High-Quality Balloon Valvuloplasty Cost in India?
The cost of Balloon Aortic Valvuloplasty Technique in India ranges between USD 3900 to USD 4500.
The required hospital stay is of 3 days and 5 days outside the hospital.
The success rate of Balloon Mitral Valvotomy is more than 92%. In severe cases, some risks may arise such as infection at the catheter insertion site and abnormal heart rhythms.
Electrocardiogram, Echocardiogram, X-ray and Angiography may be performed to identify heart problems.
What is balloon valvuloplasty?
A valvuloplasty, also known as balloon valvuloplasty or balloon valvotomy, is a procedure to repair a heart valve that has a narrowed opening.
In a narrowed heart valve, the valve flaps (leaflets) may become thick or stiff and fuse together (stenosis). This reduces blood flow through the valve.
A valvuloplasty may improve blood flow through the heart valve and improve your symptoms.
Types of Balloon Valvuloplasty:
Balloon mitral valvuloplasty
Patients who have been diagnosed with mitral valve stenosis; have high-risk aortic stenosis. It is a relatively safe procedure as well as a blind procedure and is associated with various complications.Balloon aortic valvuloplasty
Balloon aortic valvuloplasty is also known as balloon aortic valvotomy. Its optimal medical management remains a safe option for the patient.Why it's done
Doctors will examine you and determine if valvuloplasty or another treatment is right for your valve condition.
Your doctor may recommend valvuloplasty if:
- You have severe valve narrowing and are having symptoms
- You have narrowing of the mitral valve (mitral valve stenosis), even if you don’t have symptoms
- You have a narrowed tricuspid or pulmonary valve
- You or your child has a narrowed aortic valve (aortic valve stenosis)
However, the aortic valve tends to narrow again in adults who’ve had a valvuloplasty, so the procedure is usually done if you are too sick for surgery or are waiting for a valve replacement.
Symptoms
Aortic valve stenosis is a slow process. For many years, you will not feel any symptoms. But when the valve will become so narrow (often one-fourth of its normal size) you start having problems. Symptoms are often brought on by exercise when the heart has to work harder.
Heart valve disease may cause the following symptoms:
- Dizziness
- Chest pain
- Trouble breathing
- Palpitations
- Edema (swelling) of the feet, ankles, or abdomen
- Rapid weight gain due to fluid retention.
What are the risks for valvuloplasty?
Possible risks of valvuloplasty include:
- Bleeding at the catheter insertion site
- Blood clot or damage to the blood vessel at the insertion site
- Significant blood loss that may require blood transfusion
- Infection at the catheter insertion site
- Abnormal heart rhythms
- Kidney failure
- Stroke
- New or worsening valve regurgitation (leakage)
- Rupture of the valve, requiring open-heart surgery
- Death
If you are pregnant or think you could be, tell your doctor due to risk of injury to the fetus from a valvuloplasty. Radiation exposure during pregnancy may lead to birth defects. Also tell your doctor if you are lactating, or breastfeeding.
There is a risk of allergic reaction to the dye. If you are allergic or sensitive to medicines, contrast dyes, iodine, or latex should, tell your doctor. If you have kidney failure or other kidney problems, tell your doctor.
Some people may find lying still on the procedure table for the length of the procedure may cause some discomfort or pain.
There may be other risks depending on your specific medical condition. Be sure to discuss any concerns with your doctor before the procedure.
Before Procedure
- Your doctor will explain the procedure to you and ask if you have any questions.
- You will be asked to sign a consent form that gives your permission to do the Procedure.
- Tell your doctor if you are sensitive to or are allergic to any medicines, latex, tape, or anesthetic agents (local and general).
- You will need to fasting for a certain period of time before the procedure.
- Inform the doctor If you’re pregnant or suspect that you might be
- Inform your doctor of all medicines (prescription and over-the-counter) and herbal supplements that you are taking.
Tell your doctor if you have a history of bleeding disorders or if you are taking any anticoagulant (blood-thinning) medicines, aspirin, or other medicines that affect blood clotting. You may need to stop some of these medicines before the procedure. - Your doctor may request a blood test before the procedure to determine how long it takes your blood to clot. Other blood tests may be done as well.
- Inform your doctor if you have a pacemaker.
- You may receive a sedative before the procedure to help you relax.
- Based on your medical condition, your doctor may request other specific preparation.
What happens during a valvuloplasty?
- A valvuloplasty may be done as part of your stay in a hospital. Procedures may vary depending on your condition and your doctor’s practices.
- Remove any jewelry or other objects that may interfere with the procedure.
- Change into a hospital gown and empty your bladder before the procedure.
- A anesthesia doctor will start an intravenous (IV) line in your hand or arm to inject medicine or give IV fluids, if needed.
If there is excessive hair at the catheter insertion site (groin area), it may be shaved off. - A healthcare professional will connect you to an electrocardiogram (ECG) to monitor and records the electrical activity of the heart. Your vital signs (heart rate, blood pressure, breathing rate, and oxygenation level) will be monitored during the procedure.
- A healthcare professional will check and mark your pulses below the injection site and compare them to pulses after the procedure.
- A local anesthetic will be injected into the skin at the insertion site. You may feel some stinging at the site for a few seconds after the local anesthetic is injected.
- Your doctor will insert the valvuloplasty catheter through the sheath into the blood vessel and to the heart.
- Once the catheter is in place, your Surgeon will inject contrast dye through the catheter into the valve to look at the area.
Tell the doctor if you feel any breathing difficulties, sweating, numbness, itching, chills, nausea or vomiting, or heart palpitations. - The doctor will watch the contrast dye injection on a monitor. He or she may ask you to take a deep breath and hold it for a few seconds.
- Once the balloon is in place and has been inflated, you may notice some dizziness or even brief chest discomfort. This should subside when the balloon is deflated.
- Your doctor may inflate and deflate the balloon several times to open the valve.
- Once the valve is opened sufficiently, your doctor will remove the catheter.
- If your doctor uses a closure device, he or she will apply a sterile dressing to the site. If manual pressure is used, the doctor (or an assistant) will hold pressure on the insertion site so that a clot will form. Once the bleeding has stopped, a very tight bandage will be placed on the site.
- Your doctor may decide not to remove the sheath, or introducer, from the insertion site for about 4 to 6 hours. This allows the effects of blood-thinning medicine to wear off. You will need to lie flat during this time. If you become uncomfortable in this position, your nurse may give you medicine to make you more comfortable.
- Next, you will be taken to the recovery area. NOTE: If the insertion was in the groin, you will not be allowed to bend your leg for several hours. To help you remember to keep your leg straight, the knee of the affected leg may be covered with a sheet and the ends tucked under the mattress on both sides of the bed to form a type of loose restraint.
After Procedure
- After the procedure, you may be taken to the recovery room for observation or returned to your hospital room
- Bed rest may vary from 2 to 6 hours depending on your specific condition. If your doctor placed a closure device, your bed rest may be of shorter duration.
- You will feel bruised where the catheter was inserted. This usually goes away in a few days.
- You may be given medicine for pain or discomfort related to the insertion site or having to lie flat and still for a prolonged period.
- You may resume your usual diet after the procedure, unless your doctor decides otherwise.
- It is important to keep the insertion site clean and dry
- You will most likely spend the night in the hospital after your procedure. depends on patients medical conditions.
Frequently Asked Questions About Balloon Valvuloplasty
Q. How long does balloon valvuloplasty last?
A. This procedure is done to improve blood flow through a heart valve. It is done to treat a condition called stenosis . Better blood flow will relieve symptoms. For most, the improvement will last at least 2 years.
Q. What is balloon mitral valvuloplasty?
A. A balloon valvotomy is a minimally invasive procedure. A doctor uses a thin flexible tube (catheter) that is inserted through an artery in the groin or arm and threaded into the heart. When the tube reaches the narrowed mitral valve, a balloon device located on the tip of the catheter is quickly inflated.
Q. How does balloon valvuloplasty work?
A. In a valvuloplasty, a doctor inserts a long, thin tube (catheter) with a balloon on the tip into an artery in your arm or groin. X-rays are used to help guide the catheter to the narrowed valve in your heart. The doctor then inflates the balloon, which widens the opening of the valve and separates the valve flaps.
