Angioplasty Cost in India – Types, Procedure, Best Doctors & Hospitals

Posted on February 2nd, 2020 by Ganesh Gopakumar

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Cost of Angioplasty in India

The cost of angioplasty in India comes between USD 3500-4500.

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The huge variation in cost depends upon the choice of hospital and the choice of city.

Choice of Hospital

The choice of hospital can lead to a good variation in cost. The cost varies drastically when we go from an economy hospital to a premium hospital. The cost mainly rises due to the higher room rent, cost for medical care, etc. The quality of healthcare remains the same but the patient can stay in utmost luxury.

Choice of City

The choice of city in which the hospital lies also makes a big difference in the overall price. The cost of food, accommodation, and transportation are much higher in Tier 1 cities. The hospitals in metro cities also charge higher for medical care. Tier 2 cities are cheaper.

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Surgery30 mins-3 hours
Stay in hospital2-3 days
Stay outside hospital6-9 days
Total days in India9 – 12 days

Cost comparison

CountryCost (USD)Savings in India (USD)
U.S28,00024,000
South Korea18,00014,000
Costa Rica14,00010,000
Singapore13,5009500
Malaysia80004000

Table of contents

What is angioplasty?

Angio means ‘blood vessel’ and plasty means ‘opening up’. It is a minimally invasive, endovascular procedure to widen a narrow blood vessel. The blood vessel may be narrowed due to accumulation of plaque or blood clots. The accumulation of cholesterol, calcium, and other substances on the walls of arteries are called plaque.

The doctor makes an incision on the wrist or groin. Then a deflated balloon attached to a catheter (a balloon catheter) is inserted over a guide-wire into the narrowed vessel and then inflated to a fixed size. The balloon forces the blood vessel to expand. Thus clearing the block and improving the blood flow. The catheter is guided using X-rays.  A stent may be inserted at the time of ballooning to ensure the vessel remains open, and does not go back to its constricted state. The balloon is then removed.

Types of Angioplasty

Coronary Angioplasty

This is a type of angioplasty done to open up blocked coronary arteries (blood vessels supplying oxygenated blood to the heart). This the first possible treatment if medication fails for angina or arterial stenosis. It is also called percutaneous transluminal coronary angioplasty (PTCA). When coronary angioplasty uses stents it is known as percutaneous coronary intervention (PCI).

Balloon Angioplasty

Balloon angioplasty is the basic type of the procedure done to open up a vessel in any part of the body. The main issue with balloon angioplasty is restenosis, the recurrence of narrowed blood vessels. 35-40% patients are at risk for more blockages within 6 months.

Laser angioplasty

This is a specialized type of angioplasty where laser is used to clear the block. The laser attached at the end of the catheter vaporizes the plaque completely. Since all the plaque is removed, restenosis is less likely to happen.

Atherectomy (directional coronary atherectomy or DCA)

In DCA, special instruments are used to make sure that no plaque remains. The balloon catheter is equipped with a blade, which rotates to remove off the plaque. The residue is collected and removed by the catheter. The chances of restenosis with DCA is very low.

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What is a stent?

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Stents are small expandable tubes used to widen narrowed arteries in the body. In patients with coronary artery disease (CAD), stents are used to open narrowed arteries and help reduce symptoms such as chest pain (angina) or to help treat a heart attack.

Types of stents

  • Dual Therapy Stent (DTS)
  • Bioresorbable Vascular Scaffold (BVS)
  • Bio-engineered Stent
  • Drug Eluting Stent (DES)
  • Bare Metal Stent (BMS)

Dual Therapy Stent (DTS)

This is a specialized stent with a dual advantage. It not only prevents the re-narrowing of the blood vessel but also helps in healing the blood vessel. It combines the technology used in Drug Eluting Stent and bio-engineered stents to achieve these benefits. The side of the stent facing the blood flow is coated with antibodies, which helps in the healing process. The side of the stent facing the artery wall contains drugs which prevents the artery from getting blocked.

Bioresorbable Vascular Scaffold (BVS)

It is a drug eluting stent on a vascular scaffold which dissolves with time. The drug mainly helps with preventing restenosis of the artery. However, it does not aid the healing process in any way.

Drug Eluting Stent (DES)

Drug Eluting Stents (DES) are coated with medication that is released (eluted) to help prevent the growth of scar tissue in the artery lining. This helps the artery remain smooth and open, ensuring good blood flow and reduces the chances of the artery re-narrowing or restenosis. The price of this stent comes around USD 1700.

Bio-engineered Stent

Bio-engineered Stent is also known as antibody-coated stent. This type of stent differs from DES because it does not contain a polymer and does not use a drug. As a result, it helps to speed up the cell lining of the artery , promoting natural healing.

Bare Metal Stent (BMS)

BMS are stainless steel stent with no special coating. It keeps the artery widened after angioplasty, but the growth of scar tissue in the vessel can lead to restenosis. It costs about a USD100 in India.

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Who is a good candidate for angioplasty?

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  • If you just happened to have a heart attack, angioplasty is mostly the immediate solution. The doctors will recommend you for an angioplasty to prevent future attacks.
  • If you have severe angina (pain due to insufficient blood supply to the heart).
  • All medications have failed to work and there is no other way than clearing the block in the artery.

Pre-surgery

  • The doctor will check your previous medical history and assess your condition.
  • He will refer you for an ECG and some blood tests.
  • A contrast enhanced CT scan might be needed.
  • You will be given aspirin prior to the procedure.
  • The patient will be awake during the procedure and given sedatives to relax.
  • Nothing should be eaten 6-8 hours before the surgery.

During the procedure

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  • After anesthetizing the area, a small incision is made on the femoral artery or the wrist.
  • A guide-wire is carefully inserted and moved towards the chest.
  • A catheter is inserted over the guide-wire until it reaches the coronary artery.
  • A contrast is injected into the bloodstream via the catheter. The contrast shows the exact position of the block on a monitor. This procedure is known as angiography. It is mostly done using fluoroscopy or CT scan.
  • The deflated balloon (or laser-attached) is inserted into the vessel over the guide-wire.
  • The balloon is inflated to open up the block. The laser is used to vaporize the block in the case of laser angioplasty.
  • Once the desired blood flow is achieved in the vessel, the catheter is removed. Another catheter is inserted along with a stent.
  • The stent is attached to the walls of the blood vessel at the blocked area. The stent prevents the vessel from narrowing again.
  • The catheter is removed and the incision is sutured.

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Post procedure

  • You will be able to walk a few hours after the surgery.
  • You will have to stay in hospital for 2-3 days. The complete recovery will take upto a week.
  • Follow the instructions given from the hospital after the procedure.
  • Let your doctor know in case of pain, bleeding at the site of incision, chest pain.

Cons of angioplasty

  • Re-narrowing of the vessel (restenosis)
  • Clots can appear in the stent.
  • The patient should take a tablet lifelong if a stent is placed.

Best doctors in India for angioplasty

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  1. Dr.Naresh Trehan
  2. Dr.Ashok Seth
  3. Dr.Sathyamurthy I
  4. Dr.Devi Prasad Shetty
  5. Dr.B S Chakrapani
  6. Dr.Murtaza Ahmed Chishti
  7. Dr.V K Chopra, Cardiologist
  8. Dr.Purushottam Kale
  9. Dr.Halil Turkoglu
  10. Dr.Musthafa Remzi Karaoguz

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Best hospitals in India for angioplasty

  1. Fortis Escorts Hospital, New Delhi.
  2. Apollo Hospital, Chennai.
  3. Asian Heart Institute, Mumbai.
  4. Fortis Escorts Hospital, Bangalore.
  5. Artemis Hospital, Guragaon.
  6. Medanta Hospital, New Delhi.
  7. Max Super Speciality Hospital, New Delhi.
  8. Manipal Hospital, Bangalore.
  9. Continental Institute of Cardiovascular Sciences, Hyderabad.
  10. Global Hospital, Chennai.

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FAQ

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Is angioplasty safe?

Yes, it is considered very safe indeed. The risks are minimal compared to the benefits. The procedure saves you from another life-threatening heart attack.

What diet is preferred after the procedure?

A low fat diet is mainly preferred. You should also eat food rich in minerals, vitamins, and protein.

What should a patient do after the procedure?

A patient is asked to drink lots of fluids to flush away the iodine contrast from the body. A sandbag or pressure bandage is placed on the site of insertion to prevent the bleeding. You’ll be asked to take rest for the next few hours.

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