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Minimum Cost
$ 4500
Maximum Cost.
$ 7000
- Days In Hospital 5 days
- Outside Hospital Stay 7 days
- Success Rate 95%
Overview of ASD closure in India
ASD closure is the surgical correction of the atrial septal defect. An atrial septal defect (ASD) is a condition where the heart's upper chambers are separated by a hole. The symptom of mixing oxygen-rich and oxygen-poor blood is lessened in device closure ASD by inserting a device into the hole that covers it. Closing of the Device ASD procedures can be carried out using minimally invasive techniques, which include making tiny incisions to complete the treatment, or the conventional method, which involves making big incisions.
At times, the defect between the walls of the heart is so small that it doesn't present any pathology that necessitates treatment. However, in the cases that (the defect) is large between the walls of the heart, then emergency surgical treatment occurs, and the surgeon closes the defect with a device.
Even though the device closure ASD is carried out to eliminate severe symptoms, the surgery does come with risks and complications that need to be taken care of in time or be prevented from happening in the first instance. The recovery period varies from one person to another patients but usually, medications and follow up are continued for 6 months after the surgical procedure. The younger the child with device closure ASD, the greater the life expectancy is than an older age.
The cost to close an atrial septal defect (ASD) in India ranges from USD 2940 to USD 3920 for Indian patients. The price range for overseas patients is USD 4410 to USD 5390. Depending on the extent of the hole between the heart's walls and the kind of instrument utilised during the surgery, the price may change. Additionally, the price could differ in India's various cities and hospitals.
What Is ASD Closure?
The process of closing an atrial septal defect (ASD), or hole in your heart, is known as ASD closure.
An irregular gap in the septum, the wall between the two upper chambers of your heart (the atria), is known as an atrial septal defect (ASD). There is a tiny hole there at birth for every infant. After delivery, the hole often fills in a few weeks or months. However, occasionally a baby is born with a bigger hole that doesn't shut all the way.
What Is An ASD Closure Device?
An atrial septal defect closure device - is a plug that will be placed in the opening of the wall that separates the top two chambers of your heart (the atria), which is called the interatrial septum. An ASD is a hole which is present from birth, but is not supposed to be.
You may also be in need of a cardiac closure device for a patent foramen ovale (PFO). A PFO is not a true opening at all, but is potential space in the interatrial septum that a fetus uses in fetal circulation. Only a fetus uses the foramen ovale, and it generally closes after birth. If it does remain open, it is referred to as "patent" hence patent foramen ovale.
These openings may close on their own, or be small enough to not cause issues. However, if an individual has shortness of breath, fatigue or heart palpitations, then a cardiac closure device may be warranted.
Types of ASD closure:
Amplatzer Septal Occluder
This device is one of the most frequently used devices for ASD closure. It has two discs that are made of a flexible metal framework with fabric covering. The device is delivered to the heart through a catheter and is placed in accordance with the hole to close the ASD.
GORE HELEX Septal Occluder
Similar to the Amplatzer device, the HELEX occluder is a similar option for device closure. The device is used by inserting it through a catheter and placing it on the wall of the ASD to close the hole.
CardioSEAL and STARFlex Septal Occluders
These are more traditional devices that were used for ASD closure. These devices are not as commonly used as other newer and better devices.
Nit-Occlud
This device is made of a nitinol mesh that expands when deployed. It is inserted through a catheter and placed across the hole in the ASD to close the defect.
Figulla Flex II Septal Occluder
The figulla flex II septal occluder is a device that has a unique design that produces flexibility in placement that is more exact.
Ventricular Septal Occluders (VSDO)
Some ventricular septal occluders can also be utilized for some ASDs depending upon the type of hole on the walls of the heart. Different types of VSDOs may be custom made prior to the surgery.
Procedure:
You will receive detailed information from your care team on how to get ready for an ASD closure. Before the treatment, they can advise you to temporarily cease taking certain drugs, like blood thinners. Around midnight on the day before an ASD closure, you will need to stop eating and drinking.
Before the treatment, you might undergo a few procedures to assess your heart and provide precise pictures of the ASD to help direct the repair:
- X-ray of the chest to examine the structure of your heart
- Doppler ultrasonography to evaluate your heart's blood flow
- An echocardiogram to examine the structure and blood flow of your heart
- To monitor the rhythm of your heart, have an ECG.
Procedure of Device Closure ASD
This is a basic description of the overall general Device closure ASD procedure:
- Anesthesia: Most ASD closures are performed under general anesthesia. The anesthesia is intended to prevent pain and discomfort during the procedure.
- Catheter Insertion: A catheter is a small, flexible tube that is inserted into the blood vessel, usually in the groin.
- Guiding Catheter- Using the X-ray guidance, the cardiologist guides the catheter through the blood vessels and into the heart. The catheter is carefully advanced through the blood vessels towards the ASD where the defect is located.
- Device Deployment- The closure device is placed on another catheter, which is guided through the guiding catheter to the defect site. The device will be deployed over the defect and positioned such that both sides of the septum are covered with the device.
- Catheter Removal– The catheter will be removed from the blood vessel after the closure device is deployed.
- Recover and Observation- The recovery phase will begin after the procedure using medications to prevent any complications.
- Follow-Up: Follow-ups will be arranged to allow for observation of recovery and to discover any unexpected complications in their early respective phases.
What Are The Advantages Of An ASD Closure Device?
Studies have shown that over 93% of ASD closure device placements are successful.
Researchers discovered that the devices used by surgeons to do open-heart surgery are as safe and effective as transcatheter ASD closure methods. You might anticipate less discomfort and a shorter hospital stay, nevertheless, if you receive an ASD closure device during a cardiac catheterisation.
Additionally, research indicates that inserting a cardiac closure device via catheter to correct a PFO is more effective than taking medication to prevent a stroke.
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Cost of ASD closure in India
Cost of Device closure ASD treatment in India
|
Treatment Costs in India |
Min |
Max |
|
ASD Closure |
2610 USD |
3480 USD |
|
Device Closure-ASD VSD |
2504 USD |
3339 USD |
|
PDA Device Closure |
2237 USD |
2983 USD |
Inclusions In The Package
The following is the price of an atrial septal defect:
- The cost of preoperative diagnostic testing, including an echocardiography (ECG), a chest X-ray, and blood tests.
- The cost of surgery varies according to the kind of cardiac implant that is used.
- Cost after surgery (based on the quantity of follow-up appointments)
- Implant types (including Gore, STARFlex, Amplatzer, and others)
- Cost of medications (antibiotics, blood thinners, etc.)
- Hospital of the Patient Remain
Factors Affecting Cost of ASD (Atrial Septal Defect) Closure
The condition and preferences of the patient also affect the procedure's overall cost. Several of these factors include:
- Hospital kind and preferred room type (general, twin sharing, or single room)
- How Serious the Illness Is
- Any complications that may arise after surgery, such as high blood pressure, cardiac valve issues, abnormal heartbeats (arrhythmias), etc.
- The price of blood products (if needed)
- A Long Hospital Stay
- If a patient is not a local resident, the cost of lodging for follow-ups
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Indications of ASD closure:
Small holes might not require treatment or cause any issues. However, if the ASD is big, it may allow blood to flow into the wrong heart chambers. Your heart and lungs may have to work harder as a result, leading to symptoms and issues like:
- Irregular heartbeat (arrhythmia), such as atrial fibrillation or atrial flutter.
- Enlarged heart.
- Heart failure.
- Pulmonary hypertension, or elevated lung pressure.
- Breathing difficulties.
- A stroke.
If you are susceptible to those issues, your healthcare provider might recommend ASD closure. If you are currently undergoing surgery for another congenital heart abnormality, they may also suggest the procedure.
In order to prevent further heart damage and complications, surgeons frequently perform ASD closure on young children.
Why Is A Cardiac Closure Device Used?
If you have a hole in the wall dividing the left atrium from the right atrium, you will likely need a cardiac closure device. If this opening stays open, it will allow blood in your left atrium to mix with blood in your right atrium. This is important because there is oxygen in the blood in your left atrium, but no oxygen in the blood in your right atrium.
When your atria mix blood, it prevents your heart from delivering enough oxygenated blood to your body. All the blood in your left atrium should have oxygen in it before being sent to your body’s cells.
Providers will also use ASD closure devices to prevent a person from having a stroke if they have a patent foramen ovale (PFO). PFO is like an ASD because it opens up to allow blood to flow the wrong way inside your heart.
Risk Factors:
Some risk factors associated with Device closure ASD include:
Complications While Performing the Procedure
There is a small risk of complications such as bleeding, or infections when placing the device during the procedure. There can also be serious complications with the medication putting you asleep during the procedure.
Device Malposition or Device Embolus
The device will not stay where is supposed to and can dislodged. The device, may obstruct blood flow in the heart.
Failed Procedure
In some cases, a small hole in your heart may remain allowing a small amount of blood to still flow around the device.
Arrhythmia
The device is introduced to the body through a sterile approach and this may cause your heart to beat abnormally for a brief period of time.
Fluid
In some rare cases, excess fluid may fill around the heart and can compromise the function and or conduction system to your heart.
Infection
There is a small risk of infection from the procedure or the device itself.
Allergic Reaction or Sensitivity
Some patients may have an allergic reaction to some of the substances used in the device or during the procedure.
Wearing of Devices
Rarely, the device may rub against other cardiac regions and result in injury.
Blood clots or inflammation
Swelling and the production of blood clots may result from the implanted device. These issues require additional care and could make the healing process more difficult.
Frequently Asked Questions (FAQ’s)
There live the blind texts separated they right at the coast of the Semantics.
The Amplatzer Septal Occluder, a self-expanding nitinol mesh device, is the main closure tool for atrial septal defect (ASD). In order to successfully seal the hole in the heart's septum, it is intended to be inserted using a catheter during a minimally invasive operation. For ASD closure, additional tools are also utilised, such as the STARFlex Septal Closure System and the Gore Cardioform Septal Occluder.
The procedures utilised to fix a hole in the heart between the two upper chambers (atria) are known as the ASD (Atrial Septal Defect) closure regimen. Either open cardiac surgery or a minimally invasive catheter-based method can be used to accomplish this. Restoring normal blood flow and avoiding consequences like heart failure or pulmonary hypertension are the two main objectives of ASD closure.
When it comes to closing atrial or ventricular septal defects, the price of a septal occluder device might vary greatly. MediGence and IndiaMART estimate that the gadget itself typically costs between $1,900 and $6,318 USD, without hospital or procedure fees. The size of the item, the manufacturer, and the particular kind of flaw being fixed all affect the ultimate cost.
The most popular and apparently the only widely used device for transcatheter closure of atrial septal defects (ASDs) is the Amplatzer Septal Occluder (ASO), often referred to as the Amplatzer Talisman PFO Occluder. The ASO consists of a self-expanding and double-disk device that has FDA approval. While there are other options for ASD closure, including the Gore Cardioform Septal Occluder and the STARFlex Septal Closure System, these are less commonly used and probably only preferred occasionally.