patients stay in the ICU for < 24 hours; in other centers, they stay up to 14 hours after CABG.
When do you need a Coronary Artery Bypass Grafting?
A health care provider might recommend coronary artery bypass surgery if the patient has:
Blockage in the left main heart artery. This artery supplies a lot of blood to the heart muscle.
Severe narrowing of the main heart artery.
Acute chest pain caused by narrowing of several heart arteries. The narrowing reduces blood flow to the heart even during light exercise or at rest.
A blocked heart artery that can't be treated with coronary angioplasty. This less-invasive treatment uses a balloon on the tip of a thin tube, called a catheter, to widen the artery. A small coil called a stent is typically used to keep the artery open.
Unsuccessful angioplasty with or without a stent that hasn't worked. For example, an artery narrowed again after stenting.
More than one diseased heart artery and your lower left heart chamber doesn't work well.
Diagnosis
To diagnose coronary artery disease, a health care provider will examine the patient. They’ll likely be asked questions about their medical history and any symptoms.
Electrocardiogram(EKG or ECG) - This quick and painless test measures the electrical activity of the heart. It can show how fast or slow the heart is beating. The doctor can look at signal patterns to determine if the patient is having or had a heart attack.
Echocardiogram - This test uses sound waves to create pictures of the beating heart. An echocardiogram can show how blood moves through the heart and heart valves.
Exercise stress test - If signs and symptoms occur most often during exercise, the healthcare provider may ask the patient to walk on a treadmill or ride a stationary bike during an ECG. If an echocardiogram is done while doing these exercises, the test is called a stress echo. If the patient can't exercise, they might be given medications that stimulate the heart like exercise does.
Nuclear stress test - A nuclear stress test shows how blood moves to the heart muscle at rest and during stress. A radioactive tracer is given by IV. The tracer helps the heart arteries show up more clearly on images.
CT Scan - A CT scan of the heart can show calcium deposits and blockages in the heart arteries. Calcium deposits can narrow the arteries.
Cardiac catheterization and angiogram - During cardiac catheterization, a heart doctor (cardiologist) gently inserts a flexible tube (catheter) into a blood vessel, usually in the wrist or groin. The catheter is gently guided to the heart. X-rays help guide it. Dye flows through the catheter. The dye helps blood vessels show up better on the images and outlines any blockages.
Treatment options
There are several treatment options for people with stable angina. These options are classified as medical therapy (medications) and interventional treatment.
Coronary artery bypass graft surgery (CABG) is one form of interventional treatment.
Another interventional treatment option for people with coronary heart disease is called "Percutaneous Coronary Intervention (PCI)” or "Stenting”.
In the past decade, more alternatives to heart bypass surgery have become available. These include:
Balloon angioplasty - During this treatment, a tube is threaded through your blocked artery. Afterward, a small balloon is inflated to widen the artery.The doctor then removes the tube and the balloon. A small metal scaffold, also known as a stent, will be left in place. A stent keeps the artery from contracting back to its original size.
Enhanced external counterpulsation(EECP) - EECP involves compressing blood vessels in the lower limbs. This increases blood flow to the heart. The extra blood is delivered to the heart with every heartbeat.Over time, some blood vessels may develop extra “branches” that will deliver blood to the heart, becoming a sort of “natural bypass.”EECP is administered daily for a period of one to two hours over the course of seven weeks.
Medications - Beta-blockers can relieve stable angina. You can use cholesterol-reducing drugs to slow plaque buildup in your arteries.
Diet and lifestyle changes - Eating a diet high in omega-3 fatty acids and low in saturated and trans fats helps the heart stay healthy.
Risk factors
Following a coronary artery bypass graft, there are several factors that increase your risk of developing complications.
These include:
Age – Risk of developing complications after surgery increases as one gets older
Having another serious long-term health condition – Having a condition such as diabetes, chronic obstructive pulmonary disease (COPD) or severe chronic kidney disease can increase risk of complications
Gender – women tend to develop coronary artery disease later than men; it's thought this may lead to a higher risk of having complications because they're generally older at the time of surgery.
Having emergency surgery to treat a heart attack – Emergency surgery is always riskier because there's less time to plan the surgery, and the heart can be seriously damaged from the heart attack.
Having 3 or more vessels grafted – the more complex the operation, the greater the chance of having complications.
Being obese – if someone is obese, the surgeon will have to make a deeper cut to gain access to the heart, which has a higher risk of becoming infected.
Risks
Some of the main complications associated with a coronary artery bypass graft include :
Irregular heartbeat - Some people who have a coronary artery bypass graft develop atrial fibrillation, a condition that causes an irregular and often abnormally fast heart rate.
Infection - The wounds in the patient's chest and arm or leg (depending on where the grafted blood vessels were removed) can become infected after a coronary artery bypass graft.Infection can also affect lungs or the inside of the chest after having a coronary artery bypass graft.
Reduced kidney function - Some people have reduced kidney function after surgery. It's usually only temporary and the kidneys begin working normally after a few days or weeks.
Brain related problems - Some people experience memory problems after a coronary artery bypass graft, and also find it difficult to concentrate on things like reading a book or newspaper.
Heart attacks -Both the heart and the coronary arteries that supply the heart with blood are in a vulnerable state after a coronary artery bypass graft, particularly during the first 30 days after surgery.
Preparing for surgery
It's a good idea to be well prepared before going into hospital to have a coronary artery bypass graft (CABG).
If the surgery is scheduled in advance and isn’t an emergency procedure, the patient will most likely have several preoperative appointments where they'll be asked about their health and family medical history.
They’ll also undergo several tests to help the doctor get an accurate picture of their health. These may include:
1. Blood tests
2. Chest X-ray
3. Electrocardiogram (ECG or EKG)
4. Angiogram
Seek doctor’s advice about any medication that affects how the patient’s blood clots. Many pain relievers and heart medications affect clotting, so they may have to stop taking them.
Quit smoking. It’s bad for heart and increases healing time.
The doctor must be informed in case of symptoms of a cold or flu. In particular, the flu can put further strain on the heart and can increase chances of a heart attack or worsen heart failure. It can also cause myocarditis, pericarditis, or both. These are potentially serious heart infections.
Home must be prepared and arrangements must be made to stay in the hospital for several days.
To reduce the risk of infection, the body of the patient must be washed with a special soap the night before surgery.
Fast, which includes not drinking water, beginning at midnight before the surgery.
All the prescribed medication by the doctor must be taken.
Treatment details
Types
While CABG tends to use the same techniques in most people, there are instances where different techniques are better for particular needs. The variations of this surgery include:
Off-pump CABG- This type of CABG doesn’t use a heart-lung bypass machine. That means the surgeon doesn’t stop the patient's heart during this procedure and does all the work while the heart is still beating. This type of surgery is not for every patient, and it is more challenging for the surgeon. However, some surgeons have special training and experience in performing CABG surgery this way.
Minimally invasive CABG- This variation of CABG doesn’t use a large incision and splitting/lifting of the sternum and rib cage. Instead, the surgeon uses much smaller incisions and accesses the heart through the gaps between some of the ribs. This version of the procedure may also use the off-pump technique.
Robot-assisted CABG-.Surgical robots are highly advanced machines that a surgeon can use to perform CABG surgery. To do this, a surgeon "drives" the robot, meaning they control the robot's movements. Robotic surgery uses smaller incisions and doesn't involve opening and lifting the sternum. Robotic surgery may involve heart-lung bypass, or it may use the off-pump technique.
Hybrid procedure- This version of the procedure mixes CABG with other techniques or approaches. This usually involves robot-assisted CABG on at least one artery, but non-CABG techniques like stenting for the remaining diseased blood vessels. Stenting is the placement of a stent, a device with a frame-like structure, into an artery. Inserting a stent helps hold the artery open because the stent acts as a skeleton inside the artery.
Recovery
Most people who have CABG will need several weeks to fully recover from this procedure. During that time, the provider will likely have the patient avoiding any strenuous activities or situations that might put too much stress on the heart and incisions.
During the recovery, the patient should also follow the provider’s guidance regarding the following:
Taking medication- This is an essential part of recovery. Any questions must be asked directly to the healthcare provider.
Go to cardiac rehab- These programs can make a huge difference in overall recovery and how the patient feels after your procedure. Because they’re medically monitored and staffed by trained medical professionals, they can also help catch any potential problems or warning signs sooner rather than later.
Taking care of mental health- People who undergo CABG could experience mental health issues like anxiety or depression. These are normal and are nothing to feel shame over. Talking to mental healthcare professionals about these issues is just as important as seeing a provider about heart problems.
Make lifestyle changes- Though CABG can restore blood flow, the issues that caused you to need CABG can still happen again. It’s important to follow the healthcare provider’s guidance on improving your lifestyle, including diet and how much to exercise. Improving the lifestyle can help avoid further complications in the future.
Narrowing of heart arteries
Severe chest pain
Blocked heart artery
Unsuccessful angioplasty
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