IVC Filter Insertion Procedure in India

About the treatment

The inferior vena cava (IVC) is a substantial vein located in the abdominal region, and it plays a crucial role in returning blood from the lower part of the body to the heart. However, in some unfortunate instances, blood clots can form in the veins of the legs, posing a potentially life-threatening risk as these clots may travel to the lungs, causing a blockage known as a pulmonary embolism. This condition can be extremely dangerous.

To address this serious medical concern, medical science has introduced a remarkable device known as the IVC filter. The IVC filter is essentially a specialized filtering device designed to prevent these blood clots from reaching critical organs like the lungs and heart. It acts as a barrier that intercepts these potentially harmful clots and stops them in their tracks.
Here’s how it works: the IVC filter is surgically implanted within the inferior vena cava, strategically positioned to capture any blood clots that might be on a journey towards the lungs or heart. By doing so, it effectively prevents these clots from causing a pulmonary embolism or other life-threatening complications.

This ingenious medical device provides a vital line of defense, especially for individuals who are at a high risk of developing deep vein thrombosis (DVT) or those who cannot safely take blood-thinning medications. The IVC filter offers a critical solution to safeguard patients from the potentially severe consequences of clot migration, ensuring their continued well-being.
In essence, the IVC filter serves as a guardian, standing watch within the inferior vena cava, and acting as a protective shield against the perilous journey that blood clots might embark upon. This innovative medical technology has undoubtedly made a substantial difference in the realm of vascular health, providing patients with a means to mitigate the risks associated with deep vein thrombosis and pulmonary embolism.

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What are the Typical Uses of IVC Filter?

IVC filters are commonly used for the patients who have a history of the formation of blood clots in the legs. The following points describe the conditions which lead to the creation of blood clots.

• People who lack mobility
• Those who are trauma victims
• Patients with pulmonary embolism
• Patients diagnosed with deep veins thrombosis

What is a Deep Vein Thrombosis or DVT?

Deep Vein Thrombosis (DVT) occurs when blood clots form in deep veins in the body.

What is Venous Thromboembolism (VTE)?

Venous thromboembolism (VTE) can be severe and life-threatening and is caused when clots from deep veins, often DVT, break off and travel towards the heart and lungs.

What is Pulmonary Embolism (PE)?

Pulmonary embolism (PE) results from VTE reaching the lungs and can be fatal if not treated immediately.

Treatment of DVT

Standard therapy for DVT involves blood-thinning medications known as anticoagulants, including medications like Rivaroxaban, Dabigatran, Apixaban, Edoxaban, Heparin, and Fondaparinux.

How is Pulmonary Embolism (PE) Prevented?

Anticoagulants are used as preventive measures for DVT and PE, especially before major orthopedic surgeries like hip replacements. IVC filters are considered when there are contraindications for anticoagulants.

What are IVC Filters?

The inferior vena cava (IVC) is a blood vessel that returns blood from the legs and belly to the heart. An IVC filter is inserted into the IVC to treat some DVT cases. It prevents clot migration to the heart and lungs.

The IVC Filter Surgery (DVT Filter Surgery): A Vital Treatment for Deep Vein Thrombosis

IVC filters are not recommended for all DVT cases. They are usually used when there are contraindications or complications with anticoagulants. They catch migrating blood clots and prevent them from reaching the lungs.

How Do You Know if You Need an IVC Blood Clot Filter?

Doctors typically recommend IVC filters for patients at high risk of pulmonary embolism (PE), those who don’t respond to anticoagulants, or those who cannot take anticoagulant medications.

Indications for IVC Filter Surgery

Absolute contraindications to anticoagulation include severe bleeding, recent brain, eye, or spinal cord surgery, and extreme high blood pressure. Relative contraindications include recent major surgery, recent brain stroke, low platelet count, hemophilia, and immobility due to certain conditions.

Tests Required for IVC Filter Surgery

Tests include Prothrombin time (PT), Partial thromboplastin time (PTT), International normalized ratio (INR), renal function tests, HIV, HBsAg, HCV serology, complete blood picture, ultrasound of the abdomen and leg veins.

How Are They Implanted?

IVC filters are guided into position using fluoroscopy. The filter is inserted through a vein in the groin or neck, and the procedure usually takes less than an hour.

Where Is the Procedure Done?

IVC filters can be placed bedside with the help of fluoroscopy, ultrasound, or both, or in specialized settings like a cath-lab or using a C-arm.

Do I Need to Take Medication After My Surgery?

Patients with contraindications for anticoagulants do not need blood thinners after IVC filter placement. Medication may be advised after filter removal.

IVC Filter (Inferior Vena Cava Filter) Cost in India

The cost varies depending on the hospital, type of filter, and procedure complexity. In some government hospitals, it’s done for free, while in others, it can range from one to 1.5 lakhs.

How Long Will My Device Last in My Body?

IVC filters are designed to remain in place indefinitely or temporarily, but your doctor may recommend removal in certain cases.

When Should I Consider the Removal of My Filter?

The decision depends on factors like clot risk, symptoms, and complications related to the filter.

Types of IVC Filters

There are non retrievable (permanent) and retrievable IVC filters. Permanent filters are meant to stay in the body forever, while retrievable ones should be removed when no longer needed.

Complications of IVC Filter Surgery

Complications can include bruising or infection at the puncture site, adverse reactions to contrast or drugs, filter malposition, and long-term consequences like filter erosion/migration or embolization, recurrent DVT, and mortality.

Retrieval/Removal of IVC Filter (Inferior Vena Cava Filter)

The timing for retrieval varies, but it’s recommended to remove retrievable filters once they are no longer needed to avoid complications. Delayed removal can lead to issues like vena cava wall perforation and clot formation.

IVC Filter Removal Cost

The cost of removal varies based on the hospital and the complexity of the procedure. Retrieval is easier and less costly when done shortly after placement.

Reasons for Failed Initial Retrieval

Failed retrieval can occur due to thrombus in the filter, endothelialization, re-insertion above filling defect, tilted filter, or access route thrombosis.

SVC Filters

Superior vena cava (SVC) filters are used for patients with deep vein thrombosis of the arm and contraindications to anticoagulation.

Who to Consult for IVC Filter in Hyderabad?

Consult an interventional cardiologist in Hyderabad for IVC filter-related concerns.

Please note that this is a comprehensive guide on IVC filter surgery in India and should not be considered as medical advice. Consult a healthcare professional for personalized guidance on your specific medical condition.

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Frequently Asked Questions

1. What is the purpose of an IVC filter in treating deep vein thrombosis (DVT)?

An IVC filter is designed to catch blood clots that have the potential to migrate to the heart and lungs, particularly in cases of deep vein thrombosis (DVT). It prevents these clots from causing life-threatening pulmonary embolism (PE).

2. Who might need an IVC filter?
   Patients at high risk of pulmonary embolism (PE) who cannot take anticoagulant medications, have contraindications for anticoagulation, or do not respond to anticoagulants may be candidates for IVC filters. Additionally, individuals with certain medical conditions or recent surgeries may require this intervention.
3. How is an IVC filter inserted?
   IVC filters are typically inserted through a vein in the groin or neck using fluoroscopy (x-ray) or ultrasound guidance. The procedure usually takes less than an hour and is performed by an interventional cardiologist.
4. Do I need to continue taking blood-thinning medication after getting an IVC filter?
   Patients who receive an IVC filter due to contraindications for anticoagulants do not require blood-thinning medication after the procedure. However, your doctor may recommend blood thinners after the filter is removed, if necessary.
5. What factors influence the decision to remove an IVC filter?
   The decision to remove an IVC filter depends on factors such as the patient’s risk of developing blood clots, their symptoms, and any complications related to the filter. Removal is typically considered when the risk of PE has subsided.
6. Are there different types of IVC filters?
   Yes, there are permanent (non retrievable) and retrievable IVC filters. Permanent filters remain in the body indefinitely, while retrievable filters are removed once they are no longer needed.
7. What are the potential complications of IVC filter surgery?
   Complications can include bruising or infection at the insertion site, adverse reactions to contrast or drugs, filter malposition, and long-term issues such as filter erosion or migration, recurrent deep vein thrombosis, and, in rare cases, mortality.
8. Is IVC filter removal necessary, and how much does it cost?
   IVC filter removal is recommended when it is no longer needed to prevent complications. The cost of removal varies depending on the hospital and procedure complexity.
9. How long does an IVC filter typically stay in the body?
   IVC filters can remain in place indefinitely or temporarily, depending on the patient’s condition and medical history.

10. What should I do if I have concerns or questions about IVC filter surgery in Hyderabad, India?
    If you have concerns or questions about IVC filter surgery, it’s advisable to consult with an interventional cardiologist in Hyderabad who can provide you with personalized guidance and address your specific medical needs.

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Fortis Escorts Hospital New Delhi

Number of beds:  310
ICU Beds:                 158
Airport Distance: 19 KMs

Brief About:

• 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.

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.

Max Super Specialist Hospital Saket

Number of beds:   500
ICU Beds:                 267
Airport Distance: 13 KM

Brief About:

• 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.

BLK-Max Super Speciality Hospital

Number of beds: 700
ICU Beds:               175
Airport Distance: 13 Km

Brief About:

• 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.

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.

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Sanar International Hospital

Number of beds:   130
ICU Beds:                  35
Airport Distance:  20 Km

About Hospital:

• Sanar International Hospital was established in 2018.
• Sanar International Hospital founded by Mr. Naresh Kapoor.
• Sanar International Hospital offers comprehensive advanced surgical care in specialties like Cancer, Heart, Blood and Marrow Transplant, Lung, Liver, and Neurosciences along with other major departments with advanced state-of-the-art facilities.

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.

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.

Accord Superspeciality Hospital

Number of beds:   380+
ICU Beds:                  41
Airport Distance:  46 Km

About Hospital:

• The story of Accord began with the thought of leveraging the new age technology with the healthcare infrastructure to serve the patients, rightly, effectively, and timely.
• Accord Superspeciality Hospital (A Unit Of SCL Healthcare Pvt. Ltd) is India’s first smart hospital and one of the first of its kind in the world.
• Accord Superspeciality Hospital aims at providing technologically advanced healthcare services to international patients who are looking out for medical tourism in India.

W Pratiksha Hospital

Number of beds: 110
ICU Beds:                 31
Airport Distance: 19 KMs

About Hospital:

• Established in 1995, W Pratiksha Hospital is a 110+ bedded flagship hospital of the Pratiksha group.
• W Pratiksha Hospital in Gurgaon, the flagship hospital of Pratiksha Group is a one-of-its-kind facility in Gurgaon that brings to you 30 years of experience.
• The hospital has treated more than 25,000 people In 2018.
  

Aakash Health Care Delhi

Number of beds:  230
ICU Beds:                70
Airport Distance: 10 Km

About Hospital:

• Aakash Healthcare Super Speciality Hospital is a tertiary care facility, with 15 Dialysis, and 70 Critical care beds for treating the most complex cases in the National Capital Region (NCR) of Delhi, Dwarka.
  
• The hospital is equipped with state of the art infrastructure, latest technology, competent clinicians and compassionate staff.
  
• Aakash Healthcare Super Specialty Hospital is known for its leading care in Orthopaedic and Joint replacement surgery.
  

Jaypee Hospital

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 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.

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We offers these Services

• Providing a doctor’s opinion and proper quotation
• Selecting the best hospital and doctor as per your case
• Arranging a call with the doctor (if the case required)
• Visa assistance, Providing Visa Invitation Letter (VIL)
• Providing full guidance how to get Visa from your country
• Providing total cost including treatment, air tickets, accommodation, and food
• Assitance to book flight ticket from your country
• Arranging airport pick up/ drop
• Providing professional language interpreter
• Booking accommodation and guest house as per your budget/ prefrence
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• Providing local sim card
• Arranging video consultation with specialist doctor if case requires