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Best Hospitals for Pacemaker Implantation Surgery

If you need to have a pacemaker fitted, a small electrical device called a pacemaker will be surgically implanted in your chest. The pacemaker sends electrical pulses to your heart to keep it beating regularly and not too slow. Having a pacemaker can significantly improve your quality of life if you have problems with a slow heart rate. The device can be lifesaving for some people.

Pacemaker implantation is one of the most common types of heart surgery carried out, with many thousands of pacemakers fitted each year. The procedure to implant a pacemaker does not require open heart surgery, and most people go home within 24 hours. Before the surgery, medication may be given to make you sleepy and comfortable. Generally, the procedure is performed under local anesthesia.

 

 

Treatment and Cost

14

Total Days
In Country
  • 3 Day in Hospital
  • 2 No. Travelers
  • 11 Days Outside Hospital

Treatment cost starts from

USD4030

177 Hospitals


Types of Pacemaker Implantation Surgery in Wockhardt Hospital, Umrao and its associated cost

Treatment OptionApproximate Cost Range (USD)Approximate Cost Range (INR)
Pacemaker Implantation Surgery (Overall)4097 - 7647336298 - 622253
Single-Chamber Pacemaker Implantation4088 - 5591333859 - 455918
Dual-Chamber Pacemaker Implantation4571 - 6596374296 - 541134
Biventricular (Cardiac Resynchronization) Pacemaker Implantation6118 - 8095498653 - 663014
Leadless Pacemaker Implantation5565 - 7648456457 - 622581
  • Address: Wockhardt Umrao Multy Speciality Hospital, Bharti Nagar, Mira Road East, Thane, Maharashtra, India
  • Facilities related to Wockhardt Hospital, Umrao: Choice of Meals, Interpreter, SIM, TV inside room, Accommodation

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DOCTORS IN 13 SPECIALITIES

6+

FACILITIES & AMENITIES

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Types of Pacemaker Implantation Surgery in Apollo Hospital and its associated cost

Treatment OptionApproximate Cost Range (USD)Approximate Cost Range (INR)
Pacemaker Implantation Surgery (Overall)4574 - 8361373282 - 704373
Single-Chamber Pacemaker Implantation4563 - 6139373912 - 517056
Dual-Chamber Pacemaker Implantation5164 - 7351417438 - 607599
Biventricular (Cardiac Resynchronization) Pacemaker Implantation6692 - 9199565545 - 748257
Leadless Pacemaker Implantation6217 - 8619505594 - 686168
  • Address: Apollo Hospital Greams Road Chennai - Best Hospital in Chennai, Greams Road, Thousand Lights West, Thousand Lights, Chennai, Tamil Nadu, India
  • Facilities related to Apollo Hospital: Post operative followup, Mobility Accessible Rooms, Online Doctor Consultation, Air Ambulance, Religious Facilities

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42

DOCTORS IN 13 SPECIALITIES

20+

FACILITIES & AMENITIES


Types of Pacemaker Implantation Surgery in Memorial Atasehir Hospital and its associated cost

Treatment OptionApproximate Cost Range (USD)Approximate Cost Range (INR)
Pacemaker Implantation Surgery (Overall)10084 - 14766826844 - 1198799
Single-Chamber Pacemaker Implantation9933 - 12407820963 - 1023733
Dual-Chamber Pacemaker Implantation11310 - 14347925913 - 1176394
Biventricular (Cardiac Resynchronization) Pacemaker Implantation13667 - 169181113078 - 1381436
Leadless Pacemaker Implantation11462 - 14319923710 - 1196368
  • Address: K
  • Facilities related to Memorial Atasehir Hospital: Choice of Meals, Interpreter, SIM, TV inside room, Accommodation

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DOCTORS IN 13 SPECIALITIES

6+

FACILITIES & AMENITIES

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Types of Pacemaker Implantation Surgery in Medicana Bahcelievler Hospital and its associated cost

Treatment OptionApproximate Cost Range (USD)Approximate Cost Range (INR)
Pacemaker Implantation Surgery (Overall)10237 - 14804824853 - 1182137
Single-Chamber Pacemaker Implantation10123 - 12133821258 - 1024243
Dual-Chamber Pacemaker Implantation11122 - 14545935619 - 1218578
Biventricular (Cardiac Resynchronization) Pacemaker Implantation13306 - 169021127261 - 1362172
Leadless Pacemaker Implantation11037 - 14655940760 - 1205517
  • Address: Bahçelievler Mahallesi, Medicana Bahçelievler, Eski Londra Asfaltı Caddesi, Bahçelievler/Istanbul, Turkey
  • Facilities related to Medicana Bahcelievler Hospital: Choice of Meals, Interpreter, SIM, TV inside room, Accommodation

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20

DOCTORS IN 13 SPECIALITIES

6+

FACILITIES & AMENITIES


Types of Pacemaker Implantation Surgery in Fortis Hospital and its associated cost

Treatment OptionApproximate Cost Range (USD)Approximate Cost Range (INR)
Pacemaker Implantation Surgery (Overall)4071 - 7646334727 - 621534
Single-Chamber Pacemaker Implantation4079 - 5603335835 - 456426
Dual-Chamber Pacemaker Implantation4585 - 6570376264 - 540862
Biventricular (Cardiac Resynchronization) Pacemaker Implantation6065 - 8113498264 - 666817
Leadless Pacemaker Implantation5606 - 7642459175 - 622954
  • Address: Fortis Hospital, Rasoolpur Nawada, Industrial Area, Sector 62, Noida, Uttar Pradesh, India
  • Facilities related to Fortis Hospital: Post operative followup, Mobility Accessible Rooms, Online Doctor Consultation, Air Ambulance, Religious Facilities

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33

DOCTORS IN 12 SPECIALITIES

20+

FACILITIES & AMENITIES


Types of Pacemaker Implantation Surgery in Apollo Multispecialty Hospitals and its associated cost

Treatment OptionApproximate Cost Range (USD)Approximate Cost Range (INR)
Pacemaker Implantation Surgery (Overall)4621 - 8306366651 - 692893
Single-Chamber Pacemaker Implantation4607 - 6206375617 - 504821
Dual-Chamber Pacemaker Implantation5006 - 7376417566 - 603017
Biventricular (Cardiac Resynchronization) Pacemaker Implantation6744 - 8830558783 - 737397
Leadless Pacemaker Implantation6201 - 8358504898 - 687356
  • Address: Apollo Gleneagles Hospitals, Canal Circular Road, Kadapara, Phool Bagan, Kadapara, Kolkata, West Bengal, India
  • Facilities related to Apollo Multispecialty Hospitals: Post operative followup, Mobility Accessible Rooms, Online Doctor Consultation, Air Ambulance, Religious Facilities

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36

DOCTORS IN 13 SPECIALITIES

20+

FACILITIES & AMENITIES


Types of Pacemaker Implantation Surgery in BGS Gleneagles Global Hospitals and its associated cost

Treatment OptionApproximate Cost Range (USD)Approximate Cost Range (INR)
Pacemaker Implantation Surgery (Overall)4587 - 8300377464 - 690967
Single-Chamber Pacemaker Implantation4456 - 6285372937 - 505558
Dual-Chamber Pacemaker Implantation5059 - 7293420652 - 604639
Biventricular (Cardiac Resynchronization) Pacemaker Implantation6830 - 8905542370 - 735516
Leadless Pacemaker Implantation6165 - 8523502922 - 676612
  • Address: BGS Gleneagles Global Hospitals, Sunkalpalya, Bengaluru, Karnataka, India
  • Facilities related to BGS Gleneagles Global Hospitals: Post operative followup, Mobility Accessible Rooms, Online Doctor Consultation, Air Ambulance, Religious Facilities

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29

DOCTORS IN 14 SPECIALITIES

20+

FACILITIES & AMENITIES


Types of Pacemaker Implantation Surgery in Medicana Konya Hospital and its associated cost

Treatment OptionApproximate Cost Range (USD)Approximate Cost Range (INR)
Pacemaker Implantation Surgery (Overall)10218 - 14628846824 - 1209029
Single-Chamber Pacemaker Implantation9965 - 12619845001 - 1022568
Dual-Chamber Pacemaker Implantation11270 - 14866937337 - 1211585
Biventricular (Cardiac Resynchronization) Pacemaker Implantation13328 - 165901130748 - 1387612
Leadless Pacemaker Implantation11373 - 14457924897 - 1206085
  • Address: Feritpaşa Mahallesi, Medicana Hospital in Konya, Gürz Sokak, Selçuklu/Konya, Turkey
  • Facilities related to Medicana Konya Hospital: Choice of Meals, Interpreter, SIM, TV inside room, Accommodation

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22

DOCTORS IN 9 SPECIALITIES

6+

FACILITIES & AMENITIES


Types of Pacemaker Implantation Surgery in Canadian Specialist Hospital and its associated cost

Treatment OptionApproximate Cost Range (USD)Approximate Cost Range (INR)
Pacemaker Implantation Surgery (Overall)6708 - 11266564789 - 908052
Single-Chamber Pacemaker Implantation6681 - 8978548237 - 735660
Dual-Chamber Pacemaker Implantation7714 - 10313632044 - 826889
Biventricular (Cardiac Resynchronization) Pacemaker Implantation9133 - 11483730286 - 941640
Leadless Pacemaker Implantation7880 - 10196660084 - 841945
  • Address: Canadian Specialist Hospital - Dubai - United Arab Emirates
  • Facilities related to Canadian Specialist Hospital: Choice of Meals, Interpreter, SIM, TV inside room, Accommodation

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21

DOCTORS IN 9 SPECIALITIES

6+

FACILITIES & AMENITIES


Types of Pacemaker Implantation Surgery in Manipal Hospital, Dwarka and its associated cost

Treatment OptionApproximate Cost Range (USD)Approximate Cost Range (INR)
Pacemaker Implantation Surgery (Overall)4072 - 7606335188 - 623841
Single-Chamber Pacemaker Implantation4108 - 5597333835 - 458951
Dual-Chamber Pacemaker Implantation4580 - 6568375524 - 542637
Biventricular (Cardiac Resynchronization) Pacemaker Implantation6065 - 8134500951 - 665612
Leadless Pacemaker Implantation5565 - 7627458224 - 622566
  • Address: Manipal Hospital Dwarka, Palam Vihar, Sector 6 Dwarka, Dwarka, New Delhi, Delhi, India
  • Facilities related to Manipal Hospital, Dwarka: Choice of Meals, Interpreter, SIM, TV inside room, Accommodation

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33

DOCTORS IN 13 SPECIALITIES

6+

FACILITIES & AMENITIES


Types of Pacemaker Implantation Surgery in Guven Hospital and its associated cost

Treatment OptionApproximate Cost Range (USD)Approximate Cost Range (INR)
Pacemaker Implantation Surgery (Overall)10157 - 14754824468 - 1182073
Single-Chamber Pacemaker Implantation10074 - 12407838381 - 1010056
Dual-Chamber Pacemaker Implantation11141 - 14738917850 - 1211191
Biventricular (Cardiac Resynchronization) Pacemaker Implantation13537 - 167271105859 - 1386252
Leadless Pacemaker Implantation11181 - 14506920078 - 1218074
  • Address: Kavakldere, G
  • Facilities related to Guven Hospital: Choice of Meals, Interpreter, TV inside room, Accommodation, Airport Transfer

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23

DOCTORS IN 14 SPECIALITIES

5+

FACILITIES & AMENITIES


Types of Pacemaker Implantation Surgery in Dr. Rela Institute and Medical Centre and its associated cost

Treatment OptionApproximate Cost Range (USD)Approximate Cost Range (INR)
Pacemaker Implantation Surgery (Overall)4526 - 8466378170 - 700554
Single-Chamber Pacemaker Implantation4484 - 6283368839 - 505373
Dual-Chamber Pacemaker Implantation4966 - 7395409176 - 604095
Biventricular (Cardiac Resynchronization) Pacemaker Implantation6781 - 8809553102 - 731432
Leadless Pacemaker Implantation6067 - 8381497512 - 692758
  • Address: Dr. Rela Institute & Medical Centre - Multispeciality Hospital in Chennai, India, CLC Works Road, Nagappa Nagar, Chromepet, Chennai, Tamil Nadu, India
  • Facilities related to Dr. Rela Institute and Medical Centre: Interpreter, SIM, Accommodation, Airport Transfer

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14

SPECIALITIES

4+

FACILITIES & AMENITIES


Apart from in-detail treatment procedures available, Hannibal International Clinic located in Tunis, Tunisia has a wide variety of facilities available for International Patients. Some of the facilities which are provided by them are Accommodation, Airport Transfer, Choice of Meals, Interpreter, SIM, TV inside room. Also listed below are some of the most prominent infrastructural details:

  • It has a capacity of 180 beds spread all over the 11 floors
  • Patients have comfort during their stay. Each room is furnished with LCD Screen, free Wi-fi, Phone, Safe, Refrigerator, Newspaper service, Mobility access
  • Diverse rooms option such as normal rooms, suite rooms, etc., are available for the patients
  • It has state-of-the-art equipment and infrastructure; in order to provide a restful and comfortable environment to the patients
  • As it is near the Tunisia- Carthage Airport, therefore it gets efficient for the hospital to serve International patients
  • Operating rooms are equipped with MEDglas concept consisting of MEDglas door & wall

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9

SPECIALITIES

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FACILITIES & AMENITIES


With about 80,000 m 2 , it is equipped with the highest sanitary technology and offers a wide portfolio of services-

  • Day hospital
  • 11 central operating rooms
  • 3 operating rooms for CMA
  • 6 Delivery rooms
  • 686 beds
  • Ambulatory major surgery
  • Emergencies
  • Pediatric emergency
  • ICU
  • Neonatal ICU
  • External Consultations

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SPECIALITIES

6+

FACILITIES & AMENITIES


Apart from in-detail treatment procedures available, Quironsalud Marbella Hospital located in Marbella, Spain has a wide variety of facilities available for International Patients. Some of the facilities which are provided by them are Accommodation, Airport Transfer, Choice of Meals, Interpreter, SIM, TV inside room. Also listed below are some of the most prominent infrastructural details:

  • The hospital is present in an area of 10.500 square meters.
  • A 24- hour emergency service for all kinds of emergency scenarios, even pediatric.
  • There is a specialised radiology department as well as a hemodialysis unit.
  • The hospital also consists of an Intensive Care Unit with a laboratory.
  • Also present are a functional test area with physiotherapy services in addition to functional recovery.
  • Wide network of Insurance partners both national and international.
  • A professionally managed international patient care center.
  • There are more than 25 medical specialties
  • The number of rooms are: 65 plus private rooms, over 14 consultation rooms.
  • There are also more than 5 operation theatres with 2 endoscopy rooms
  • Ultrasound, MRI, CAT scan are also present as per needs and requirements.

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SPECIALITIES

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About the Pacemaker Implantation Surgery

How does a Pacemaker Implant work?

Pacemaker implantation is a common surgery and it significantly improves the quality of life led by the patient.  The blood-pumping organ, heart, is essentially made of a few groups of muscles. These muscles are controlled by electrical signals to ensure that the heart beats naturally and effectively to circulate blood to all parts of the body. When this electrical signal gets disrupted due to some reason, then an individual may experience tachycardia (where hear beats abnormally slow), heart block, arrhythmia (irregular heartbeat), or a cardiac arrest (abrupt and sudden stopping of the heartbeat).

The contractions happen as a result of triggered electrical pulses generated by sinoatrial node or the SA node. It acts like a pacemaker of the heart. This electrical pulse is then sent to the atrioventricular node or the AV node for relaying the pulse to the ventricles. Pacemaker implantation is suggested when this electrical signaling network is disrupted.The faulty functioning of the natural pacemaker of the heart may lead to the following:

Sick sinus syndrome: It is characterized by a slow heartbeat (bradycardia) or fast heartbeat (tachycardia) or a combination of both. It can happen due to age, a previous history heart attack, and thyroid problem, too much of potassium accumulation in blood, heart surgery, or sleep apnea.

Heart Block

In this case, the impulse is either delayed or absent.

Cardiac arrest

The heart can stop beating. It may result because of the presence of coronary artery disease and muscle problems in the heart, which can happen after the age of 35.

Symptoms

Some of the symptoms observed in patients requiring pacemaker implantation are:

  • Bradycardia
  • Tachycardia
  • Uncontrollable fatigue
  • Dizziness experienced throughout the day
  • Shortness of breath
  • Acute chest pain
  • Palpitation and fluttering of the heart (arrhythmia)

What is a pacemaker implant?

A pacemaker implant is a small device that weighs around 20 g to 50 g and is the size of a matchbox. It has a pulse generator with a battery, a tiny computer circuit and a few wires called pacing leads. This system is attached to the heart and it emits signals through the wires. The pacing rate or the rate of electrical impulses can be adjusted as per the requirement of the body and be accordingly programmed. It can sense if a heartbeat is missed or if the heart is beating too slow. Accordingly, it starts sending a steady signal to normalize the beating of the heart. If the beats are normal, then it simply does not send any signal.

How is Pacemaker Implantation Surgery performed?

Insertion of a permanent pacemaker is a minimally invasive procedure. Access to heart chambers takes place as transvenous access to local anaesthesia.  The most common method is via the subclavian vein or the cephalic vein. In rare cases, it is through femoral vein or the internal jugular vein.  Either in an operating room or in a cardiac catheterization laboratory, the pacemaker implant procedure is performed.

In the infraclavicular region, the pacing generator is placed subcutaneously. Via thoracotomy, the pacemaker leads are implanted surgically. The pacing generator is then placed in the abdominal area. Either via left or right pectoral sites, single chamber and dual chamber insertion can be accomplished. The chest is then prepared. Sterile drapes are applied to the incision area to keep it as sterile as possible. Antibiotic prophylaxis is nowadays employed for the implantation. Preoperative antibiotic can reduce the chances of any infection by almost 80 percent. Cefazolin 1g is administered intravenously one hour prior to the procedure. Other antibiotics can be administered if the patient is allergic to cephalosporins, vancomycin, or penicillins.

The central vein is accessed percutaneously. Due to skeletal landmarks being deviated in some patients, there will be a need of fluoroscopic examination to reduce the time and complications in access. At the junction of first rib and the clavicle, the subclavian vein is typically accessed. For the confirmation of deep vein thrombosis, a phlebography is required for visualization of the vein.

Now a guide wire is advanced through the access needle and tip of the guide wire in placed in the right atrium or venacaval area under fluoroscopy. The guide wire is kept in place after the needle is withdrawn.  If required, a second guide wire is also placed. Double wire technique may be employed through a sheath which is then withdrawn. Two separate sheaths can be manoeuvred over the two guide wires. During the lead advancement, some friction can be felt.

An incision of one to two inches is made in the area of the infraclavicle, which is parallel to the middle third of the clavicle and a subcutaneous pocket is made with both sharp and blunt dissection. This is for the implantation of the pacemaker generator. In many cases, surgeons prefer the access later and pocket first.

A peel-like special sheath and dilator are advanced over the guide wire. The guide wire and dilator are withdrawn keeping the sheath in place. A stylet is then inserted in the center channel of the pacemaker lead making it more rigid.  This lead-stylet combination is then inserted into the sheath and advanced to the concerned heart chamber under fluoroscopy.  In order to prevent dislodgement, the ventricular lead is positioned before the atrial lead. For the positioning in the tricuspid valve, a small curve at the tip of the stylet make it more mobile to reach the right ventricular apex. The introducing sheath is peeled once the lead is secured. With a pacing system analyser, the lead impedances are measured after the pacing lead stylet is removed. To prevent diaphragmatic stimulation, the pacing is performed at 10V. 

After the confirmation of thresholds and lead position, the proximal end of the lead is secured to the pectoralis tissue with the help of a non-absorbable suture. This suture is sewn to a sleeve which is located on the lead. This is placed in the right atrium is a second lead is required.  For patients who have already had a cardiac surgery, the lead tip is positioned medially or in the free lateral wall of right atrium. Same process of stylet withdrawal is followed after this. After positioning and testing of leads, the pacemaker pocket is fed with antimicrobial solution and the pulse generator is connected to the leads. To prevent migration or twiddler syndrome, many surgeons secure the generator to the underlying tissue with non-absorbable suture.

Before final confirmation of lead positioning, a look is taken under the fluoroscope. With the help of adhesive strips and absorbable sutures, the incision is closed. A sterile dressing is then applied on the surface. To limit movement for 12 to 24 hours, an immobilizer or arm restraint is applied. The chances of pneumothorax are ruled out with the help of a postoperative chest radiograph.

Recovery from Pacemaker Implantation Surgery

Recovery post a successful Pacemaker Implantation

Usually, a patient is kept under observation for more than a day after the pacemaker implantation surgery. It takes around six weeks before the patient to get used to the implanted device. Heavy works must be avoided initially. One should ensure that the concerned arm is not rendered immobile during this time to prevent a frozen shoulder. A physiotherapist can exactly show the movements that you need to perform to keep your arm healthy. Carry the duly filled pacemaker implant card for emergency to avoid any unwanted situation.

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