Carotid Endarterectomy in India
What is Carotid Endarterectomy?
Carotid endarterectomy is surgery that removes plaque buildup from inside a carotid artery in your neck.
How is the Procedure Performed?
Procedure takes 1-2 hrs and it’s done in general anesthesia. Your surgeon makes an incision along the front of your neck, opens your carotid artery and removes the plaques that are clogging your artery. Then, your surgeon repairs the artery with stitches or a patch made with a vein or artificial material(graft)
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Most people are able to return to work 3 to 4 weeks after having a carotid endarterectomy
Carotid Artery Disease is a leading cause of stroke. Plaque hardens and narrows arteries over time. This may reduce the flow of oxygen-rich blood to your organs and other body components.The procedure of Carotid Endarterectomy in India is used to treat Carotid Artery Disease. This condition develops when fatty, waxy deposits form in one of the carotid arteries. The carotid arteries are blood vessels that run down each side of your neck.
The Cost of Carotid Endarterectomy Surgery in India is quite affordable as compared to other developed countries. The total treatment plan may vary as per the severity of the patient as well as location of the hospital.
The average Cost of Carotid Endarterectomy Surgery in India starts from USD 2600.Patient has to stay in the hospital for 2 days and outside the hospital for 4 days. The total cost of the treatment depends on the diagnosis and facilities opted by the patient.
What is Carotid Endarterectomy :
The surgical removal of plaque (fat and cholesterol buildup) from inside the carotid artery, which provides blood to your brain and face, is known as a Carotid Endarterectomy in India. Each side of your neck has one carotid artery. When plaque builds up in the walls of your carotid arteries, blood flow might slow or stop. A stroke can occur if enough blood cannot reach your brain.
The carotid arteries are the main channels of blood that carry nutrients as well as oxygen to the neck, face, and brain. Carotid Endarterectomies are performed when one or both carotid arteries become constricted due to the accumulation of fatty deposits (plaque). This is referred to as carotid artery disease or stenosis.
A vascular surgeon will do the following tests to determine whether a Carotid Endarterectomy in India is appropriate for you:
- Examine you.
- Assess your medical history.
- Conduct diagnostic tests.
You and your doctor will decide whether to pursue surgical treatment. This surgery is carried out in a hospital operating unit by the Best Vascular Surgeon in India.
A local or general anesthetic is used during carotid endarterectomy. Your surgeon creates an incision in the front of your neck, opens your carotid artery, and removes the plaques that have clogged it. The artery is then repaired with stitches or a patch created from a vein or artificial material (patch transplant) by your surgeon.
A method known as Eversion Carotid Endarterectomy in India is occasionally employed by surgeons. This procedure involves disconnecting the carotid artery and turning it inside out before removing the plaque. The artery is then reattached by your surgeon.
Who is the Right Candidate for Carotid Endarterectomy Surgery
Atherosclerosis is the most common Cause of Carotid Artery Narrowing. This is a plaque buildup in the artery’s interior lining. Plaque is composed of lipids, cholesterol, cellular waste products, calcium, and fibrin. Atherosclerosis is sometimes known as “hardening of the arteries.” It has the potential to harm arteries throughout the body. The Symptoms of Carotid Artery Disease are similar to those of coronary artery disease. Blockages happen in the arteries of the heart in coronary artery disease, which can lead to a heart attack. It can cause a stroke in the brain.
To function properly, the brain requires a steady supply of oxygen and nutrients. Even a small interruption in blood supply can cause complications. After only a few minutes without blood or oxygen, brain cells begin to die. A stroke can occur if the narrowing of the carotid arteries gets severe enough to impede blood flow, or if a piece of plaque breaks off and prevents blood supply to the brain. A mini-stroke (transient ischemic attack or TIA) is characterized by stroke-like symptoms lasting only a few minutes to a few hours. A TIA could be the disease’s initial indication.
If you have carotid artery disease, you may not experience any symptoms. Plaque accumulation may not be blocking enough blood flow to induce symptoms. An artery that is just partially stopped or less frequently does not generate any symptoms.
How Carotid Endarterectomy Surgery is Performed :
Before the Procedure :
- In addition to a physical checkup, you may be subjected to tests a few days before your treatment to determine that the surgery is safe to execute. A cerebral angiography may be ordered by your surgeon to better identify the anatomy of your brain. A cerebral angiography is an invasive diagnostic technique that creates X-ray images of the inside of your brain’s blood vessels.
- However, in many cases, your healthcare physician can now obtain this information via a CT or MR angiography. These are noninvasive ways for obtaining information about your carotid arteries and brain that can be conducted without the risk of a stroke.
- Certain medications may need to be stopped before your carotid endarterectomy, so make sure to notify your healthcare practitioner about everything you’re taking (including non-prescription pharmaceuticals, herbs, and vitamins).
- Your healthcare team will provide you with detailed information to assist you in preparing for your treatment. Most folks will continue to take aspirin throughout the surgery. If you are using aspirin or clopidogrel, you should consult your doctor before discontinuing these medications.
During the Procedure :
A Carotid Endarterectomy in India usually takes about two hours.
Your healthcare practitioner will either administer general anesthesia (which causes you to go asleep) or regional anesthesia, which causes you to remain awake but numb the area to be operated on. You will be given medication to help you relax if you have regional anesthesia.
The following steps are taken by the surgeon during a carotid endarterectomy:
- Make a 4-inch incision in your neck at the location of the blockage.
- A small tube may be used to temporarily divert blood flow around the blockage or constriction while isolating the location.
- Makes an incision along the artery that contains the plaque.
- Removes the plaque and sutures the gap closed, usually with a patch of material to expand the artery and prevent further constriction.
- Restores blood flow to the brain via the regular route.
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After the Procedure :
Most people stay in the hospital overnight to monitor for complications following their treatment.
A temporary drain may be placed in your neck to collect fluid from the area where your provider made an incision. This drain is normally only in place for one day.
Your operation results will be discussed with you by your healthcare provider. This technique, for the most part, helps prevent future brain injury and lowers the chance of stroke. However, unless you adopt a better lifestyle, plaque buildup, clot formation, and other carotid artery problems may reoccur.
What is the Cost of Carotid Endarterectomy Surgery in India
The average Cost of Carotid Endarterectomy Surgery in India starts from USD 2600. The entire treatment cost plan may vary depending on the type of hospital and city picked by the patient. Also, Cost of Carotid Endarterectomy Surgery in India can vary depending on a number of criteria, such as:
- The package of Carotid Endarterectomy Surgery in India can depend on the hospital’s preference.
- Doctor’s competence and experience in the subject.
- The patient’s situation: The patient’s disease and whether additional modalities are required for comprehensive treatment.
- Duration of hospitalization and stay for Carotid Endarterectomy Surgery in India.
- Need for post-operative care.
What are the Advantages of Carotid Endarterectomy Surgery in India
If you’ve ever had a stroke, a carotid endarterectomy can reduce your risk of having another one by one-third in the three years following surgery. The majority of people endure the process well.
Even if the treatment is successful, your doctor may advise you to:
- Enhancing your diet.
- Beginning to exercise
- Tobacco products are not used.
- Reduce your stress level.
- Taking cholesterol-lowering medication.
These steps can help prevent plaque from forming again.
How Recovery is Done :
A carotid endarterectomy heals quickly. The majority of patients return home the next day. It’s fine to shower when you come home. Just don’t scrub the surgical adhesive or spray it with water.
Check your incision on a daily basis and avoid using lotions on it. Wear clothes that do not rub against your incision.
In three or four weeks, you should be able to resume most of your routine activities. You can drive once your incision has healed and turning your head is no longer painful. For six months to a year, the area surrounding your jawline and earlobe may seem numb.
Conclusion:
A carotid endarterectomy can improve blood flow and help prevent future strokes if you’ve had a stroke or have carotid artery disease. You and your doctor can determine if this procedure is good for you. Even if it is, you will have a better chance of treating carotid artery disease if you improve your diet, move more, and reduce your stress. Attend your follow-up appointments and continue to take your prescription medications.
Q: What exactly is a carotid endarterectomy?
A: Carotid endarterectomy is a surgical operation used to remove fatty deposits (plaque) that create a constriction of the carotid artery. The carotid arteries are the main blood channels that carry oxygen and nutrients to the neck, face, and brain.
Q: What position is a carotid endarterectomy?
A: Positioning for CEA
All patients are positioned supine, with the head on a solid holder and the neck extended and rotated away from the side of surgery. Surgeons employ a variety of techniques to stretch the patient’s neck and insert a pillow beneath the neck and shoulder.
Q: What are different types of carotid endarterectomy?
A: The classical/conventional method and the eversion method are the two basic surgical procedures for carotid endarterectomy. In order to reach the carotid sheath, the surgeon makes an incision alongside the medial aspect of the sternocleidomastoid muscle, cutting through fat and the platysma muscle.
Q: Which nerves are at risk with endarterectomy?
A: Because of their close anatomical proximity to the carotid bifurcation, the nerves most at risk of injury during carotid endarterectomy are the marginal mandibular branch of the facial (Vth) nerve, the laryngeal branches of the vagus (Xth) nerve, and the hypoglossal (XIIth) nerve.
Q: What medications are administered following an endarterectomy?
A: Take your meds as directed to keep plaque from forming in your arteries. Continue to take Aspirin (acetylsalicylic acid, ASA) and/or Plavix (clopidogrel) as directed by your doctor. Make lifestyle modifications to maintain your blood sugar, blood pressure, and cholesterol under control.
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Fortis Escorts Hospital New Delhi
Number of beds: 310
ICU Beds: 158
Airport Distance: 19 KMs
About Hospital:
- It was established in 1988 and is JCI accredited.
- Fortis Escorts Heart Institute is a premier multi-disciplinary hospital providing tertiary care and is recognized worldwide for its clinical excellence in cardiac care.
- The 310-beded hospital is a globally renowned centre boasting admirable outcomes for interventions like Cardiac Bypass Surgery, Minimally Invasive Surgery, Interventional Cardiology, Non-invasive Cardiology, Paediatric Cardiology and Paediatric Cardiac Surgery.
Dr. Z S Meharwal
- Dr. Z. S. Meharwal is part of the founding team of doctors at Fortis Escorts Heart Institute.
- He has more than 31+ years of experience in cardiac surgery with over 30,000 surgeries to his credit, including complex heart operations. Read More
Dr. Krishna S Iyer
- Dr. Krishna S Iyer is Executive Director in Paediatric Cardiac Surgery.
- Krishna Iyer is one of India’s most experienced pediatric cardiac surgeons for 30 years in this field. Read More
Dr. Ashok Seth
- Dr Ashok Seth is presently the Chairman of Fortis Escorts Heart Institute and the Chairman of Cardiology Council, Fortis Group of Hospitals.
- Dr Seth has led the field of Interventional Cardiology for the last 30-years and has contributed Read More
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Dr. Z S Meharwal Specialist:Cardio Thoracic Experience:31+Years Hospital:Fortis Escorts |
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Dr. Krishna S Iyer Specialist:Ped. Cardiologist Experience:30+ years Hospital:Fortis Escorts |
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Dr. Ashok Seth Specialist:Cardiac Surgery Experience:35+ years Hospital:Fortis Escort |
Fortis Memorial Research Institute
Number of beds: 1000
ICU Beds: 298
Airport Distance: 17 KMs
Brief About:
- Fortis Memorial Research Institute was established in 2001.
- It is an outstanding multi-speciality quaternary care hospital,having the top-notch infrastructure, advanced equipment, highly qualified and experienced medical professionals and super sub-specialists.
- Fortis Hosptial Gurgaon is an advanced centre of excellence in Robotic Surgery, Neurosciences, Oncology, Renal Sciences, BMT, Organ Transplants, Orthopaedics, Cardiac Sciences and Obstetrics & Gynaecology.
Dr. Nikhil Kumar
- Currently associated as Director of Cardiology Fortis Memorial Research Institute, Gurgaon.
- Experience of over 41 years in Interventional, Non-invasive and Preventive and Clinical Cardiology. Read More
Dr. (Col.) Manjinder Singh Sandhu
- Dr Majindar Sandhu with a practise of over 27+ years is one of the most experienced & respected cardiologist in India.
- Dr Majindar Sandhu has had the honour of being the accompanying Cardiologist Read More
Dr. Udgeath Dhir
- Udgeath has operated over 7500 cases in the tenure of eleven years.
- He is formally trained by Dr. Taweesak for Rheumatic Mitral valve repair at Central Chest Institute, Bangkok and recently got trained for TAVI. Read More
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Dr. Nikhil Kumar Specialist:Int. Cardiologist Experience:41 years Hospital:Fortis Gurgaon |
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Dr. Manjinder Sandhu Specialist:Int. Cardiologist Experience:27+ years Hospital:Fortis Gurgaon |
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Dr. Udgeath Dhir Specialist:Cardio-Thoracic Experience:15+ years Hospital:Fortis Gurgaon |
Max Hospital Saket
Number of beds: 500
ICU Beds: 267
Airport Distance: 13 KM
About Hospital:
- Max Super Speciality Hospital at Saket is one of the topmost healthcare service
- Providers in India. The multi-super speciality hospital has a capacity of over 500 beds, 250 functional beds. It is equipped with state-of-the-art facilities, advanced technologies.
- With the help of over 300 leading specialist Doctors, strong nursing staff, and state-of-the-art innovative medical tools.
Dr. Viveka Kumar
- Specializes in complex angioplasties, including multivessel, bifurcation, and left main angioplasties.
- Completed more than 7500 angioplasties and 2500 balloon valvotomy with excellent outcomes. Read More
Dr. Sameer Shrivastava
- Dr. Sameer Shrivastava is a Cardiologist with an extensive 27+ experience.
- Elected as one of the members on the Editorial Board of Indian Heart Journal and Journal of Indian Academy of Echocardiography. Read More
Dr. Kulbhushan Singh Dagar
- Principal Director, Chief Surgeon & Head – Neonatal & Congenital Heart Surgery.
- Dr. Kulbhushan S. Dagar has been in the field of cardiac surgery for over 30 years, of which the last Read More
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Dr. Viveka Kumar Specialist:Cardiac Sciences Experience:29+years Hospital:Max Hospital |
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Dr. Sameer Shrivastava Specialist:Int. Cardiologist Experience:27 years Hospital:Max Hospital |
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Dr. Kulbhushan Dagar Specialist:Cardiac Surgeon Experience:30+ years Hospital:Max Hospital |
Indraprastha Apollo Hospital
No. of beds: 900
ICU Beds: 262
Airport: 20kms
Brief About:
- Indraprastha Apollo Hospital is a flagship hospital of India’s foremost healthcare groups,the Apollo Group. It is a highly renowned multi-speciality facility that offers tertiary and quaternary care services to domestic and international patients.
- The 900 bedded hospital is outfitted with the most modern technology for diagnostics as well as therapeutic purposes.
- A team of highly trained medical professionals work under all the 52 specialities at the hospital.
Dr. Bhaba Nanda Das
- Bhaba Nanda Das is one of the best professionals for cardiothoracic and cardiovascular surgeries in the country, presently working as the Chief Cardiac Surgeon (CTVS).
- He has about 38+ years of experience in this field of speciality. Prior to this, he was working as a Senior Consultant Read More
Dr. N Sastri
- Dr. N Sastri is a cardiothoracic, vascular surgeon practicing successfully for over 36+years.
- He offers treatment for Cardiothoracic and Vascular diseases. Read More
Dr. Anoop K. Ganjoo
- Dr Anoop K.Ganjoo is a renowned cardio thoracic surgeon in India.
- He has completed his MBBS, MD & Mch degree from the prestigious All India Institute of Medical Sciences. Read More
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Dr. Bhaba N. Das Specialist:Cardio Thoracic Experience:38+ years Hospital:Apollo Delhi |
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Dr. N Sastri Specialist:Cardiac Surgeon Experience:36+ years Hospital:Apollo Delhi |
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Dr. Anoop K. Ganjoo Speciality:Cardiac Surgeon Experience:28 years Hospital:Apollo Delhi |
Medanta The Medicity Hospital
Number of beds: 1250
ICU Beds: 300
Airport Distance: 18 KMs
Brief About:
- Medanta – The Medicity is amongst India’s largest and most renowned multi-super speciality healthcare centre with 1250 beds, 29 super speciality units and more than 800 accomplished doctors.
- Supported by state-of-art infrastructure, all the departments in the hospital are fully equipped with cutting-edge technology, modular Operation Theatre and modernized monitoring systems in ICUs.
- The panel of doctors from Medanta, headed by A.S.Soin performed the first successful intestinal transplant in India.
Dr. Naresh Trehan
- The Chairman and Managing Director of Medanta – The Medicity,
- Dr. Naresh Trehan is a world-renowned cardiovascular and cardiothoracic surgeon. Read More
Dr. Anil Bhan
- Bhan is an outstanding Pediatric & cardiovascular surgeon at Medanta Hospital.
- He possesses the largest experience of more than 37 years in Aortic surgery in India. Read More
- Currently associated as Chairman with Division of Interventional Cardiology at Medanta, The Medicity Gurgaon
- Dr. Praveen Chandra is a leading Cardiologist and Chairman of Interventional Cardiology. Read More
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Dr. Naresh Trehan Speciality:Cardiology Experience:41+Years Hospital:Medanta Hospital |
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Dr. Anil Bhan Speciality:Cardiovascular Experience:37+ years Hospital:Medanta Hospital |
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Dr. Praveen Chandra Specialist:Int. Cardiologist Experience:32 years Hospital:Medanta Hospital |
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BLK-Max Hospital
Number of beds: 700
ICU Beds: 175
Airport Distance: 13 Km
About Hospital:
- BLK Super Speciality Hospital was established by Dr. B.L. Kapur in 1959. It was inaugurated by the then Prime Minister of India, Pandit Jawahar Lal Nehru.
- BLK Super Speciality Hospital was established by Dr. B.L. Kapur in 1959. It was inaugurated by the then Prime Minister of India, Pandit Jawahar Lal Nehru.
- BLK has a unique combination of the best in class technology, put to use by the best names in the professional circles to ensure world-class health care to all patients.
Dr. T. S. Kler
- Currently associated as the Executive Director, Cardiac Sciences and Head of Department of Cardiology, Fortis Memorial Research Institute, Gurgaon.
- The first doctor to implant an Implantable Cardioverter Defibrillator (ICD) in April 1995 in India. Read More
Dr. Subhash Chandra
- Currently associated as the Chairman & HOD at the Cardiology department of the BLK super speciality hospital, New Delhi.
- He has successfully performed over 25,000 complex cardiology procedures. Read More
Dr. Ramji Mehrotra
- Currently associated as a Principal Director & Chief in Cardiothoracic & Vascular Surgery with BLK-Max Super Speciality Hospital, New Delhi.
- Specializes in Beating Heart CABG, Total Arterial CABG, Minimal Access Mitral and Aortic Valve Surgery Read More
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Dr. T. S. Kler Specialist:Int. Cardiologist Experience:47+ years Hospital:BLK-Max Hospital |
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Dr. Subhash Chandra Specialist:Int. Cardiologist Experience:15 years Hospital:BLK-Max Hospital |
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Dr. Ramji Mehrotra Specialist:Cardiac Surgeon Experience:25 years Hospital:BLK-Max Hospital |
Artemis Hospital Gurgaon
Number of beds: 600
ICU Beds: 185
Airport Distance: 19 Km
Brief About:
- Artemis Hospital, established in 2007, spread across 9 acres, is a 600plus bed; state-of-the-art multi-speciality hospital located in Gurgaon, India.
- Artemis Hospital is the first JCI and NABH accredited hospital in Gurgaon.
- Designed as one of the most advanced hospitals in India, Artemis provides a depth of expertise in the spectrum of advanced medical & surgical interventions, a comprehensive mix of inpatient and outpatient services.
Dr. Amit Kumar Chaurasia
- Dr. Amit Kumar Chaurasia is a dedicated interventional cardiologist with more than 9+ years of experience.
- Dr. Amit Kumar Chaurasia is one of the highly experienced doctors in India having performed the maximum TAVR (more than 250) and left atrial appendage closure (LAAC, more than 50) Read More
Dr. Kuldeep Arora
- Interventional Cardiologist with 15+ years of experience.
- Interest lies in TransRadial Angiography and Angioplasty, TransRadial Peripheral Intervention & EPS and PPI, AICD, CRT and CRT+D implantation. Read More
Dr. Sameer Mehrotra
- Dr. Sameer Mehrotra is an interventional cardiologist with 17+ experience.
- His expertise lies in treating Rheumatic Heart Disease, Coronary Angioplasty, Coronary Angiogram, Pacemaker Implantation, Electrocardiography (ECG), Angiography, and Chest Pain Treatment. Read More
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Dr. Amit Chaurasia Specialist:Int. Cardiologist Experience:9+ years Hospital:Artemis Hospital |
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Dr. Kuldeep Arora Specialist:Int. Cardiologist Experience:20 years Hospital:Artemis Hospital |
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Dr. Sameer Mehrotra Specialist:Int. Cardiologist Experience:17 years Hospital:Artemis Hospital |
Manipal Hospital Dwarka
Number of beds: 380
ICU Beds: 118
Airport Distance: 8 Km
About Hospital:
- Manipal Hospital Dwarka is a prominent multi-speciality and quaternary care providing hospital with first-rate healthcare services and integrated facilities.
- The world-class medical centre is a part of Manipal Education and Medical Group (MEMG), one of India’s forerunner healthcare groups.
- The group started with one flagship hospital in 1991 and now has bloomed into a network of 15 hospitals with a significant presence in Malaysia.
Dr. Rajnish Sardana
- Cardiologist with 24+ years of experience
- Expertise includes Cardiac Devices (Pacemakers, Defibrillators (ICD), Biventricular pacing {CRT-P} and combo devices {CRT-D}), Electrophysiology studies (EPS) and Radiofrequency Ablation (RFA) of various complex cardiac arrhythmias. Read More
Dr. Samanjoy Mukherjee
- Dr. Samanjoy Mukherjee is an interventional cardiologist, having an extensive experience of nearly 26 years.
- His areas of expertise include BP Monitoring, Dobutamine Stress test, device closure procedures, FFR, Holter monitoring, pacemaker implantation, radiofrequency ablation, coronary angioplasty, and many more. Read More
Dr. Sarita Gulati
- Dr. Sarita Gulati is an interventional cardiologist, with an extensive experience of nearly 20 years.
- Some of the key areas of her interest are BP Monitoring, Color Doppler, PAMI, Holter Monitoring, Device Closure, FFR and many more. Read More
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Dr. Rajnish Sardana Specialist:Int. Cardiologist Experience:24+ years Hospital:Manipal Hospital |
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Dr. Samanjoy Mukherjee Specialist:Int. Cardiologist Experience:26 years Hospital:Manipal Hospital |
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Dr. Sarita Gulati Specialist:Int. Cardiology Experience:20+ years Hospital:Manipal Hospital |
Jaypee Hospital Noida
Number of beds: 525
ICU Beds : 150
Airport Distance: 32 KMs
About Hospital:
- The Jaypee Hospital was conceptualized by a revered Founder Chairman, Shri Jai Prakash Gaur in 2014, with the vision of promoting world-class healthcare amongst the masses by providing quality and affordable medical care with commitment.
- Jaypee Hospital, Noida is established in the year 2014. This hospital is a NABH accredited and a multi-specialty hospital.
- Jaypee Hospital at Noida is the flagship hospital of the Jaypee Group, which heralds the group’s noble intention to enter the healthcare space.
- This hospital has been planned and designed as a 1200 bedded tertiary care multi-speciality facility and has commissioned 525 beds in the first phase.
Dr. B L Aggarwal
- Dr. B L Aggarwal is a well-known Interventional Cardiologist with experience of more than 19 years.
- He has proficiency over the treatment of Coronary Artery Disease, Complex PCI, and Trans-Radial Interventions. Read More
Dr. Sunil Sofat
- Dr. Sunil Sofat is a renowned cardiologist with experience of more than 28 years.
- Professionally, he is best known for performing procedures such as Interventional Cardiology including Read More
Dr. Biswajit Paul
- Dr. Biswajit Paul is a renowned Pediatric Interventional Cardiologist and has experience of 22 years in cardiology.
- The Indian Academy of Echocardiography awarded him for his work in his field. Read More
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Dr. B L Aggarwal Specialist:Int. Cardiologist Experience:19+ years Hospital:Jaypee Hospital |
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Dr. Sunil Sofat Specialist:Int. Cardiologist Experience:28+ years Hospital:Jaypee Hospital |
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Dr. Biswajit Paul Specialist:Int. Cardiologist Experience:22+ years Hospital:Jaypee Hospital |
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- Arranging video consultation with specialist doctor if case requires
