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Insertion of Ventricular Assist Device (VAD)

Insertion of Ventricular Assist Device (VAD)

A ventricular assist device (VAD) is a device that helps pump blood from the lower chambers of the heart to the rest of the body. It's a treatment for a weakened heart or heart failure. A VAD may be used to help the heart work while waiting for other treatments, such as a heart transplant. Sometimes a VAD is used to permanently help the heart pump blood.

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A ventricular assist device (VAD) is a device that helps pump blood from the lower chambers of the heart to the rest of the body. It's a treatment for a weakened heart or heart failure. A VAD may be used to help the heart work while waiting for other treatments, such as a heart transplant. Sometimes a VAD is used to permanently help the heart pump blood.

Symptoms Of Insertion of Ventricular Assist Device (VAD)

Types of conditions

There are 4 main types of Insertion of Ventricular Assist Device (VAD)

Left Ventricular Assist Device (LVAD)

Right Ventricular Assist Device (RVAD)

Biventricular Assist Device (BiVAD)

Total Artificial Heart (TAH)

Left Ventricular Assist Device (LVAD)

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Cost estimation

Learn about the expenses involved in the procedure and what factors affect them.

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The average cost of Insertion of Ventricular Assist Device (VAD) in India is around ₹ 90,000/- to ₹ 90,00,000/- .

₹ 90,00,000/-

High Cost

₹ 45,00,000/

Average Cost

₹ 90,000/-

Low Cost

The LIST of AVERAGE COST of the Insertion of Ventricular Assist Device (VAD) across TOP 6 cities in India in Indian Rupee (INR) is as follows :

City

Lowest Cost

Average Cost

Highest Cost

Chennai

₹ 45,00,000/-

₹ 65,00,000/-

₹ 90,00,000/-

Bengaluru

₹ 25,00,000/-

₹ 27,00,000/-

₹ 30,00,000/-

Hyderabad

₹ 25,00,000/-

₹ 27,00,000/-

₹ 30,00,000/-

Kolkata

₹ 7,00,000/-

₹ 9,00,000/-

₹10,00,000/-

Mumbai

₹ 90,000/-

₹ 1,00,000/-

₹ 1,60,000/-

Vishakapatnam

₹ 25,00,000/-

₹ 2700,000/-

₹ 30,00,000/-

Commonly Asked Questions

Know More About Insertion of Ventricular Assist Device (VAD)

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Dr. Manoj P Nair

Dr. Manoj P Nair

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Dr. Robert Coelho

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How long can a person live with a ventricular assist device?

Left ventricular assist device (LVAD) is usually used to keep a patient alive until a suitable heart donor is found. A patient may stay alive for 5 and a half years with LVAD.

Are ventricular assist devices permanent?

Permanent implantable ventricular assist devices (VADs) are now an important and established treatment as an alternative to heart transplantation for end-stage advanced heart failure.

Can the heart repair itself with a LVAD?

While the device is intended to stay in the body permanently, doctors noticed that, in some patients, the assistance provided by the LVAD allowed the patient's own heart to regain strength and function.

Who is not a candidate for LVAD?

LVADs are not appropriate for some people with advanced heart failure if they also have other conditions such as kidney failure, liver disease, lung disease, or blood clotting disorders.

What is the success rate of LVAD surgery?

Despite advanced heart failure (with most patients on intravenous inotropic therapy) and high risk of LVAD surgery, 94% of patients are able to be successfully discharged with an overall mortality (conditional on discharge) through 5 years of 38%.

What is the recovery time for LVAD surgery?

Patients usually remain in the hospital for two to three weeks after the LVAD device is implanted, then continue recovering at home for several weeks.

Are LVAD patients in blood thinner?

LVAD patients require life-long anticoagulant therapy to reduce the risk of pump thrombosis.

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Symptoms

When you should go for a Insertion of Ventricular Assist Device Surgery

Advanced Heart Failure
Bridge to Transplant
Destination Therapy
Refractory Cardiogenic Shock

WHEN YOU SHOULD GO FOR A VENTRICULAR ASSIST DEVICE SURGERY

Insertion of a Ventricular Assist Device (VAD) surgery is typically recommended for individuals with severe heart failure who haven't responded to other treatments such as medications, lifestyle changes, or less invasive procedures like angioplasty or stenting. Here are some situations where VAD surgery might be considered:

  • Advanced Heart Failure: When the heart is severely weakened and unable to pump enough blood to meet the body's needs, despite optimal medical management.
  • Bridge to Transplant: For patients who are awaiting heart transplantation, a VAD can serve as a temporary solution to support heart function until a suitable donor heart becomes available.
  • Destination Therapy: In cases where heart transplantation is not an option (due to age, medical condition, or other factors), a VAD may be implanted as a long-term solution to improve quality of life and extend survival.
  • Acute Decompensated Heart Failure: In some cases of acute decompensated heart failure where other measures have failed, a VAD may be used as a temporary support until the heart recovers.
  • Refractory Cardiogenic Shock: In emergency situations where the heart is unable to pump enough blood to meet the body's needs despite aggressive medical therapy, a VAD may be used as a life-saving intervention

DIAGNOSIS

Not everyone with severe heart failure is eligible for a ventricular assist device. Once you’re diagnosed with advanced heart failure, you have comprehensive medical and psychological evaluations. This may include assessing current heart and end-organ function. Healthcare providers screen for complex health issues such as breast cancer, prostate issues and infectious diseases. Additional tests include:

  • Electrocardiogram : This quick test records the electrical activity of the heart. It shows how the heart beats.

  • Echocardiogram: An echocardiogram uses sound waves to create pictures of the beating heart.

  • Computed tomography (CT) scan : A cardiac CT scan uses a series of X-rays to create detailed images of the heart and heart valves

  • Exercise testing

  • Both left and right cardiac catheterizations: A long, thin flexible tube called a catheter is inserted in a blood vessel, usually in the neck. It's moved to the heart using X-rays as a guide. During this test, pressures and blood flow in the heart can be checked. This test can help determine if an LVAD or other treatment is needed.

Evaluations also include discussions about living with a VAD as well as detailed education for basic day-to-day tasks of caring for the VAD.

RISK FACTORS

Potential complications associated with the surgical implantation of a VAD as well as the lifelong usage of the VAD include:

  • Arrhythmias.
  • Bleeding.
  • Blood clots.
  • Infection.
  • Device malfunction.
  • Right-sided heart failure.
  • Cerebrovascular accident.

PREPARING FOR SURGERY

If you're getting an LVAD, you'll need surgery to implant the device. Before surgery, your health care team will:

  • Tell you what to expect before, during and after the surgery.
  • Explain the possible risks of VAD surgery.
  • Discuss any concerns you have.
  • Ask if you have an advance directive.
  • Give you specific instructions to follow during your recovery at home.

Food and medications Bring a list of all the medicines you take with you to the hospital. Also note if you have any allergies to medicines. Your health care team reviews your medicines before surgery. You'll likely need to stop eating or drinking for several hours before surgery. Your health care team gives you specific instructions.

Clothing and personal items

  • Bring these items with you to the hospital:
  • A copy of your advance directive, if you have one.
  • Eyeglasses, hearing aids or dentures.
  • Personal care items, such as a toothbrush, a hairbrush or comb, and shaving equipment.
  • Loose fitting, comfortable clothing.
  • Items that may help you relax, such as portable music players or books.

You'll likely be asked to avoid wearing:

RECOVERY

  • After implant surgery, you’ll spend at least a few days in the ICU. Once you’re healthy enough to not need ICU-level care, you’ll transfer to the cardiac step-down unit for the rest of your hospital stay.

  • During your postoperative stay, healthcare providers will monitor your organ functions including your heart, kidneys, brain, lungs and liver.

  • You’ll also work with physical and occupational therapists and other specialists as you learn to live with the new device.

  • Your providers will prescribe a blood-thinning medication like warfarin sodium to take to keep your blood from clotting inside the VAD.

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Dr. Arun Kumar Chopra

Dr. Arun Kumar Chopra

Interventional Cardiologist

24+ Years Of Experience

Dr. A Guru Prakash

Dr. A Guru Prakash

Cardiologist

19+ Years Of Experience

The cost of insertion of Ventricular Assist Device (VAD) varies due to several factors.

Hospital charges, surgeon fees, and anesthesia costs all contribute to the total expense. Pre-operative tests and post-operative care also influence costs. Location, the type of valve used (mechanical or biological), and the surgical approach (open-heart or minimally invasive) impact expenses. Insurance coverage affects individual costs, including deductibles and copayments. Our team can help you understand the precise costs based on your specific case and doctor’s recommendations.

In India LVADs cost between 45 lakh and 90 lakh.If you are doing a heart transplant then you will have to take medicines, which cost about ₹20,000-₹30,000 for the rest of your life. Also, the medicines are immunosuppressants, which will affect the kidney.

  • Implantation: An LVAD is surgically implanted into the left ventricle of the heart and connected to the aorta, the main artery that carries oxygen-rich blood from the heart to the rest of the body.
  • Function: The LVAD helps pump blood from the left ventricle into the aorta, thereby supporting the heart's function in pumping blood to the body.
  • Indications: LVADs are commonly used as a bridge to heart transplantation or as destination therapy for patients who are not eligible for heart

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Dr. Robert Mao

Dr. Robert Mao

Cardiac Surgeon

44+ Years Of Experience

  • Contact lenses.
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  • Eyeglasses.
  • Jewelry.
  • Nail polish.

    • Before the procedure You may be admitted to the hospital a few days before getting an LVAD. While you're in the hospital, you may have other treatments for your weakened heart or heart failure. Certain tests will also be performed like:

    • Electrocardiogram
    • Echocardiogram
    • CT scan
    • Catheterization

    During the procedure Getting an LVAD often requires open-heart surgery. The surgery usually takes three or more hours. You can expect the following:

    • Any hair on the chest is shaved from the area where surgery will take place.
    • You'll get medicines through an IV to make you sleepy and pain-free during the surgery.
    • You'll be connected to a machine that helps you breathe during your surgery. This machine is called a ventilator.
    • Your heart may be stopped using medicines during the surgery. If so, you'll be connected to a heart-lung bypass machine. The machine keeps oxygen-rich blood flowing through your body during surgery.

    An LVAD has several parts.

    • The main pump is inserted into the tip of the heart.
    • The blood pumps through a flexible plastic tube to the body's main artery, called the aorta.
    • The aorta sends blood to the rest of the body.
    • A cord inserted through an opening in the skin connects the pump to a control unit and battery pack outside the body.

    After the procedure You usually receive:

    • Fluids and medicines given by IV.
    • Antibiotics to prevent infections.
    • Blood-thinning medicine to prevent blood clots.