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Home Cost Cardiology And Cardiac Surgery PDA Closure Cost in India

PDA Device Closure

PDA Device Closure Cost in India

Preserve Your Child’s Health with Dedicated Pediatric Cardiac Care

PDA Device Closure Cost in India

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PDA Closure Cost In India

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PDA Closure Price USD 4,200 No. of Travellers 2 Days in Hospital 4 Days Outside Hospital 7 Total days in India 11
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PDA Device Closure

Patent ductus arteriosus (PDA) is a common congenital heart disease. Every baby is born with a ductus arteriosus. After birth, the opening is no longer needed and it usually narrows and closes within the first few days of life. Failure to do so results in Patent Ductus Arteriosus (PDA) which allows blood to flow from the aorta to the pulmonary artery. 

If the PDA is large, the heart will be volume loaded resulting in heart failure. The PDA also carries a risk of bacterial infection (Endocarditis) and pulmonary hypertension.

 

Recommended: PDA Device Closure with and without Arterial Access
 

Cause of Patent Ductus Arteriosis (PDA)

The exact cause of patent ductus arteriosus isn't known, could be a genetic defect. PDA is more commonly seen in:

  • Premature infants
  • Infants who have genetic conditions such as Down syndrome
  • Infants whose mothers had rubella during pregnancy
  • PDA is twice as common in girls as it is in boys

 

Indication for PDA closure

  • The presence of volume overloading of the left atrium and left ventricle 
  • Risks of endocarditis
  • Risk of Pulmonary hypertension
  • Aneurysm of PDA 

 

Signs and Symptoms

Depends on size of PDA:

  • If PDA is small, a specific Heart murmur also called machinery murmur may be the only sign of patent ductus arteriosus (PDA). 
  • If Large PDA, apart from the murmur, some may develop signs or symptoms
    • Breathlessness. 
    • Poor feeding and poor weight gain
    • Easily tired 
    • Easy Sweating like with feeding

 

Diagnostic Tests

  • Echocardiography (echo) Echo is the most important test available to both diagnose a heart problem and follow the problem over time.
  • CXR 
  •  ECG
  • Doppler study

 

Treatment of PDA Device Closure

  • Regular monitoring and Medications, 
  • Surgery
  • Transcatheter closure of PDA using the occluder device has been shown to be safe and efficacious.

 

Helpful: Pediatric PDA Closure Devices
 

Procedure

Before Procedure 

  • Medical history noted and clinical examination of the child performed 
  • Adviced general tests to check for fitness of surgery 
  • Counselled regarding the procedure

During Procedure

  • Procedure usually takes about 1 to 3 hours.
  • Usually performed in cardiac catherization lab. 
  • Access in the femoral vein is obtained with placement of a sheath. A  sheath is placed in the femoral artery.
  • The device is then advanced to the tip of the sheath in the descending aorta The sheath and device are then pulled back into a position.
  • When good position is achieved, the sheath is retracted further and the tubular part of the device is opened within the PDA.
  • Angiogram is performed in the descending aorta to confirm final device position up to this step, the device can be repositioned or retrieved if the angiogram showed significant residual flow. 
  • Occasionally a repeat  angiogram is performed in the descending aorta ten minutes after. 
  • If device position is satisfactory, the device is released. 

After Procedure

  • The patient is hospitalized for a day to monitor the vitals.
  • An X-ray and echo doppler study performed the next day  after the procedure to make sure the closure device has not moved.
  • Usually discharged  after evaluationand kept on oral antibiotic.
  • Subacute bacterial endocarditis prophylaxis is recommended for six months or until complete closure is obtained.
  • Cardiologist may advise some physical activity restrictions for a short time. 
  • Pregnancy is low risk in patients with PDAunless  there is pulmonary hypertension or signs of heart failure. 
  • Follow-up the patient includes clinical evaluation, transthoracic echocardiography and CXR done at regular intervals. 

 

Complications

Though rare, may include:

  • Bleeding
  • Infection, and 
  • Displacement of the blocking device from where it was placed
  • Transient arrhythmia
  • Allergic reaction to the device 
  • Clot formation 

 

Prognosis of PDA Device Closure

PDA closure procedure has about 95% success rate. The long-term outlook is good and usually, no medicines and no additional surgery or catheterization are needed.

 

Factors Affecting the Cost of PDA Device Closure

Following are the factors which will affect the treatment cost: 

  • The hospital patient is opting for
  • Operating room, recovery room charges
  • Fee for the team of doctors (Cardiologists, Anesthesist etc)
  • Medicines and sterile dressings  
  • Standard test and diagnostic procedures
  • Cost of Device
  • Cost of follow up care 

Frequently Asked Questions regarding PDA Device Closure

Q: What is Ductus Arteriosis?
A: The ductus arteriosus is a hole that allows the fetal blood to skip the circulation to the lungs.

 

Q: When is PDA first suspected in infants?
A: In infants, patent ductus arteriosus (PDA) is first suspected when the doctor during a regular checkup hears a heart murmur. 

 

Q: Why is the size of PDA important in planning treatment?
A: Small PDAs often close on their own within the first few months of life. If a PDA is large, the infant also may develop symptoms of volume overload and increased blood flow to the lungs, then closure would be necessary.

 

Q: Who will treat children with PDA?
A: Paediatric cardiologist is qualified in treating the condition in children.

 

Q: Can PDA close on its own?
A: A small PDA may close on its own as the child grows, the cardiologist will check periodically whether the PDA is closing on its own. A large  PDA or that causing symptoms will need to be treated. 

 

Q: What is PDA Device closure?
A: In PDA Device closure a catheter is put through a blood vessel to the heart following which the closure device is threaded through the catheter and placed into the PDA. This device blocks blood flow through the vessel thereby closing it. 

 

Q: How long does the procedure take?
A: Depending on the complexity of the procedure, it normally takes 1-3 hours. 

 

Q: After PDA Device closure when can a child return to daily activities?
A: The patient can return to daily activities within a week of the procedure.

 

Q: What are the complications of untreated PDA?
A: The various complications are:

  • May progress towards cyanotic heart
  • Pulmonary hypertension is a potential long-term outcome. 
  • May lead to intraventricular hemorrhage

 

Q: Will You Need More Surgery after one PDA closure?
A: Once a PDA has been closed, it's unlikely that more surgery will be needed, though you may require follow-ups at regular intervals.

 

Q: When can I fly after the procedure?
A: Usually within a week if there are no associated complications but you should check with your surgeon regarding safe air travel, also many airlines have their own protocols if a passenger has had recent surgery. 

 

Q: What are the eligibility requirements for a medical visa to India?
A: If you have a valid passport and visa and are seeking medical treatment in a recognized and reputed hospital in India then you can apply for a medical visa to India. Up to 2 attendants who are blood relatives can accompany the patient under separate attendant visas.

 

Q: Are the hospitals in your panel internationally accredited?
A: The Joint Commission International (JCI), which is a US-based agency, awards accreditation to international hospitals that meet the rigorous standards set forth by the commission. At Vaidam, we are proud to associate with several JCI accredited Indian hospitals in our panel.

 

Q: Do I need to carry a yellow fever vaccination certificate when I travel to India?
A: Yes, you need to carry valid yellow fever if you are traveling from Africa, South America or other areas where yellow fever is found. Also, all travelers from Afghanistan, Pakistan, Kenya, Ethiopia, Nigeria, Somalia and Israel must carry an Oral PolioVaccination (OPV) Certificate which must be taken not earlier than 6 weeks before entry. This rule applies to both adults and children.

 

Q: Can I get visa on arrival if I travel to India for my treatment?
A: Yes, if you are from the following countries, Japan, Cambodia, Finland, Indonesia, Philippines, Luxembourg, Myanmar, New Zealand, Singapore, South Korea and Vietnam. Travelers from Bhutan, Nepal and Maldives (up to 90 days) can enter India without a visa.

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