Transcatheter Valve Replacement cost in India
Transcatheter valve replacement cost in India can range from $38000 to $65000, which is equivalent to approximately 31,70,000 to 55,00,000 Indian rupees. India is one of the few countries in the word to offer transcatheter valve replacement for aortic valve and mitral valve, procedures called TAVI and TMVR. The cost of TAVR is generally between $38000 to $45000, while the cost of TMVR ranges between $55000 to $65000. This highly specialized procedure is done by extensively trained cardiac surgeons and interventional cardiologists.
Cost Range of Transcatheter Valve Replacement cost in India
Cost Inclusions:
Surgery for patient as per the decided approach
Hospitalization as per package
Surgeon fee and anesthesia
Pre-op investigations and consultations
Cost of valve
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Who is a candidate for TAVR / TMVR in India?
Transcatheter valve replacement (TVR) in India, including transcatheter aortic valve replacement (TAVR) and transcatheter mitral valve replacement (TMVR), is an option for patients with valvular heart disease who are at high risk for traditional open-heart valve replacement surgery. The criteria for candidacy can vary depending on individual circumstances, but generally include the following:
General Criteria
- Severe Symptomatic Valve Disease: Aortic stenosis (AS) or mitral regurgitation (MR) that is severe and causing symptoms such as shortness of breath, chest pain, or syncope.
- High or Prohibitive Surgical Risk: Patients who are considered high risk for traditional valve surgery due to factors such as advanced age, frailty, comorbid conditions (e.g., severe lung disease, renal insufficiency), or previous cardiac surgeries.
- Anatomical Suitability: Appropriate valve anatomy for the transcatheter approach. For TAVR, this includes adequate access routes (e.g., femoral arteries) and suitable aortic annulus size. For TMVR, this includes specific considerations of the mitral valve and surrounding structures.
Specific Criteria for TAVR
- Aortic Stenosis Severity: Severe aortic stenosis typically defined by an aortic valve area <1.0 cm² and/or mean gradient >40 mmHg, or a peak velocity >4.0 m/s.
- Symptomatic Status: Presence of symptoms attributable to aortic stenosis, such as dyspnea, angina, or syncope.
- Life Expectancy: Life expectancy of at least one year with a reasonable quality of life.
Specific Criteria for TMVR
- Mitral Regurgitation Severity: Severe mitral regurgitation, often defined by echocardiographic parameters including regurgitant volume, regurgitant fraction, and effective regurgitant orifice area.
- Symptomatic Status: Presence of symptoms such as heart failure symptoms (e.g., dyspnea, fatigue) that are not adequately managed by medical therapy.
- Anatomical Considerations: Suitable mitral valve anatomy for transcatheter intervention, considering factors such as leaflet calcification, annular dimensions, and the presence of mitral annular calcification (MAC).
Additional Considerations
- Heart Team Evaluation: A multidisciplinary team approach, often referred to as the "heart team," including cardiologists, cardiac surgeons, and other specialists, is essential to evaluate and determine the best treatment strategy for each patient.
- Patient Preference: Patient's values and preferences regarding treatment options, risks, and expected outcomes should be considered.
- Access Route: Adequate vascular access for device delivery, typically via the femoral artery for TAVR, but alternative routes (e.g., transapical, transaortic) may be considered if necessary.
- Previous Interventions: History of prior valve interventions and their outcomes may influence the decision for TVR.
Each case is unique, and a comprehensive evaluation by a heart team is essential to determine the appropriateness of TVR for an individual patient.
Types of Transcatheter Valve Replacement Cost
Types of Transcatheter Valve Replacement | Cost Range in USD |
Transcatheter Aortic Valve Replacement Cost in India A minimally invasive procedure to replace a diseased aortic valve with a new valve using a catheter. | 3800 to 45000 |
Transcatheter Mitral Valve Replacement Cost in India A minimally invasive procedure to replace a diseased mitral valve with a new valve using a catheter. | 55000 to 65000 |
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Transcatheter Valve Replacement Cost in India Inclusions
Routine patient investigations before surgery
Surgeon fee, OT charges, anesthesia
Pre-operative outpatient consultations
Routine drugs and consumables required during hospitalization
Pre-anesthesia check up and clearance
Hospital stay and meals as per the package
Cost of valve
Transcatheter Valve Replacement Cost in India Exclusions
Hotel stay, meals and flights
Extended hospital stay
Post-operative follow-ups and medical management
Post-operative dressing and nurse visits
Any blood products
Complications management
Treatment for any other underlying medical conditions
Any complex investigations
Other Factors Affecting Transcatheter Valve Replacement Cost in India
Choice of location, doctor and hospital
Pre-existing medical history
Type of surgery and approach
Overall patient status and condition at the time of surgery
Diagnostic Tests Done Before Transcatheter Valve Replacement
Types of Test | Cost Range in USD |
Blood Tests: These include the basic blood investigations for the patient to check for overall functioning for vital organs. | 50 to 70 |
CT Scan and ECG: CT scan provides detailed imaging of the heart, aorta, and vascular access routes, while ECG helps with asessment of heart rhythm and electrical activity. | 300 to 400 |
Angiography: This includes assessment of existing coronary artery disease. | 300 - 350 |
Pulmonary Assessment: Chest X-ray and pulmonary function test is done to assess the health of the lungs. | 50 - 80 |
Why is India preferred as one of the best countries for heart surgery?
India is preferred for heart surgery due to its combination of highly skilled surgeons, state-of-the-art facilities, and cost-effectiveness. Indian hospitals perform over 100,000 cardiac surgeries annually, maintaining success rates on par with global standards. The cost of heart surgery in India is typically 60-90% lower than in Western countries, attracting patients worldwide. Additionally, many Indian surgeons are internationally trained, and hospitals often have accreditation from global organizations like JCI, ensuring high-quality care.
Cost Comparison for Transcather Valve Replacement Price in India with Other Countries
Country | Cost in USD |
India | 38000 to 65000 |
Turkey | 45000 to 75000 |
UAE | NA |
USA | 150,000 to 195,000 |
