Cardiac Resynchronization Therapy (CRT)

Our Heart Centre offers the most comprehensive care to patients suffering from various heart diseases. Our cardiologists and cardiovascular surgeons are well trained in evaluating, diagnosing and performing cardiovascular surgery in or order to treat patients suffering from heart rhythm disorders.

Staff at Nanavati Max Hospital implants hundreds of implantable devices to help people live a quality of life without worrying much about their heart.

What Is Cardiac Resynchronization Therapy (CRT)?

Cardiac resynchronization therapy (CRT), also termed as biventricular pacing, involves the use of a special kind of pacemaker known as a biventricular pacemaker - that works by sending small electrical impulses through the leads attached to it, in order to keep the right and left ventricles pumping together, called AV synchrony. It is designed to help the ventricles contract normally and improve the heart’s rhythm and symptoms associated with arrhythmia or heart failure.

How Does A Biventricular Pacemaker Works?

The pacemaker is implanted just below the collarbone. There are three wires connected to the devices monitor that helps in detecting heart rate irregularities and in synchronizing the heart by emitting tiny pulses of electricity to correct them.

Diagnostic Procedure

The doctor performs several tests to diagnose the find the cause of irregular heartbeats, before implanting a biventricular pacemaker. These tests are performed using:

  • Electrocardiogram (ECG)
  • Holter monitoring
  • Echocardiogram
  • Stress test

Benefits of CRT

Cardiac resynchronization therapy (CRT) helps in improving the heart’s efficiency by increasing blood flow in patients who have experienced heart failure symptoms such as shortness of breath that aren't controlled with medication.  It improves the overall quality of life of the patient and decreases in hospitalization and morbidity.

Results

Having a biventricular pacemaker will help in improving the symptoms caused due to heart failure & slow heartbeats.

State-of-the-art Surgery Centre

With the pioneering medical forefront of science and research, the Centre for Orthopaedics (Bone), Arthroplasty (Joint Replacement), Spine, Traumatology, and Sports Medicine is setting new standards for quality and innovation in patient care, by providing, comprehensive treatment. We have same-day outpatient/Daycare surgery too for minor procedures. Our leading-edge technology and facilities to world-renowned surgeons and specialists who are nationally and internationally recognised leaders in their respective fields, with the highest degree of skills, experience and knowledge available.

What Is Haematopoietic Stem Cell Transplant Or Bone Marrow Transplant?

A bone marrow transplant is a treatment performed to replace the unhealthy bone marrow of the patient with the healthy bone marrow cells. Bone marrow or peripheral blood stem cell harvesting is the first step towards bone marrow transplant treatments and stem cell therapies performed to treat patients suffering from various blood-related disorders such as leukaemia, lymphoma, and specific autoimmune disorders.

Bone marrow is a soft and spongy substance that is present between the inner cavities of bones, from where the blood is produced. There are several tiny spaces in the bone marrow that hold the primitive cells which are capable of growing into a different type of blood cells. These cells are called stem cells, which are capable of producing various kinds of blood cells, i.e. red blood cells, white blood cells, and platelets.

In general, there are two types of bone marrow, red and yellow. Most of the bone marrow in kids is red marrow and rich in stem cells. However, in adolescents, owing to fat cell infiltration, a big part of the bone marrow is transformed into yellow marrow. In adolescents, red marrow is generally confined to a few bones, such as hip bones, breast bone, ribs, shoulder blades, skull, backbone, arm, and thigh ends.

Why Choose Nanavati Max Hospital For Your Cancer Care?

With a mission of improving the health of the people in the communities we serve, Nanavati Max Cancer Centre offers world-class patient care, confirming that our patients have access to the best care possible. Our highly experienced healthcare team members are always at your side for every step of your cancer treatment.

  • Comprehensive Patient- Care:

Nanavati Max cancer centre offers high-end ancillary experts along with a complete range of leading technologies and techniques that are there to support our treatment system. Our team of prodigious doctors addresses all the needs of the patients during the diagnosis, treatment, and survivorship.

  • Innovative Treatment Methodologies:

Our doctors are leaders in developing innovative treatments that are changing the course of cancer care at a rapid clip. The treatments offered by our highly experienced radiation oncologists using the latest radiation technologies which are delivered in a way that maximises the patient’s chances for a cure while minimising side effects.

  • The Experience You Can Trust:

We are the global leader in the fight to end cancer. We hold the depth of experience that contributes to every aspect of your care. Patients choose us not only for our decades of experience, top national rankings, and leadership in cancer prevention but also for the comprehensive care, we provide to eliminate cancer. In this transformative journey, spanning over six decades, Nanavati Max cancer centre has spearheaded several game-changing developments.

Advanced Technologies For Your Better Care:

Our team of highly experienced and internationally trained experts consist of surgeons, physicians, intensivists, paediatricians, neonatologists, respiratory therapists and specialised nurses, work in collaboration with other specialities to offer comprehensive critical care. The care we offered is complemented by advanced facilities and services that are unique and ensure the best chance of recovery from an acute injury or illness. Some of the advanced technologies that our centre offers include:

  • Extracorporeal membrane oxygenation (ECMO)
  • Evidence-based physical therapy (EBPT)
  • Continuous Renal Replacement Therapy (CRRT)
  • Slow Low-Efficiency Dialysis (SLED)
  • Invasive Ventilation including Prone Ventilation, Recruitment Maneuvers, Airway pressure release ventilation (APRV)
  • Non-invasive Ventilation- CPAP & BIPAP
  • Cardiac Pacing
  • Haemodialysis
  • Upper and lower GI endoscopy (to control bleeding)
  • Video-bronchoscopy
  • Intra-aortic balloon pump (IABP)

Other Supportive investigations

  • Magnetic resonance imaging (MRI)
  • Computed tomography (CT)
  • Nuclear imaging
  • Electrocardiography (ECG)
  • Electroencephalogram (EEG)
  • Echocardiography
  • Ultrasound and venous Doppler

Advanced Technologies

The comprehensive clinical services we offer at the centre range from treatments for rare and complex conditions to well-child care, and is supported by a cutting edge medical facilities such as:

  • Radiant Warmers and Incubators  
  • Multi-Monitor
  • Invasive Blood Pressure Monitoring
  • A "blender" which mixes pure oxygen and air (or other gases) in precise ratios and delivers the resulting mixture to the baby 
  • Neonatal Ventilator
  • Neonatal Flexible Bronchoscopy
  • Transport Incubator and Ventilator   
  • T-piece Resuscitator or NeoPuff 
  • LED Phototherapy Lights and Biliblankets
  • Bedside EEG and Video EEG Monitoring
  • Bedside Screening and Treatment for ROP
  • Bedside ECHO and Ultrasonography 
  • Bedside PDA Ligation Facility
     

Advanced Technologies

Physicians at Nanavati Max Super Speciality Hospital diagnose, treat and manage a wide spectrum of disorders related to chest and respiratory conditions through outpatient, inpatient and critical care units. We bring you a full continuum of diagnostic, therapeutic and medical interventions for advanced care by focusing majorly on conserving organ and its functions, without compromising overall survival outcomes. Some of the technologies we use are:

  • Advanced Alice 4 Respironics 
  • Bronchoscopic Argon Plasma Coagulation (APC)
  • Bronchoscopic Cryotherapy
  • Bronchoscopic Electrocautery
  • Bronchoscopic Laser ablation
  • Endobronchial Ultrasound (EBUS)
  • Maintenance of Wakefulness Testing (MWT) 
  • Multiple Sleep Latency Test (MSLT)
  • Non-Invasive Ventilation
  • Overnight Diagnostic Polysomnogram (PSG)/ Sleep Study
  • Pleural Aspiration
  • Pleurodesis
  • Tracheobronchial stenting
  • Video-assisted Flexible Bronchoscopy

Implants and Surgeries

  • Replacement of single tooth, multiple teeth & implant supported denture
  • Immediate loading /teeth in 72 hours.
  • Extractions (simple and surgical)(Tooth removal)
  • Sinus lift surgery
  • Gum surgeries (treatment of loose teeth, gum loss, receding gums and excessive gum tissue)
  • Pre cancerous lesion screening.
  • Treatment of red and white lesions
  • Minor Oral Surgical procedures including cyst removal, biopsy, removal of cancerous lesion
  • Fracture jaw management.
  • Correction of Cleft Lip and Cleft Palat in Tandem with cosmetic & plastic surgery
  • Crown lengthening procedures
  • Periapical apicoectomy

Implantable Cardioverter Defibrillator (ICD)

The Heart Centre has a team of dedicated cardiologists and cardiac surgeons offering patient-centric care to people suffering from a condition called Ventricular Tachycardia, otherwise known as a fast heartbeat, or a chaotic heartbeat. We use state-of-the-art facilities and treatment modalities at the centre to diagnose, treat and prevent various disorders related to abnormal heartbeats.

What Is an Implantable Cardioverter Defibrillator (ICD)?

An Implantable Cardioverter Defibrillator (ICD) is a small device about the size of business-card is used as an aid to treat people with dangerously abnormal heart rhythms. It constantly monitors the patient’s heartbeat and delivers electrica shock/ pulses automatically when it detects an abnormal heart rhythm.

People who have sustained ventricular tachycardia, fainted from a ventricular arrhythmia survived a cardiac arrest, or suffering from coronary artery disease, abnormal heart muscles, inherited heart defect, Brugada syndrome and arrhythmogenic right ventricular dysplasia can be benefited with Implantable Cardioverter Defibrillator (ICD).

How does an Implantable Cardioverter Defibrillator (ICD) work?

ICD is surgically implanted below the collarbone (usually below the left collarbone) in a pocket under the skin. One or two insulated wires attached to ICD runs into the heart chamber via veins of the heart in order to constantly monitors for abnormal heart rhythms. The device helps in instantly correcting the abnormal heartbeats by automatically delivering electric shock/ pulses.

Diagnostic procedure

The doctor performs several tests to diagnose the find the cause of irregular heartbeats, before implanting an Implantable Cardioverter Defibrillator. These tests are performed using:

  • Electrocardiography (ECG)
  • Echocardiography
  • Holter monitoring
  • Event recorder
  • Electrophysiology study (EPS)

Benefits of ICD

ICDs are capable of continuously monitoring your heartbeat and detecting any abnormal heartbeats (arrhythmias). It even stops the abnormal heartbeats by delivering electrical pulses to restore a normal heart rhythm when necessary.

Result

For anyone who has survived cardiac arrest, ICDs have become standard treatment and they are increasingly used in people at high risk of sudden cardiac arrest. ICD has a capability of lowering your risk against sudden cardiac arrest (SCA) and offer the best protection.

Comprehensive Orthopaedics Care

At Nanavati Max Hospital we adhere to the highest standards in the industry in providing comprehensive orthopaedics care services and are well-equipped to undertake a variety of surgeries both simple and complex. Our extraordinary team of medical professionals’ major focus is on making sure that our patients receive the best surgical care, key clinical, and inpatient services promptly. Each orthopaedic surgeon fulfils their obligations and follows the ongoing benchmarks of care and treatment protocols.

Bone Marrow Transplant / Haematopoietic Stem Cell Transplant Is Offered For:

Malignant Haematology
The detection of blood cancers and their treatment with chemotherapy and other modalities is required as per the case.

  • Acute leukemia – Myeloid & Lymphoid Leukemia
  • Chronic Leukemia – Myeloid & Lymphoid Leukemia
  • Multiple Myeloma
  • Myelodysplastic Syndromes
  • Hodgkin’s and Non Hodgkin’s Lymphoma
  • Myeloproliferative Disorders

Benign Haematology- Benign Disorders Of Blood

  • Anemias - Nutritional and haemolytic
  • Thalassemia Major & Sickle Cell Disease
  • Aplastic Anaemia
  • Thrombocytopenias
  • Benign WBC Disorders
  • Immunodeficiency Disorders
  • Bleeding Disorders and Coagulation Disorders
  • Congenital and Paediatric Syndromes
  • Severe Combined Immunodeficiency Disease
  • Other states of bone marrow failure – PRCA, PNH, Fanconi`s Anemia
  • High - risk Neuroblastoma, Ewing Sarcoma & Medulloblastoma
  • Adrenoleucodystrophy
  • HLH - Both primary and secondary
  • Hurler Syndrome

Consultative Haematology

  • Deranged coagulation profile
  • Types of Cytopenia or Cytosis
  • Blood transfusion and Phlebotomies
  • Hemolytic Jaundice
  • Thrombosis at unusual sites or Inherited Thrombophilia

Advanced Technology:

The cancer centre aspires to focus on providing the best cancer treatment surgeries and procedures to cure cancer patients. With the use of state-of-the-art technologies and innovative treatment methodology, we have treated almost all kinds of cancers in the most effective ways. Our professional oncologists hold years of experience in delivering the treatment that maximises your chances for a cure while minimising side effects.

We follow a multidisciplinary approach to provide streamlined integrative care and works closely with the cancer patient & their families. They majorly focus on conserving function and organ without compromising overall survival outcomes. Our comprehensive range of diagnostic, medical and surgical services use advanced technologies like:

  • Robotics surgery
  • Halcyon, latest linear accelerator
  • Breast cancer Sentinel lymph node biopsy (SLNB) (by using Radio-isotopes and Gamma probe for prevention of lymphoedema)
  • HIPEC Technology (Hyperthermic Intraperitoneal Chemotherapy)
  • Immunotherapy
  • IMRT (Intensity-modulated radiation therapy)
  • IGRT (Image-guided radiation therapy)
  • 3D CRT-(Conformal Radiation Therapy)
  • Digital Mammography
  • MRI (Magnetic Resonance Imaging)
  • PET / CT scan

Emergency Care Units:

Our Centre for Critical Care strives to cater to management of critically ill patients from medical and surgical specialities with life-threatening conditions and multi-organ failure requiring comprehensive and constant monitoring. We have different dedicated ICUs offering outcome-oriented programs for various emergency conditions. These include:

  • Medical Intensive Care Unit (MICU)
  • Surgical Intensive Care Unit (SICU)
  • Cardiac Intensive Care Unit (CICU)
  • Paediatric Intensive Care Unit (PICU)
  • Neonatal Intensive Care Unit (NICU)
  • Neurosciences Intensive Care Unit (NICU) (CCU 4)
  • Organ Transplant Intensive Care Unit (OICU) (CCU 4)

Treatment Programs

Nanavati Max Super Speciality Hospital provides children with high-quality paediatric care from birth to adolescence and stands among one of the best medical institutions in India. It offers tailored paediatric services and has dedicated units, which are further streamlined into various sub-disciplines of paediatric care, such as: 

  • General Paediatrics
  • Neonatology and Neonatal Intensive Care
  • Paediatric Intensive Care
  • Paediatric Surgery & Paediatric Urology
     

Support Services

We at the Centre for Chest & Respiratory Diseases, offer world-class services that start with your treatment and goes beyond to the aftercare. We pay attention to every detail of your problem and demonstrate abiding passion for excellence in treating the most complex cases related to pulmonary diseases.

Our never-ending support services help patients to overcome every aspect of the treatment and live a disease-free life. Some of the major support services we offer include:

  • Post-operative pulmonary rehabilitation
  • Lifestyle changes
  • Counselling & assisting smoking de-addiction 
  • Asthma education and counselling

Orthodontic Corrections

  • Orthodontic Braces (tooth colored and metal)
  • Lingual Braces
  • Invisible Braces
  • Orthognathic Surgeries

Heart Pumps (Ventricular Assist Device (VAD))

The Heart Centre at Nanavati Max Super Speciality Hospital offers multiple innovative treatments for people with advanced heart failure, including offering ventricular assist devices-heart pumps to treat complex heart problems, such as amyloidosis, restrictive cardiomyopathy, and other high-risk conditions. Our experts follow a multidisciplinary team-based approach in order to provide a coordinated, patient-centric treatment plan to each patient under our care.

What Are Ventricular Assist Devices (VAD)?

A ventricular assist device (VAD) is a heart pump that helps pump blood from the lower chambers of your heart (the ventricles) to the rest of your body. Also known as a mechanical circulatory support device, VAD is implanted in people who have weakened hearts or heart failure.

How Do Ventricular Assist Devices (VAD) Work?

VAD is a mechanical pump that is a surgically implanted in the left side of the chest, around the heart in a sac known as the pericardial space. The pump is connected to the heart at the bottom of the left ventricle through a driveline cable, where it draws oxygen-rich blood through the pump and pushes it into the aorta. From the Aorta, the blood can flow to the rest of the body.

Diagnostic Procedure

 

Sr. No.

OPD investigations

1

Cardiology Consultation

2

BMI ≤ 35 / ≥ 20

3

2D Echo

4

X-ray Chest

5

CPET and VO2 Max

6

CBC

7

RFT

8

LFT

9

Blood Group

10

Triple H

11

Thyroid Profile

12

Lipid Profile

13

HbA1C

A doctor will evaluate the patient’s current medical condition by performing some diagnostic tests to ensure that he is healthy enough for an implant. The diagnostic process includes Comprehensive Heart Failure Work- up which comprises of prep work-up.

Benefits of VAD

For the patient awaiting a heart transplant, VAD is a life-saving therapy. VAD or Left Ventricular Assist Device (LVAD) is capable of restoring the functions of the failing heart, thereby eliminating the need for a transplant.

Result

Depending upon your medical condition you may be able to return to many of the daily life activities, such as returning to work, exercising, being sexually active, driving, participating in hobbies, etc.

Ultra-Modern Facilities

Engineered to very high safety standards, the operating theatres at the centre are outfit with cutting edge surgical equipment and technology giving surgeons and patients alike peace of mind. With a high quality of treatment using the best possible imaging service by employing cutting-edge direct digital equipment, our professionals are trained to deliver the best solutions for almost all types of orthopaedic conditions.

Types Of Bone Marrow Transplant

The Bone marrow transplant process may vary depending upon the types of donor and transplant procedures. Generally, there are two types of transplant processes:

  • Autologous Bone Marrow Transplant: In this process, the bone marrow or stem cells are harvested from the patient’s own body and frozen (cryopreserved) for future use. 
  • Allogeneic Bone Marrow Transplant: In this process, the bone marrow or stem cells are harvested from a donor’s body. A donor can be a relative usually a brother or sister or an unrelated donor whose bone marrow matches with the patient’s bone marrow and must be an HLA (Histocompatible Leukocyte antigen) match. In this type of transplant, the bone marrow is given to the patient on the very same day.

Types of Allogeneic Bone Marrow Transplant:

  • HLA (Immune)-Match Related Donor (Siblings) Transplant:  The bone marrow or stem cells come from the relative of the patient, who is usually a sibling (brother or sister) who's HLA (Histocompatible Leukocyte antigen) matches completely with the patient.
  • HLA (Immune)-Matched Unrelated Donor Transplant: The bone marrow or stem cells come from the unrelated donor whose HLA (Histocompatible Leukocyte antigen) matches completely with the patient.
  • Haplo Identical Donor Transplant: The bone marrow or stem cells comes from HLA (Histocompatible Leukocyte antigen) half-matched (haplotype) donors such as biological parents of the patient or half-matched siblings.
  • Umbilical Cord Blood Transplant: Umbilical cord blood cells are collected from a newborn baby's umbilical cord right after birth. These stem cells are very immature so the need for perfect matching is eliminated. The stem cells collected from the cord are frozen and stored until they are used for a transplant.

After the harvest, the bone marrow or stem cells are filtered to remove fat or other particles and then taken to the laboratory for processing, after which they are counted, screened, and ready to infuse.

The type of transplant patient has to undergo depends upon the unique medical needs of the patient. A doctor will evaluate the patient’s medical condition and will suggest the treatment plan accordingly. The goal of a bone marrow transplant process is to treat a variety of blood disorders and certain types of cancer.

Treatment Approaches:

The modern era of cancer treatment is constantly evolving, with breakthroughs and discoveries we strive to offer a more specialised degree of care. Our medical and radiation oncologists, haematologists, surgeons and other cancer specialists, work together to provide the most comprehensive, advanced diagnostic and treatment services to our patients.

  • Medical Oncology Program

Our medical oncologists at Nanavati Max Hospital are typically the physicians who take the lead in helping patients fight cancer with most eclectic Cancer treatment facilities. Our team of highly qualified experienced, and dedicated medical oncologists administer safe and patient-centric chemotherapy often employed in combination in immunotherapy & targeted therapy. The department extends its compassionate support and services by offering optimum palliation to patients who are beyond the scope of active chemotherapy treatment.

  • Radiation Oncology Program

Radiation Oncology Program offered at the Cancer Centre uses sophisticated equipment and advanced radiological technology to treat cancerous tumours. The department is well-equipped with technology such as Halcyon Linear Accelerators, Brachytherapy, Simulators, etc. that make it one of the best Radiation Oncology Hospitals in India. Our radiologists use advanced techniques like CT, MRI, PET CT scan, IMRT, SBRT, IGRT, etc. to detect cancer more accurately and pinpoint its exact location in the body, offering higher, more effective radiation treatment.

  • Surgical Oncology Program

Depending upon the patient’s cancer type and stage, as well as age and overall health, our surgical oncologists offer the most advanced cancer treatments, which involves the surgical removal of malignant tumours associated with cancer.

  • Robotic Surgery Program

Robotic Surgery has become a new standard of care for many oncological (cancer) specialties including head and neck, thorax and lung, thyroid, gynaecological, gastrointestinal and urological cancers. Our team of internationally-trained oncologists offers an integrated robotics program to deal with complex oncological cases through small incisions with the advantages of enhanced 3-dimensional vision, combined with the precision, dexterity and control of the robotic platform.

  • Cytoreductive Surgical (CRS) Program

Cytoreductive surgery is a complex surgical procedure, which aims at the removal of all visible tumours in the abdominal cavity. In selected cases, CRS is used in conjunction with Hyperthermic Intraperitoneal Chemotherapy (HIPEC) to treat advanced peritoneal carcinomatosis.

  • Cancer Reconstructive Surgery Program

Cancer reconstructive surgery is performed to correct anatomical defects that may have occurred due to the cancer-related treatments. Our team of highly experienced reconstruction surgeons uses state-of-the-art microvascular surgical techniques to achieve the best possible outcomes for repair related damage so that you or your loved ones will have the highest quality of life possible.

  • Haematology & Bone Marrow Transplant Program

Our haematologists and transplant surgeons focus on delivering state-of-the-art cancer therapy to patients battling cancer. They follow a multidisciplinary approach to treat patients suffering from malignant and non-malignant diseases, including leukaemia, myeloma, lymphoma myelodysplastic syndromes, and other hematologic conditions through bone marrow transplant. Our program strives to integrate each patient into everyday life.

Support Services

Paediatric Occupational Therapy and Rehabilitation unit at the Centre for Child Health is a dedicated unit offering comprehensive care for every child with multiple congenital or acquired acute/chronic diseases and disorders. Some of the services we provide include:

  • Child and Family Counselling
  • Child Psychology
  • Functional Independence in Activities of Daily Living
  • Nutrition Information
  • Speech Therapy
  • Strengthening and Stretching Exercises

All Dental Procedures

  • Cosmetic tooth coloured fillings (Correction of broken teeth and cavities)
  • Painless single and Multiple sitting Root Canal Treatments
  • Microscopic root canal treatment.
  • Laser assisted painless and bloodless procedures.
  • Aesthetic Crowns and Bridges
  • Teeth Cleaning and Polishing
  • Teeth Bleaching
  • Cosmetic contouring of gums & teeth
  • Gum Depigmentation
  • Cosmetic tooth coloured facing for deformed and stained teeth (Laminated and Veneers)
  • Smile Designing
  • Gap Closures
  • Special treatment procedures for kids
  • Teeth flouridation
  • Partial & Complete Dentures

Heart Transplantation

The Heart Transplantation Unit at Nanavati Max Heart Centre is a dedicated unit providing the most comprehensive care to patients with advanced heart problems including heart failure. Our transplant unit follows a multi-disciplinary approach to evaluate and treat patients who may require a heart transplant.

Our team of specialists consists of highly renowned advanced heart failure/ transplant cardiologists, interventional cardiologists, cardiothoracic surgeon, electrophysiologists, cardiovascular imaging specialists, and cardiovascular surgeons focuses on treating the most complex cases of heart failure using a patient-centric approach. The goal of a heart transplant is both to improve the patient’s longevity and quality of life.

What Is a Heart Transplant?

A heart transplant is a surgical process which involves the removal of the diseased heart from the patient’s body and replaces it with a healthy heart acquired from the deceased organ donor (the one who is declared brain dead by the doctors). It is a medical treatment procedure that is reserved for people who have tried medications or other surgeries, but their conditions haven't sufficiently improved.

How does a patient get a Heart Transplant?

To get a heart transplant, the patient is first put on a transplant waiting list and waits for a donor to become available. When the heart is available for donation it is matched with the patient based on blood type, body size, and UNOS status (based on the recipient's medical condition). Doctors even consider the length of time the recipient has been waiting.

Once the heart is available it is harvested from the donor’s body and transplanted in a patient’s body. During the process, the patient is placed on a heart-lung machine to help the body receive vital oxygen and nutrients from the blood even though the heart is being operated on.

Diagnostic procedure:

To evaluate your medical condition, the doctor may conduct several diagnostic tests like:

  • Blood Tests
  • Cardiac Catheterisation
  • Cardiac Computerized Tomography (CT) Scans
  • Cardiac Magnetic Resonance Imaging (MRI)
  • Chest X-Ray
  • Coronary Angiogram
  • Echocardiogram
  • Electrocardiogram (ECG)
  • Metabolic Stress Test
  • Myocardial Biopsy

Benefits of Heart Transplant

It has been observed that people who have received heart transplant enjoy a high quality of life and can return to their daily life activities. Woman with heart transplant can also become pregnant.

Result

Most patients can live up to 20 years after the heart transplant. However, they have to take immunosuppressants for lifetime to prevent organ rejection and fight infection.

The experience you can trust

We are known for our outstanding reputation in providing leading-edge patient-centric care and comfortable environment, together with continuous advancement in technology and facilities we meet the entire medical needs of the patient from our end. We work with hundreds of the most experienced professionals and healthcare specialists from across the world to provide our patients with:

  • Advanced medical, surgical and physiotherapy treatments
  • Access to the pioneering technology and the latest drugs
  • Acquiring the best treatment from the internationally recognised orthopaedic surgeons
  • Use the latest digital technology to support all types of treatments

With an ethos of safety and quality patient care, Nanavati Max’s orthopaedic department has spearheaded several game-changing developments in the field of orthopaedics and treated most of the complex cases with the state-of-art facilities.

Bone Marrow Transplant Phases

BMT process consists of three main phases which include:

  • Phase 1: The Pre-BMT
  • Phase 2: Stem cell transfusion- Day
  • Phase 3: The Post-BMT

Support Services

When you are in our care, we are a family. Our multidisciplinary team offers a patient-centric treatment plan that aims towards a cancer-free journey and reclaims a quality living. We offer support services in the form of counselling for patients and their families to help them nurture and sustain throughout the cancer journey. Our care and compassionate support not only helps in treating cancer but also help the patient to survive it.

We're here to help you strengthen your body, nurture hope, and courage, and enrich your spirit. We offer programs during the transition from cancer treatment to wellness, to help you navigate those changes and challenges while promoting your well-being.

Some of the programs and services available for our patients:

Sterilization Protocols

At Nanavati Max Super Speciality Hospital Dental Centre, we follow four tier Sterilization protocol for non disposable instruments to ensure international hygiene standards and complete infection controls.

  • Tier-1 : All Instruments are scrubbed thoroughly with spirit swab to remove any attached debris.
  • Tier-2 : The instruments are immersed in disinfection solution for 45min for standard disinfection.
  • Tier-3 : The sterilization instruments are then packed in individualized sterile packs that contain instruments, gauze,cotton balls and suction devices and autoclaved (steam under pressure)
  • Tier-4 : Dental instrument in sterilized packages are stored and our patients are reassured when a new pack of supplies is opened in front of them prior to treatment.

Intra-Aortic Balloon Pump (IABP)

Bone Marrow Transplant Treatment Process

Here is all you need to know about your transplant journey. The guide is divided into six steps beginning from how to prepare for the journey and include what to expect along the way.

STEP 1: Preparation: The preparation stage starts when the patient arrives at the BMT Centre with medical assessment, guidance, informed consent and other preliminary activities start.

  • Beginning of medical Evaluation
  • Multidisciplinary treatment Modality
  • Central Venous Catheter Insertion

STEP 2: Bone-Marrow/Stem Cells Harvest: The stem cells are collected either from the bone marrow or peripheral blood by apheresis. In an allogeneic transplant, stem cells are collected from the donor and in case of an autologous transplant from the patient itself.

STEP 3: Conditioning: The first step towards transplantation starts with the conditioning stage. In this process, either chemotherapy or radiation therapy or a combination of both is given to the patient. Chemotherapy and radiation therapy are given in doses that demolish the bone marrow function and result in the greatest possibility of destroying the disease. Some conditioning treatment may be administered in the outpatient environment depending on the chemotherapy agents and radiation therapy administration schedule, thus possibly shortening the inpatient stay. The preparation, stem cell harvest and conditioning all together comprises of the pre-BMT phase.

STEP 4: Transplant: In this stage, the infusion of donor bone marrow or stem cells takes place right after the conditioning regimen has been finished. This is similar to a blood transfusion. The duration beyond the transplant day is considered as the post BMT phase.

STEP 5: Waiting For Engraftment (New Cell Growth): This stage involves close monitoring, supporting therapy, and complications management while awaiting indications of grafting.

  • Close monitoring, support and protection
  • Management of complications especially infections

STEP 6: Engraftment And Early Recovery: Signs that fresh bone marrow or stem cells are grafting (growing and developing) can be anticipated in about 2 to 3 weeks after the transplantation. Close monitoring, supporting care will persist and preparation for the patient's return to home will start.

STEP 7: Long-Term Recovery: This stage involves the discharge of the patient from the centre, discussing any continuing clinical problems, and restoring patterns of life. Patients are advised to take regular follow-ups to avoid any long-term complications.

Temporary & Permanent Pacemakers

Find Complete Relief from Nanavati Max Experts

If you think you are facing similar conditions, or have suffered from them in the past, please contact the Nanavati Max team to schedule an appointment at : +91 22 2626 7500

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