Angiography Cost	No. of Travellers	Days in Hospital	Days Outside Hospital	Total days in India
USD 300	2	4	1	2

Total Cost	Price
Treatment	$ 50,000.00 - $500030 50000 INR
Visa	$ 50,000.00 - $95044 99000 INR
Airfare	$ 50,000.00 - $95353 4322 INR
Hotel	$ 50,000.00 2536 INR
Commute	$ 50,000.00 8244 INR

5% of all the above expenses. Usually covers - Medicines, unknown expenses, near by sight seeing etc.

   Angiography

Details

Angiography is a uniquely different diagnostic procedure to visualize the inside of blood vessels. This procedure helps diagnose different conditions of blood vessels like narrowing, blockage, inflammation, bleeding.

This test is used to study narrow, blocked, enlarged, or malformed arteries or veins in many parts of your body, including your brain, heart, abdomen, and legs.

Different Types And Procedure of Angiography

• Magnetic Resonance Angiography(MRA) – is a non-invasive diagnostic procedure that uses MRI technology to visualize the blood vessels
• Computed Tomography Angiography(CTA) –also a non-invasive diagnostic procedure, useful in cases where many follow up scans are required.
• Catheter Angiography- its a minimally invasive procedure, involves the introduction of the catheter to the problem area to observe the flow of dye through blood vessels and thus identifying obstructions and narrowing. It is performed for both diagnostic as well as treatment purposes.
• Coronary Angiography-is a minimally invasive procedure used to study blood vessels supplying the heart, mainly used in the patient with heart disease, angina. Also useful in deciding and providing treatment to the patient like  Angioplasty.
• Renal Angiography- used to examine the blood vessels supplying to the kidney and to detect any signs of blockage or abnormalities.
• Pulmonary Angiography- used to examine blood vessels of lungs in cases of pulmonary embolism
• Cerebral Angiography- used to study the blood vessels in the head and neck area .i these blood vessels are narrowed or obstructed it could lead to stroke. It can also be used after stroke to access damage or even to identify brain tumors.
• Peripheral Angiography-study narrowing of vessels in patients thereby causing a reduction in blood flow to legs and feet.
• Retinal Angiography – to study the abnormalities of blood vessels supplying inside of the eye.

The procedure of Catheter Angiography

Before the Angiography Procedure

The consultant will review your medical history, also try to understand your past and present medical and surgical conditions, whether you are taking any medications especially blood thinners, check if you are allergic to any medications, sensitivity to the contrast dye containing iodine.

During the Angiography procedure 

This procedure is usually carried out by interventional radiologist if angioplasty is also carried out simultaneously then vascular specialist or cardiologist.

• You are made to lie flat on your back, blood pressure and heart rate are continuously monitored throughout the procedure.
• Usually, the catheter is inserted through the femoral artery in the groin, local anesthesia is given and skin incision made, hollow needle is inserted into the artery
• After which the catheter i.e a long thin flexible tube  is inserted and manipulated  through the bloodstream to the correct artery while viewing continuously through the x-ray imaging device called a fluoroscope
• When the catheter location is perfect the contrast agent is injected to make the blood vessels visible and x-rays shots are taken from multiple angles to view the necessary arteries.
• These X-rays taken while the dye is flowing through the arteries let the physician study the flow of blood through the blood vessels and help the doctor to find any blockages.
• After the x-ray are done the catheter is removed and pressure applied to the puncture site  for 10-15 minutes to reduce the chance of bleeding from the artery
• A bandage is tightly applied and you must stay with back in bed for 6-8 hrs

After the Angiography procedure

• The patient is monitored in the recovery room, checked for bleeding or chest pain.
• Advisable to keep the dressing clean and dry to prevent  infection
• Regularly check for signs of infection – swelling, redness, discharges
• Avoid lifting anything heavy for 3-5 days

Diagnosis for performing Angiography

• Used to detect blood vessel abnormalities
• Arterial stenosis – narrowing of the blood vessel due to atherosclerosis
• Aneurysm
• Arteriovenous malformation (AVM)
• Locating and removing Blood Clots

Factors affecting the cost of Angiography

The cost to the patient depends on a variety of factors like

• The hospital, the patient chooses.
• Room –Standard single room, deluxe room, super deluxe room for the number of nights specified (including nursing fee, meals, room rate, and room service).
• Fee for the team of doctors.
• Medicines.
• Standard test and diagnostic procedures.

Cost of the follow –up care required after the procedure

   FAQ

Q: What is the angiography cost in India?
A: The angiography cost in India may vary from 300 USD to 500 USD. It depends on the number of persons traveling, the number of days you will spend in and out of the hospital. 

 

Q: Why are the reason for  Angiography? 
A: The most common reason for having an angiography is to rule out whether the clinical symptoms presented are due to blockages in artery, example a blocked artery in the heart may cause angina, in the kidney may lead to high blood pressure, in the brain may cause vision disturbance and weakness, etc

 

Q: How long does the procedure take?
A: Usually the procedure takes  30-45 min but if angioplasty is also performed then it may take 1-2 hrs depending on the blockage severity.

 

Q: Is the procedure painful?
A: No the procedure is not painful but you might feel a slight warm sensation or mild nausea as contrast agent moves through blood vessels.

 

Q: Why is a contrast agent used in Angiography?
A: We cannot visualize blood vessels on X-ray, but by adding a contrast agent (dye) in the bloodstream the vessel is visible and helps in diagnostic procedures. A contrast agent usually contains iodine.

 

Q: Is Coronary Angiography a risky procedure?
A: No, it's generally considered to be safe. Minor risks involved are:

• Bruising and bleeding where the catheter entered the artery
• Flushed feeling when the  dye is injected
• Mild chest during procedure.

However, some major risks are involved though the percentage is very minimal  these are:

• Damage to the kidney following dye
• Severe allergic reaction to dye (Anaphylaxis)
• Damage to the blood vessel causing internal bleeding
• Heart attack or Stroke

 

Q: What is non-invasive or less invasive Angiography?
A: Non-invasive Angiography is useful in cases where multiple follow up scans are required. In these no instruments are inserted into the body, only a contrast medium is injected into the vein of hand and scan taken and examined by Radiologist, eg: Magnetic Resonance Angiography(MRA), Computed Tomography Angiography(CTA), etc.

 

Q: What is added advantage of Catheter angiographic studies over less invasive CT or MRI angiography?
A: Catheter angiography through minimally invasive but has the added advantage of combining diagnosis as well as treatment procedures like angioplasty, balloon or stent placement.

 

Q: What is Coronary Angioplasty?
A: Coronary Angioplasty is a procedure done to widen the blocked coronary is an artery, a balloon is used to stretch the blocked portion of the artery, a wire mesh tube called a stent is permanently left into the artery to allow free blood flow within the artery.