A healthy heart has its pacemaker that helps in the rate of regulation of the heartbeat. Sometimes people have conditions that can cause their heart to beat irregularly or abnormally. In these cases, a pacemaker device is recommended. A pacemaker is an electronic device, which sends an electric impulse to the heart muscles to maintain a suitable heart rate and rhythm. It has two parts a lead and a pulse generator.
Over the past years, the Turkish government has taken decisive steps in improving their healthcare facilities. Turkey now offers high-quality medical services, latest medical technology, board-certified staff and well-skilled surgeon. Pacemaker surgery in Turkey is performed by some of the most recognized cardiothoracic surgeons. Turkey has always been a known tourist destination and now with so much of advancement in its medical facilities; it has also become a popular medical tourist destination.
Pacemaker implant cost in Turkey, quality of treatment offered are at par with some of the most popular medical tourism destinations like Germany, Singapore, Turkey, and Hungary. Pacemaker implant surgery including the travel, five -star accommodation and sight-seeing cost in Turkey comes to even less than one-sixth when compared with the treatment cost offered in US or UK.
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.
In this case, the impulse is either delayed or absent.
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.
Some of the symptoms observed in patients requiring pacemaker implantation are:
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.
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.
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.
The cost of Pacemaker Implantation Surgery in Turkey starts from $9000. There many SAS, JCI, TEMOS certified hospitals in Turkey that offer Pacemaker Implantation Surgery
Different hospitals have different pricing policy when it comes to the cost of Pacemaker Implantation Surgery in Turkey. Some of the best hospitals for Pacemaker Implantation Surgery offer a comprehensive package that covers the end-to-end expenses related to investigations and treatment of the patient. Typically, the package cost of Pacemaker Implantation Surgery in Turkey includes the expenses related to the surgeon's fee, anesthesia, hospital, meals, nursing and ICU stay. Post-surgical complications, new findings and delayed recovery may have an impact on the total Pacemaker Implantation Surgery cost in Turkey.
Many hospitals in Turkey perform Pacemaker Implantation Surgery. The top hospitals for Pacemaker Implantation Surgery in Turkey include the following:
After discharge from the hospital, the patient has to stay for another 14 days in the country for complete recovery. During this time, the patient undergoes medical tests and consultations. this is to ensure that the treatment was successful and the patient us safe to return.
Turkey is one of the most popular countries for Pacemaker Implantation Surgery in the world. The country offers the best cost of Pacemaker Implantation Surgery, best doctors, and advanced hospital infrastructure. Some of the other popular destinations for Pacemaker Implantation Surgery include the following:
|South Africa||USD 12500|
|United Arab Emirates||USD 6000|
There are certain additional cost that the patient has to pay apart from the Pacemaker Implantation Surgery cost. The extra charges may start from USD 50 per person.
Pacemaker Implantation Surgery in Turkey is offered in almost all metropolitan cities, including the following:
Patients who are interested in availing telemedicine consultation before they travel for Pacemaker Implantation Surgery in Turkey can opt for the same. There are many Pacemaker Implantation Surgery surgeons who offer video telemedicine consultation, including the following:
|Doctor||Cost||Schedule Your Appointment|
|Dr. Ahmet Anil Sahin||USD 160||Schedule Now|
The average duration of stay at the hospital after Pacemaker Implantation Surgery is about 3 days for proper care and monitoring. This phase is important to ensure that the patient is recovering well and is clinically stable. During this time, several tests are performed before the patient is deemed suitable for discharge.
The average rating for Pacemaker Implantation Surgery hospitals in Turkey is 3.6. This rating is automatically calculated on the basis of several parameters such as the infrastructure of the hospital, quality of services, nursing support and other services.
There are more than 40 hospitals that offer Pacemaker Implantation Surgery in Turkey. The above listed hospitals are approved to perform the surgery and have proper infrastructure to handle Pacemaker Implantation Surgery patients. Such hospitals follow all legal protocols and guidelines as specified by the local medical affairs body when it comes to the treatment of international patients.
Turkey is a leading medical tourism destination that attracts a large number of patients who receive world-class treatments at an affordable cost. The country has a large pool of world-class multispecialty hospitals that offer unmatched medical treatments with high success rates and can deal with more than one specialty and offer all kinds of surgeries. Most of the hospitals have received accreditations from global platforms which ensure that the hospitals not only perform evidence based practices but also give importance to access, affordability, efficiency, quality and effectiveness of healthcare. There are several renowned multispecialty hospitals in Turkey and these are:
Joint Commission International (JCI) is the major healthcare accrediting body in Turkey. JCI was founded to ensure the quality served by the health organizations. The standards provide a strong framework for quality assurance by hospitals and focus on the quality of care and patient safety. The standards provide a framework for quality assurance by hospitals and offer a comprehensive corrective action plan for ensuring quality culture at all levels and across all functions.
Turkey is one of most preferred destinations for seeking treatment due a number of factors, such as excellent healthcare infrastructure, best doctors, use of advanced medical technology, and affordable cost. Other factors which contribute to the popularity of medical tourism in Turkey are low consultation fee, low-cost medical treatments, and cheap medicines. Hospitals and healthcare centers in Turkey meet Western standards of healthcare. Most doctors trained in America and Europe prefer to practice and take up their residency in Turkey.
Turkey has some of the finest doctors in the world and the medical fraternity in the country is highly skilled and well-trained. They have received quality education at premier institutions and have comprehensive training. They have strong subject knowledge and their skill set and area of expertise are vast. Board-certified doctors deliver high-quality care to their patients and have the ability to practice at the top of their profession.
When traveling to Turkey for medical treatment, medical tourists need to carry documents like passport copies, residence/ driver’s license/ bank statement/ details of Health insurance, test reports, records, doctor referral notes. Packing plays an important role when you are traveling to another country for seeking medical treatment. Don't forget to make a list of all the essential things you might need during your stay in Turkey. The required documents may vary as per your destination, so please check before traveling.
Some of the popular procedures available at hospitals and clinics in Turkey are:
The popular procedures in Turkey are available at an affordable price and have a success rate. With best-in-class doctors, the hospitals in Turkey offer world-class treatments in almost every therapeutic areas. Turkey’s advanced medical technology available at lower costs has made the country the best destination for popular procedures all across the world.
Some of the most popular medical tourist destinations in Turkey are Ankara, Istanbul, and Antalya. Affordable medical care with world-class facilities, impeccable patient care, and easily available medical visas make the country a foremost choice for international patients. Turkey with a number of world-class cities attracts almost one million medical tourists every year due to several reasons like world-class infrastructure, transportation facilities, availability of medical visas, and a wide range of food options. One of the global destinations for medical tourism, Turkey has many cities full of history and mesmerizing sandy beaches.
Hospitals in Turkey offer world-class facilities to international patients to ensure safety and comfort throughout their stay in Turkey. With an aim to improve patient experience, hospitals in Turkey offer excellent facilities, such as visa assistance, travel arrangements, airport transfers, coordination of all medical appointments, accommodations for patients and companions, international staff translators, shopping and recreational options, Internet with wi-fi, mobile sim cards, lockers, and multiple food options. Hospitals provide assistance to their patients at every step of their journey, right from initial queries, preparations for their travel, arrival, visit of the hospital, and follow-up care.
Healthcare organizations in Turkey accept health insurance. In case you have any health insurance plan that is internationally valid, inform the hospital about it. You need to get in touch in touch with your insurance company in your country to confirm if the treatment you want to undergo is covered at the hospital in Turkey. An approved insurance provider needs to provide Guarantee of Payment to the hospital to start your treatment cashless.
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