Alcohol Septal Ablation in Hyderabad

Alcohol septal ablation is an effective, minimally invasive option for treating hypertrophic obstructive cardiomyopathy, offering significant symptom relief and improved heart function. ISha Speciality Clinics, a leading cardiac centre in Hyderabad provide top-notch care with experienced heart specialist Dr Nithin Annarapu, advanced technology, and comprehensive heart treatment plans, making the Isha Speciality Clinics, an ideal destination for this procedure.

Alcohol septal ablation (ASA) is a minimally invasive procedure used to treat hypertrophic obstructive cardiomyopathy (HOCM), a condition where the heart muscle thickens abnormally, obstructing blood flow. This procedure is performed by injecting alcohol into a specific part of the heart muscle, causing it to shrink and alleviate the obstruction.

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What is Alcohol Septal Ablation?

Alcohol septal ablation (ASA) is a catheter-based procedure used to alleviate symptoms and improve the quality of life for patients with hypertrophic obstructive cardiomyopathy (HOCM). HOCM is a genetic heart condition characterised by abnormal thickening of the heart muscle (myocardium), particularly the septum (the wall that divides the chambers of the heart).

During ASA, a small amount of medical-grade alcohol is injected into a specific branch of the coronary artery that supplies blood to the thickened septum. This causes controlled damage to the septal tissue, leading to a reduction in its thickness and relieving the obstruction to blood flow from the left ventricle to the aorta.

Ideal Candidates for Alcohol Septal Ablation

Ideal candidates for alcohol septal ablation are individuals diagnosed with hypertrophic obstructive cardiomyopathy (HOCM) who experience significant symptoms such as shortness of breath, chest pain, fatigue, dizziness, or fainting spells despite optimal medical therapy. Candidates typically undergo thorough evaluation by a multidisciplinary team, including cardiologist, interventional cardiologist, and cardiac surgeons, to determine the appropriateness of the ASA procedure.

Patients with Hypertrophic Obstructive Cardiomyopathy (HOCM): Individuals diagnosed with HOCM, particularly with significant left ventricular outflow tract obstruction.
Severe Symptoms: Patients experiencing severe symptoms such as shortness of breath, chest pain, fainting, or fatigue that significantly impact daily life.
Medication-Resistant: Those whose symptoms are not adequately controlled with medications.
Non-Surgical Candidates: Patients who are not good candidates for surgical myectomy due to high surgical risk or other medical conditions.
Failed Previous Treatments: Individuals who have not achieved symptom relief or improvement in heart function from other treatments.
Relatively Preserved Left Ventricular Function: Candidates should generally have a preserved left ventricular ejection fraction.
Informed Decision-Makers: Patients who have been thoroughly informed about the procedure, its benefits, risks, and alternatives, and have made an informed decision to proceed.
Absence of Severe Comorbidities: Candidates without severe comorbid conditions that could increase the risk of the procedure or complicate recovery.
No Contraindications for Alcohol Use: Patients without allergies or contraindications to alcohol used in the procedure.

Call now +91 96760 70203 and Book Appointment with Dr Nithin Annarapu, Best Cardiologist in Telangana for Septal Ablation in Hyderabad.

Benefits of Alcohol Septal Ablation

1. Symptom Relief: ASA effectively alleviates symptoms associated with HOCM, such as shortness of breath, chest pain, and fatigue, improving the patient’s quality of life.

2. Improved Exercise Tolerance: Patients often experience enhanced exercise capacity and endurance following ASA, allowing them to engage in physical activities with greater ease.

3. Reduced Gradient: ASA reduces the pressure gradient across the left ventricular outflow tract (LVOT), improving blood flow from the heart and reducing the risk of complications such as heart failure or arrhythmias.

4. Minimally Invasive: Compared to traditional surgical interventions such as septal myectomy, ASA is a minimally invasive procedure associated with shorter hospital stays, faster recovery times, and lower risk of complications.

Reasons for Alcohol Septal Ablation

Alcohol septal ablation is recommended for patients with hypertrophic obstructive cardiomyopathy (HOCM) who experience debilitating symptoms despite optimal medical therapy, or for those who are not suitable candidates for surgical septal myectomy. The procedure aims to alleviate symptoms, improve exercise tolerance, and reduce the risk of complications associated with HOCM.

Why is Alcohol Septal Ablation Recommended?

Alcohol septal ablation is recommended for patients with symptomatic hypertrophic obstructive cardiomyopathy (HOCM) who have failed to respond to conservative medical therapy or are not suitable candidates for surgical septal myectomy. The procedure offers an effective and less invasive alternative to surgical intervention, with comparable long-term outcomes and improved quality of life for eligible patients.

When is Alcohol Septal Ablation Suggested?

Alcohol septal ablation is suggested for patients with symptomatic hypertrophic obstructive cardiomyopathy (HOCM) who experience significant limitations in daily activities due to symptoms such as dyspnea (shortness of breath), angina (chest pain), fatigue, palpitations, or syncope (fainting spells) despite optimal medical therapy. The decision to undergo ASA is made following thorough evaluation by a multidisciplinary team of cardiologists, interventional cardiologists, and cardiac surgeons.

Who can Benefit from Alcohol Septal Ablation?

Eligibility for the procedure is determined based on the severity of symptoms, anatomy of the septum, response to medical therapy, and overall health status.

Patients with hypertrophic obstructive cardiomyopathy (HOCM).
Individuals experiencing severe symptoms such as dyspnea, angina, fatigue, palpitations, or syncope etc. are not controlled by medication.
Patients who are not suitable candidates for surgical myectomy.

Diagnosis Before Alcohol Septal Ablation Surgery

Before undergoing alcohol septal ablation (ASA) surgery, patients undergo a comprehensive diagnostic evaluation to confirm the diagnosis of hypertrophic obstructive cardiomyopathy (HOCM) and assess their eligibility for the procedure. Diagnostic tests may include:

1. Medical History and Physical Examination: The cardiologist reviews the patient’s medical history, including symptoms, previous treatments, and family history of heart disease. A thorough physical examination is conducted to assess cardiac function and detect any signs of heart abnormalities.

2. Electrocardiogram (ECG or EKG): An ECG is a non-invasive test that records the electrical activity of the heart and helps identify abnormal heart rhythms, conduction abnormalities, and signs of hypertrophy (thickening) of the heart muscle.

3. Echocardiography: Echocardiography (echo) is a non-invasive imaging test that uses sound waves to create detailed images of the heart’s structure and function. It helps assess the thickness of the septum, the degree of left ventricular outflow tract (LVOT) obstruction, and the presence of any associated valve abnormalities.

4. Cardiac MRI (Magnetic Resonance Imaging): Cardiac MRI is a specialised imaging test that provides detailed images of the heart’s structure and function, allowing for precise evaluation of myocardial thickness, chamber dimensions, and blood flow patterns.

5. Exercise Stress Testing: Exercise stress testing evaluates the heart’s response to physical activity and helps assess exercise capacity, symptoms, and the presence of exercise-induced arrhythmias or ischemia (inadequate blood flow to the heart muscle).

6. Holter Monitoring: Holter monitoring involves wearing a portable device (Holter monitor) that continuously records the heart’s electrical activity over a 24- to 48-hour period, allowing for the detection of intermittent arrhythmias or abnormal heart rhythms.

7. Coronary Angiography: Coronary angiography is an invasive imaging procedure used to visualise the coronary arteries and assess for the presence of coronary artery disease (CAD) or other obstructive lesions that may require treatment.

Surgical Procedure for Alcohol Septal Ablation

Alcohol septal ablation (ASA) is performed in a cardiac catheterization laboratory (cath lab) under local anaesthesia and mild sedation. The procedure typically follows these steps:

1. Arterial Access: A small incision is made in the groin, and a thin, flexible tube called a catheter is inserted into the femoral artery and guided to the heart under fluoroscopic (X-ray) guidance.

2. Coronary Angiography: A contrast dye is injected through the catheter to visualise the coronary arteries and identify the branch supplying blood to the thickened septum (target vessel).

3. Septal Perforator Identification: Using specialised equipment, such as a balloon-tipped catheter or microcatheter, the interventional cardiologist identifies the septal perforator artery (branch of the coronary artery) supplying blood to the hypertrophied septum.

4. Alcohol Injection: Once the target vessel is identified, a small amount of medical-grade alcohol mixed with contrast dye is injected into the septal perforator artery, causing localised myocardial necrosis (cell death) and reducing the thickness of the septum.

5. Monitoring and Assessment: Throughout the procedure, hemodynamic parameters, such as blood pressure, heart rate, and oxygen saturation, are closely monitored to ensure safety and efficacy. Contrast angiography may be performed periodically to assess the extent of alcohol distribution and septal thinning.

6. Closure and Recovery: After completing the alcohol injection, the catheter is removed, and pressure is applied to the arterial puncture site to prevent bleeding. The patient is transferred to a recovery area for observation and monitoring before being discharged home or to a hospital room for further care.

Preparation for Alcohol Septal Ablation Surgery

Before undergoing alcohol septal ablation (ASA) surgery, patients typically undergo pre-procedural evaluation and preparation, which may include the following:

1. Medical Evaluation: Patients undergo a comprehensive medical evaluation, including a review of their medical history, physical examination, and diagnostic tests to assess cardiac function, anatomy, and suitability for ASA.

2. Medication Management: Certain medications, such as anticoagulants (blood thinners) or antiplatelet agents, may need to be adjusted or temporarily stopped before the procedure to minimise the risk of bleeding or complications.

3. Blood Tests: Routine blood tests, including complete blood count (CBC), coagulation profile, renal function tests, and electrolyte levels, may be performed to assess overall health and identify any abnormalities that may impact the procedure or recovery.

4. Imaging Studies: Imaging studies, such as echocardiography, cardiac MRI, or coronary angiography, may be conducted to evaluate the structure and function of the heart, assess myocardial thickness, and identify the target vessel for alcohol injection.

5. Fasting Instructions: Patients are typically instructed to abstain from food and drink for a certain period before the procedure, usually starting at midnight on the night before the scheduled ASA surgery.

6. Informed Consent: Prior to the procedure, patients receive detailed information about the risks, benefits, and alternatives to alcohol septal ablation (ASA) and are given an opportunity to ask questions and provide informed consent for the surgery.

7. Pre-Procedure Instructions: Patients are advised to follow specific pre-procedural instructions provided by their healthcare team, which may include showering with antiseptic soap, avoiding certain medications, and arranging for transportation to and from the hospital or clinic on the day of the procedure.

8. Arrangements for Aftercare: Patients may need to make arrangements for transportation home from the hospital or clinic following the procedure, as well as arrange for assistance with activities of daily living and recovery at home during the initial post-procedure period.

What to Expect After Alcohol Septal Ablation Surgery?

After undergoing alcohol septal ablation (ASA) surgery, patients can expect a period of observation and recovery before being discharged home or to a hospital room for further care. Here’s what to expect after ASA surgery:

1. Immediate Post-Procedure Care: Following ASA surgery, patients are transferred to a recovery area or hospital room for observation and monitoring of vital signs, cardiac rhythm, and potential complications such as bleeding, arrhythmias, or allergic reactions.

2. Bed Rest and Monitoring: Patients are advised to remain in bed and avoid strenuous activities for a specified period after the procedure to allow for adequate rest and recovery. Vital signs, including blood pressure, heart rate, and oxygen saturation, are monitored regularly to assess stability and detect any signs of complications.

3. Pain Management: Patients may experience mild discomfort or soreness at the arterial puncture site in the groin or thigh, which can be managed with over-the-counter pain relievers, ice packs, or prescription medications as needed.

4. Fluid and Diet: Patients are encouraged to drink plenty of fluids to stay hydrated and may resume a normal diet once they are fully awake and alert, unless otherwise instructed by their healthcare provider.

5. Activity Restrictions: Patients are advised to avoid heavy lifting, strenuous exercise, or driving for a specified period after the procedure to allow for adequate healing of the arterial puncture site and minimise the risk of bleeding or injury.

6. Follow-Up Appointments: Patients are scheduled for follow-up appointments with their healthcare provider to assess recovery progress, review post-procedure instructions, and address any questions or concerns they may have.

7. Medication Management: Patients may be prescribed medications to manage pain, prevent infection, or prevent blood clots following ASA surgery. It is essential to take all medications as directed by your healthcare provider and to follow up regularly for medication adjustments or monitoring.

8. Wound Care: Patients are instructed on proper wound care techniques, including keeping the arterial puncture site clean and dry, applying pressure if bleeding occurs, and watching for signs of infection such as redness, swelling, or drainage.

9. Resumption of Normal Activities: Most patients can gradually resume normal activities, including work, household chores, and light exercise, within a few days to weeks after ASA surgery, depending on individual recovery progress and the advice of their healthcare provider.

10. Emotional Support: Recovery from ASA surgery may involve emotional challenges such as anxiety, fear, or uncertainty about the future. It is essential for patients to seek emotional support from loved ones, friends, or mental health professionals as needed to cope with the physical and emotional aspects of their recovery journey.

Post-Operative Care for Alcohol Septal Ablation

Post-operative care following alcohol septal ablation (ASA) surgery is crucial for ensuring optimal recovery and long-term success. Here are some essential aspects of post-operative care for patients undergoing ASA:

1. Monitoring and Observation: Patients are closely monitored in the immediate post-operative period for vital signs, cardiac rhythm, bleeding, and potential complications such as arrhythmias, heart failure, or allergic reactions. Continuous cardiac monitoring and observation help detect and manage any adverse events promptly.

2. Pain Management: Patients may experience mild discomfort or soreness at the arterial puncture site or chest discomfort following ASA surgery. Pain management strategies may include over-the-counter pain relievers, prescription medications, ice packs, or local anaesthesia to alleviate discomfort and promote comfort during recovery.

3. Wound Care: Proper wound care is essential for preventing infection and promoting healing of the arterial puncture site in the groin or thigh. Patients are instructed to keep the puncture site clean and dry, apply pressure if bleeding occurs, and watch for signs of infection such as redness, swelling, warmth, or drainage.

4. Fluid and Diet: Adequate hydration and nutrition are essential for promoting healing and recovery following ASA surgery. Patients are encouraged to drink plenty of fluids to stay hydrated and may resume a normal diet as tolerated, unless otherwise instructed by their healthcare provider.

5. Activity Restrictions: Patients are advised to limit physical activity, avoid heavy lifting or strenuous exercise, and refrain from driving for a specified period after ASA surgery to allow for adequate healing of the arterial puncture site and minimise the risk of bleeding or injury. Gradual resumption of normal activities is recommended based on individual recovery progress and the advice of your healthcare provider.

6. Medication Management: Patients are prescribed medications to manage pain, prevent infection, prevent blood clots, and optimise cardiac function following ASA surgery. It is essential to take all medications as directed by your healthcare provider and to follow up regularly for medication adjustments or monitoring.

7. Follow-Up Appointments: Patients are scheduled for follow-up appointments with their healthcare provider to assess recovery progress, review post-procedure instructions, and monitor cardiac function. Follow-up appointments may include physical examinations, diagnostic tests, imaging studies, or medication adjustments as needed.

8. Emotional Support: Recovery from ASA surgery may involve emotional challenges such as anxiety, fear, or uncertainty about the future. It is essential for patients to seek emotional support from loved ones, friends, or mental health professionals as needed to cope with the physical and emotional aspects of their recovery journey.

9. Lifestyle Modifications: Patients are counselled on lifestyle modifications to promote heart health and reduce the risk of complications following ASA surgery. Lifestyle recommendations may include smoking cessation, weight management, dietary modifications, regular exercise, stress management, and adherence to prescribed medications and follow-up appointments.

10. Patient Education: Patient education plays a vital role in post-operative care, empowering patients with knowledge and information about their condition, treatment options, and self-care strategies. Patients receive detailed instructions on wound care, medication management, activity restrictions, diet and fluid intake, symptom recognition, and when to seek medical attention for any concerns or complications.

Recovery Timeline and Results from Alcohol Septal Ablation

The recovery timeline and outcomes following alcohol septal ablation (ASA) surgery vary depending on individual patient factors, the severity of hypertrophic obstructive cardiomyopathy (HOCM), the extent of septal reduction achieved, and the presence of any complications or comorbidities. Here’s a general overview of the recovery timeline and expected results following ASA:

Immediate Post-Operative Period (0-24 Hours):

Patients are closely monitored in the cardiac catheterization laboratory (cath lab) or recovery area for vital signs, cardiac rhythm, and potential complications such as bleeding, arrhythmias, or allergic reactions.
Hemodynamic parameters, including blood pressure, heart rate, oxygen saturation, and cardiac output, are assessed regularly to ensure stability and detect any signs of instability or complications.
Patients may experience mild discomfort, chest discomfort, or soreness at the arterial puncture site, which can be managed with pain relievers, ice packs, or local anaesthesia.
Fluid intake and urinary output are monitored to assess hydration status and kidney function, with intravenous fluids administered as needed to maintain hydration and electrolyte balance.
Patients are encouraged to gradually resume oral intake, starting with clear liquids and advancing to a regular diet as tolerated, unless otherwise instructed by their healthcare provider.
Early ambulation and mobilisation are encouraged to prevent complications such as deep vein thrombosis (DVT) or venous stasis, with assistance provided as needed to ensure patient safety and comfort.

Hospital Stay (1-3 Days):

Following ASA surgery, patients are typically admitted to the hospital for observation and monitoring of recovery progress, vital signs, cardiac rhythm, and potential complications such as arrhythmias, heart failure, or bleeding.
Bed rest and limited physical activity are recommended to allow for adequate healing of the arterial puncture site and minimise the risk of bleeding or injury.
Pain management strategies, including oral or intravenous pain relievers, are provided as needed to alleviate discomfort and promote patient comfort during the hospital stay.
Patients receive instructions on wound care, activity restrictions, medication management, diet and fluid intake, and follow-up appointments before discharge from the heart hospital or clinic.

Early Recovery (1-2 Weeks):

In the early recovery phase, patients may experience gradual improvement in symptoms such as dyspnea (shortness of breath), chest pain, fatigue, or palpitations, as the effects of alcohol septal ablation (ASA) take full effect.
Patients are advised to continue taking prescribed medications, follow activity restrictions, and avoid strenuous exercise, heavy lifting, or driving until cleared by their healthcare provider.
Wound healing progresses, and any residual soreness or discomfort at the arterial puncture site resolves over time, with regular wound care and monitoring for signs of infection or complications.
Patients are encouraged to stay hydrated, maintain a healthy diet, and engage in light physical activity or walking as tolerated to promote circulation, prevent blood clots, and enhance overall recovery.

Intermediate Recovery (2-6 Weeks):

In the intermediate recovery phase, patients typically experience further improvement in symptoms, exercise tolerance, and quality of life following alcohol septal ablation (ASA) surgery.
Gradual resumption of normal activities, including work, household chores, and light exercise, is encouraged based on individual recovery progress and the advice of the healthcare provider.
Follow-up appointments with the cardiologist or interventional cardiologist are scheduled to assess recovery progress, review post-procedure instructions, and monitor cardiac function through physical examinations, diagnostic tests, or imaging studies as needed.
Patients receive ongoing support, education, and counselling on lifestyle modifications, medication management, symptom recognition, and when to seek medical attention for any concerns or complications.
Emotional support from loved ones, friends, or mental health professionals may be sought to cope with the physical and emotional aspects of the recovery journey and adapt to life after ASA surgery.

Long-Term Recovery (6 Weeks and Beyond):

In the long-term recovery phase, patients continue to experience sustained improvement in symptoms, exercise capacity, and overall quality of life following alcohol septal ablation (ASA) surgery.
Regular follow-up appointments with the healthcare provider are scheduled to monitor cardiac function, assess symptom control, adjust medications, and address any ongoing concerns or complications.
Lifestyle modifications, including smoking cessation, weight management, dietary modifications, regular exercise, stress management, and adherence to prescribed medications, are reinforced to promote heart health and prevent complications.
Patients are encouraged to participate in cardiac rehabilitation programs, support groups, or educational workshops to enhance recovery, learn coping strategies, and connect with peers who have undergone similar experiences.
Cardiac imaging studies, such as echocardiography or cardiac MRI, may be performed periodically to assess cardiac structure and function, monitor septal thickness, and detect any signs of disease progression or recurrence.
With appropriate medical management, lifestyle modifications, and ongoing follow-up care, patients can expect to enjoy an improved quality of life, reduced symptoms, and long-term success following alcohol septal ablation (ASA) surgery for hypertrophic obstructive cardiomyopathy (HOCM).

Why Choose Isha Speciality Clinics for Alcohol Septal Ablation Surgery in Hyderabad?

Isha Speciality Clinics, as a leading heart clinic in Hyderabad playing a crucial role in the diagnosis, treatment, and management of cardiovascular diseases, including hypertrophic obstructive cardiomyopathy (HOCM). These specialised facilities offer a wide range of cardiac services, including diagnostic testing, medical treatment, interventional procedures, surgery, and cardiac rehabilitation, delivered by experienced cardiologist surgeon Dr Nithin Annarapu, regular support staff.

Isha Speciality Clinics provide state-of-the-art facilities, advanced medical treatment technologies, and personalised care to ensure optimal outcomes for patients with heart conditions.

1. Expertise: Dr Nithin Annarapu, supporting staff at Isha Speciality Clinics are experienced in the procedure and offering best-in-class cardiac care, with extensive training and expertise in performing alcohol septal ablation procedures with precision and skill.

2. Comprehensive Heart Treatment Services: Isha Speciality Clinics offers comprehensive cardiac care services, including diagnostic testing, medical treatment, interventional procedures, surgery, and cardiac rehabilitation, ensuring continuity of care and personalised treatment plans for each patient.

3. State-of-the-Art Facilities: Isha Speciality Clinics is equipped with modern infrastructure, advanced medical equipment, and state-of-the-art cardiac catheterization laboratories (cath labs) for performing complex interventional procedures such as alcohol septal ablation with excellent outcomes.

4. Patient-Centred Care: The team at Isha Speciality Clinics, prioritise the patient comfort, safety, and satisfaction, providing compassionate and personalised care tailored to each patient’s unique needs, preferences, and treatment goals.

5. Affordability: Isha Speciality Clinics offer high-quality cardiac care at competitive prices, making it accessible and affordable for patients from diverse backgrounds and financial circumstances.

6. Commitment to Excellence: Isha Speciality Clinics committed to delivering the highest standards of clinical excellence, safety, and professionalism, ensuring the best possible outcomes for our patients and their families.

7. Convenient Location: Isha Speciality Clinics Manikonda’s central location ensures easy access for patients from across the Hyderabad Telangana region. It is located in the heart of Manikonda, with the periphery of Gachibowli, Raidurgam, Nanakramguda, Financial district, Filmnagar, Jubilee Hills, Shaikpet, Narsingi, Lanco Hills, Khajaguda, Puppalguda, Kokapet, Tolichowki, Golconda, Suncity, Langer House, Bandlaguda, Kali mata mandir, Mehdipatnam and Madhapur, Hitech City and Kondapur areas.

8. Patient Education and Support: Isha Speciality Clinics believe in empowering the patients with knowledge and information about their condition and treatment options, providing comprehensive education, counselling, and support throughout their treatment journey.

9. Multidisciplinary Approach: Dr Nithin Annarapu at Isha Speciality Clinics follow a multidisciplinary approach to patient heart care, collaborating closely with other specialists, including electrophysiologists, imaging specialists, and cardiac rehabilitation experts, to deliver holistic and integrated heart care for patients with complex cardiac conditions.

10. Positive Outcomes: With a track record of successful outcomes and satisfied patients, Isha Speciality Clinics is a trusted heart clinic in Hyderabad for individuals seeking high-quality cardiac care and alcohol septal ablation in Hyderabad.

Call now +91 96760 70203 and Book Appointment with Dr Nithin Annarapu, Best Cardiologist in Telangana for Septal Ablation in Hyderabad.

Why Choose Dr. Nithin Annarapu for Septal Ablation Surgery in Hyderabad?

Dr. Nithin at Isha Speciality Clinics is a renowned interventional cardiologist with expertise in performing alcohol septal ablation procedures for the treatment of hypertrophic obstructive cardiomyopathy (HOCM).

Dr. Nithin Annarapu, interventional cardiologist at Isha Speciality Clinics, brings years of experience, expertise, and a compassionate approach to patient care, making him a trusted best heart specialist for septal ablation in Hyderabad India.

Best cardiologist in India for septal ablation procedure
Performed more than 1800 septal ablation procedures in India
Had 18+ years experience in cardiology treatments and surgeries
Consulting at the best hospital for septal ablation in Hyderabad
Expertise in Interventional cardiology treatment and surgical procedures
Ability to work at all state-of-the-art facilities with advanced technology and various heart treatment techniques
Provides personalised cardiac care and comprehensive heart treatment plans
Flexible appointment scheduling at Isha Speciality Clinics Hyderabad Manikonda
Offering affordable septal ablation cost in Hyderabad.

Call now +91 96760 70203 and Book Appointment with Dr Nithin Annarapu, Best Cardiologist in Telangana for Septal Ablation in Hyderabad.

Alcohol Septal Ablation Cost In Hyderabad – Get Price Estimate for Septal Ablation

Alcohol septal ablation (ASA) surgery cost in Hyderabad may vary depending on several factors, including the healthcare provider, hospital or clinic facility, location, surgeon’s fees, anaesthesia fees, diagnostic tests, medications, medical supplies, and post-operative care. It is essential to obtain a detailed cost estimate from your healthcare provider or hospital administration to understand the financial implications of ASA surgery and to explore potential insurance coverage or financing options available to you.

Call now +91 96760 70203 and Book Appointment with Dr Nithin Annarapu, Best Cardiologist in Telangana. Get a free estimate for your Septal Ablation cost in Hyderabad.

Diagnosis Before Alcohol Septal Ablation Surgery

Before undergoing alcohol septal ablation (ASA) surgery, patients typically undergo a comprehensive diagnostic evaluation to assess cardiac function, anatomy, severity of hypertrophic obstructive cardiomyopathy (HOCM), and suitability for the procedure. Here’s an overview of the diagnostic tests and procedures commonly performed before ASA surgery:

1. Medical History: Patients provide a detailed medical history, including past illnesses, cardiac symptoms, medications, allergies, surgical procedures, lifestyle habits, family history of heart disease, and any relevant medical information that may impact the decision-making process or surgical outcomes.

2. Physical Examination: A thorough physical examination is conducted to assess vital signs, cardiac auscultation (listening to heart sounds), peripheral pulses, jugular venous pressure (JVP), respiratory status, and signs of heart failure, fluid overload, or other systemic abnormalities.

3. Electrocardiogram (ECG or EKG): An electrocardiogram is performed to evaluate cardiac electrical activity, identify arrhythmias, conduction abnormalities, ischemic changes, or other rhythm disturbances that may require further investigation or treatment before ASA surgery.

4. Echocardiography: Transthoracic echocardiography (TTE) and/or transesophageal echocardiography (TEE) are used to assess cardiac structure, function, chamber dimensions, wall thickness, valvular anatomy, septal morphology, left ventricular outflow tract (LVOT) obstruction, and dynamic changes in response to provocation manoeuvres such as Valsalva manoeuvre or amyl nitrite inhalation.

5. Cardiac MRI: Cardiac magnetic resonance imaging (MRI) provides detailed anatomical and functional information about the heart, including myocardial thickness, fibrosis, scar tissue, myocardial mass, chamber volumes, ejection fraction, and tissue characterization, helping to assess the severity and extent of hypertrophic cardiomyopathy (HCM) and guide treatment decisions.

6. Exercise Stress Testing: Exercise stress testing, including treadmill exercise testing or pharmacological stress testing (dobutamine stress echocardiography or myocardial perfusion imaging), may be performed to assess exercise capacity, symptom reproduction, ischemic changes, dynamic LVOT obstruction, and arrhythmias during physical exertion, helping to determine the need for ASA surgery and predict post-operative outcomes.

7. Holter Monitoring: Ambulatory electrocardiographic monitoring (Holter monitoring) is used to assess cardiac rhythm, arrhythmias, conduction abnormalities, ST-segment changes, and symptoms such as palpitations, dizziness, syncope, or chest pain over an extended period (usually 24-48 hours) to identify transient or asymptomatic arrhythmias that may require further evaluation or treatment.

8. Cardiac Catheterization: Invasive cardiac catheterization and coronary angiography may be performed to assess coronary artery anatomy, myocardial perfusion, LVOT gradient, hemodynamic parameters, and the suitability of the target vessel for alcohol septal ablation (ASA), guiding procedural planning and optimising patient selection for ASA surgery.

Surgical Procedure for Alcohol Septal Ablation

Alcohol septal ablation (ASA) is a minimally invasive procedure performed in a cardiac catheterization laboratory (cath lab) under local anaesthesia and mild sedation. The procedure involves the selective injection of medical-grade alcohol into a specific branch of the coronary artery supplying blood to the hypertrophied septum (the wall that divides the chambers of the heart) to induce controlled tissue damage and septal thinning. Here’s an overview of the surgical procedure for alcohol septal ablation (ASA):

1. Pre-Procedure Preparation: Before performing alcohol septal ablation (ASA) surgery, patients undergo pre-procedural evaluation and preparation, including medical history review, physical examination, diagnostic testing, medication management, and informed consent process. Fasting instructions may be provided, and intravenous access established for administration of fluids and medications during the procedure.

2. Arterial Access: The patient is positioned on the procedural table, and the groin or femoral region is prepared and draped in a sterile fashion. Local anaesthesia is administered, and a small incision is made in the skin overlying the femoral artery. A thin, flexible tube called a catheter is inserted into the femoral artery and guided to the heart under fluoroscopic (X-ray) guidance.

3. Coronary Angiography: A contrast dye is injected through the catheter to visualise the coronary arteries and identify the branch supplying blood to the hypertrophied septum (target vessel). Coronary angiography helps the interventional cardiologist assess the anatomy, location, and suitability of the target vessel for alcohol injection and confirm the absence of significant coronary artery disease (CAD) or obstructive lesions requiring treatment.

4. Septal Perforator Identification: Using specialised equipment, such as a balloon-tipped catheter or microcatheter, the interventional cardiologist identifies the septal perforator artery, a small branch of the coronary artery supplying blood to the hypertrophied septum, located proximal to the site of obstruction in the left ventricular outflow tract (LVOT).

5. Alcohol Injection: Once the septal perforator artery is identified, a precise amount of medical-grade alcohol (ethanol) is injected directly into the artery, causing localised tissue damage and necrosis within the hypertrophied septum. The alcohol induces septal thinning and reduces myocardial hypertrophy, relieving dynamic obstruction of the LVOT and improving cardiac hemodynamics.

6. Monitoring and Assessment: During and after alcohol injection, the interventional cardiologist monitors hemodynamic parameters, cardiac rhythm, LVOT gradient, blood pressure, oxygen saturation, and symptoms such as chest pain or dyspnea to assess the response to treatment and detect any adverse events or complications requiring intervention.

7. Closure and Recovery: After completing alcohol septal ablation (ASA) surgery, the catheter is removed from the femoral artery, and pressure is applied to the arterial puncture site to achieve hemostasis and prevent bleeding. A sterile dressing or compression device may be applied to the puncture site, and the patient is transferred to a recovery area for further observation, monitoring, and post-procedural care.

8. Post-Procedure Care: Following alcohol septal ablation (ASA) surgery, patients are closely monitored for several hours to assess recovery progress, vital signs, cardiac rhythm, and potential complications such as arrhythmias, heart failure, or bleeding. Pain management, wound care, fluid administration, and medication adjustments are provided as needed to ensure patient comfort and safety during the immediate post-operative period.

Preparation for Alcohol Septal Ablation Surgery

Preparation for alcohol septal ablation (ASA) surgery involves several steps to ensure patient safety, comfort, and optimal outcomes. Here’s what patients can expect before undergoing ASA surgery:

1. Medical Evaluation: Patients undergo a comprehensive medical evaluation, including medical history review, physical examination, diagnostic testing, and consultation with the interventional cardiologist to assess cardiac function, anatomy, severity of hypertrophic obstructive cardiomyopathy (HOCM), and suitability for ASA surgery. Relevant medical records, imaging studies, and laboratory tests are reviewed to guide treatment decisions and optimise patient selection for the procedure.

2. Informed Consent: Patients receive detailed information about alcohol septal ablation (ASA) surgery, including the purpose, benefits, risks, alternatives, expected outcomes, and post-operative care instructions, allowing them to make informed decisions about their treatment plan and provide voluntary consent for the procedure. The interventional cardiologist addresses any questions, concerns, or uncertainties raised by the patient or their family members to ensure clarity and understanding.

3. Medication Management: Patients may be instructed to adjust or discontinue certain medications before ASA surgery, such as anticoagulants (blood thinners), antiplatelet agents, nonsteroidal anti-inflammatory drugs (NSAIDs), herbal supplements, or medications that may interact with alcohol or anaesthesia. It is essential to follow your healthcare provider’s recommendations regarding medication management and inform them of all prescription and over-the-counter medications you are taking.

4. Fasting Instructions: Patients are typically instructed to fast for a specified period before alcohol septal ablation (ASA) surgery to minimise the risk of aspiration during the procedure and ensure an empty stomach. Fasting instructions may include abstaining from food, liquids, gum chewing, or smoking for a specified number of hours before the scheduled procedure time, as directed by your healthcare provider or anaesthesia team.

5. Hygiene and Skin Preparation: Patients are advised to maintain good hygiene and skin preparation before ASA surgery by taking a shower or bath with antiseptic soap, removing any jewellery, piercings, or accessories, and wearing loose, comfortable clothing on the day of the procedure. Avoid applying lotions, creams, perfumes, or cosmetics to the skin, as they may interfere with the surgical site preparation and increase the risk of infection.

6. Transportation Arrangements: Patients arrange for transportation to and from the hospital or cardiac catheterization laboratory (cath lab) for alcohol septal ablation (ASA) surgery, as they may not be able to drive themselves home after the procedure due to sedation, anaesthesia, or post-operative recovery requirements. It is advisable to have a family member, friend, or caregiver accompany you for support and assistance during your hospital stay and recovery period.

7. Personal Belongings: Patients are encouraged to pack essential personal belongings, such as identification documents, insurance cards, medical records, medications, toiletries, comfortable clothing, eyeglasses, hearing aids, or mobility aids, for their hospital stay and recovery period. Avoid bringing valuables, large sums of money, or unnecessary items to the hospital, as they may be misplaced or lost during the admission process.

8. Emotional Support: Before undergoing alcohol septal ablation (ASA) surgery, patients may experience anxiety, fear, or uncertainty about the procedure, outcomes, or recovery process. It is essential to seek emotional support from loved ones, friends, or mental health professionals to cope with stress, address concerns, and maintain a positive outlook on the surgical journey. Engaging in relaxation techniques, deep breathing exercises, mindfulness practices, or guided imagery may help reduce pre-operative anxiety and promote emotional well-being.

9. Financial Planning: Patients should discuss the financial aspects of septal ablation (ASA) surgery with their healthcare provider, insurance provider, or hospital administration to understand the cost of the procedure, insurance coverage, out-of-pocket expenses, payment options, and financial assistance programs available to them. It is advisable to obtain a detailed cost estimate and clarify any billing or insurance-related questions before undergoing ASA surgery to avoid unexpected financial burdens or delays in treatment.

10. Follow-Up Appointments: Before leaving for the hospital or cath lab on the day of alcohol septal ablation (ASA) surgery, patients receive instructions on follow-up appointments, post-operative care, medication management, activity restrictions, and signs of complications to watch for after discharge. It is essential to adhere to all post-procedure instructions, attend scheduled follow-up appointments, and communicate any concerns or questions with your healthcare provider during the recovery period to optimise outcomes and ensure a smooth transition to home care.

What to Expect After Alcohol Septal Ablation Surgery?

After undergoing alcohol septal ablation (ASA) surgery, patients can expect a period of recovery and recuperation before resuming normal activities. Here’s what to expect after ASA surgery:

1. Immediate Post-Operative Period: In the immediate post-operative period, patients are transferred to a recovery area or cardiac care unit for close monitoring of vital signs, cardiac rhythm, and potential complications such as arrhythmias, bleeding, or allergic reactions. Pain management, wound care, fluid administration, and medication adjustments are provided as needed to ensure patient comfort and stability.

2. Bed Rest and Observation: Patients are advised to rest in bed for several hours after alcohol septal ablation (ASA) surgery to allow for adequate recovery, minimise the risk of bleeding or injury, and ensure hemodynamic stability. Nurses and healthcare providers regularly assess the patient’s condition, monitor for signs of complications, and provide supportive care during the immediate post-operative period.

3. Vital Sign Monitoring: Vital signs, including blood pressure, heart rate, respiratory rate, oxygen saturation, and temperature, are monitored regularly to assess cardiac function, hemodynamic stability, and recovery progress. Any deviations from baseline values or signs of clinical deterioration are promptly addressed by the healthcare team to prevent complications and optimise outcomes.

4. Pain Management: Patients may experience mild discomfort, chest pain, or soreness at the arterial puncture site or catheter insertion site in the groin or femoral region after alcohol septal ablation (ASA) surgery. Pain management strategies, such as oral analgesics (pain relievers), intravenous medications, local anaesthetics, or cold compresses, are provided to alleviate pain, promote relaxation, and enhance post-operative comfort.

5. Fluid Administration: Intravenous fluids may be administered to maintain hydration, electrolyte balance, and hemodynamic stability after ASA surgery, especially if patients are unable to tolerate oral fluids or have fluid restrictions due to underlying medical conditions such as heart failure or renal impairment. Fluid intake and output are closely monitored to prevent dehydration or volume overload and optimise cardiac function.

6. Gradual Ambulation: Patients are encouraged to gradually ambulate and mobilise after alcohol septal ablation (ASA) surgery to prevent complications such as deep vein thrombosis (DVT), pulmonary embolism (PE), or orthostatic hypotension and promote circulation, muscle tone, and respiratory function. Nurses or physical therapists may assist with early mobilisation, ambulation, or range of motion exercises as tolerated by the patient.

7. Dietary Intake: Patients are allowed to resume oral intake of clear liquids, light meals, or regular diet as tolerated after ASA surgery, depending on individual preferences, gastrointestinal function, and post-operative recovery progress. It is essential to maintain adequate nutrition, hydration, and dietary restrictions as recommended by the healthcare provider to support healing, energy levels, and overall well-being.

8. Wound Care: Patients receive instructions on wound care and hygiene practices to promote healing and prevent infection at the arterial puncture site or catheter insertion site in the groin or femoral region after alcohol septal ablation (ASA) surgery. Clean, dry dressings or compression devices may be applied to the puncture site, and patients are advised to avoid strenuous activities, heavy lifting, or excessive bending that may disrupt wound healing or cause bleeding.

9. Medication Management: Patients are prescribed medications to manage pain, prevent infection, control symptoms, and optimise cardiac function after ASA surgery, including analgesics, antibiotics, antiplatelet agents, beta-blockers, calcium channel blockers, or other medications as indicated by the healthcare provider. It is essential to adhere to the prescribed medication regimen, follow dosage instructions, and report any adverse reactions or side effects to your healthcare provider promptly.

10. Discharge Planning: Before discharge from the hospital or cardiac care unit, patients receive discharge instructions, medication prescriptions, follow-up appointments, activity restrictions, dietary recommendations, and contact information for emergency support or healthcare providers. Patients and their families are educated about signs of complications, self-care strategies, lifestyle modifications, and community resources available to support recovery and well-being after alcohol septal ablation (ASA) surgery.

Call now +91 96760 70203 and Book Appointment with Dr Nithin Annarapu, Best Cardiologist in Telangana for Septal Ablation in Hyderabad.

Alcohol Septal Ablation in Hyderabad – FAQs

1. How long can a person live after alcohol septal ablation (ASA) surgery?

The long-term prognosis and life expectancy following alcohol septal ablation (ASA) surgery depend on various factors, including the severity of hypertrophic obstructive cardiomyopathy (HOCM), the extent of septal reduction achieved, the presence of other medical conditions, and adherence to prescribed medications and lifestyle modifications. With appropriate medical management, regular follow-up care, and adherence to healthy lifestyle habits, many patients can expect to live a full and active life following ASA surgery.

2. Is alcohol septal ablation (ASA) surgery a major procedure?

Alcohol septal ablation (ASA) surgery is considered a minimally invasive procedure compared to traditional surgical interventions such as septal myectomy. While it involves some risks and potential complications, ASA is generally associated with shorter hospital stays, faster recovery times, and lower morbidity and mortality rates compared to open-heart surgery. However, ASA still requires specialised equipment, experienced healthcare providers, and careful patient selection to ensure safety and efficacy.

3. Is alcohol septal ablation (ASA) surgery safe?

Alcohol septal ablation (ASA) surgery is generally considered safe when performed by experienced interventional cardiologists in specialised cardiac catheterization laboratories (cath labs) equipped with modern infrastructure and advanced medical technology.

However, like any medical procedure, ASA carries some risks and potential complications, including arrhythmias, heart block, myocardial infarction (heart attack), coronary artery dissection, cardiac tamponade, allergic reactions, infection, or stroke. Patients should discuss the potential risks and benefits of ASA with their healthcare provider and make an informed decision based on their individual health status and treatment goals.

4. How is alcohol septal ablation (ASA) surgery performed? What is the timeline for ASA surgery?

Alcohol septal ablation (ASA) surgery is performed in a cardiac catheterization laboratory (cath lab) under local anaesthesia and mild sedation. The procedure typically involves arterial access, coronary angiography, septal perforator identification, alcohol injection, monitoring and assessment, closure, and recovery. The entire ASA procedure usually takes about 1 to 2 hours to complete, followed by a period of observation and recovery in the hospital or clinic before discharge home or to a hospital room for further care.

5. How to sleep after alcohol septal ablation (ASA) surgery?

After alcohol septal ablation (ASA) surgery, patients are advised to sleep in a comfortable position that minimises pressure on the arterial puncture site in the groin or thigh and promotes relaxation and restful sleep. Patients may use pillows or cushions to support the affected leg and maintain proper alignment of the body while lying on the back, side, or stomach, depending on individual comfort preferences. It is essential to avoid strenuous physical activity, heavy lifting, or excessive movement during sleep to prevent disruption of wound healing and minimise the risk of bleeding or injury.

6. What is the difference between coronary angiogram and alcohol septal ablation (ASA) procedures?

Coronary angiogram and alcohol septal ablation (ASA) are both cardiac procedures performed in a cardiac catheterization laboratory (cath lab) using similar techniques and equipment, but they serve different purposes and target different areas of the heart:

Coronary Angiogram: Coronary angiogram is a diagnostic procedure used to visualise the coronary arteries and assess for the presence of blockages, narrowing, or other abnormalities that may indicate coronary artery disease (CAD) or require intervention. It involves the injection of contrast dye into the coronary arteries through a catheter to obtain

detailed images of blood flow and identify areas of obstruction or stenosis.

Alcohol Septal Ablation (ASA): Alcohol septal ablation (ASA) is a therapeutic procedure used to treat hypertrophic obstructive cardiomyopathy (HOCM) by reducing the thickness of the septum (the wall that divides the chambers of the heart) and alleviating symptoms such as shortness of breath, chest pain, or fatigue. It involves the selective injection of medical-grade alcohol into a specific branch of the coronary artery supplying blood to the hypertrophied septum to induce controlled tissue damage and septal thinning.

7. What is the difference between alcohol septal ablation (ASA) and stent placement procedures?

Alcohol septal ablation (ASA) and stent placement are both cardiac procedures used to treat different conditions and achieve different therapeutic goals:

Alcohol Septal Ablation (ASA): ASA is a minimally invasive procedure used to treat hypertrophic obstructive cardiomyopathy (HOCM) by reducing the thickness of the septum (the wall that divides the chambers of the heart) and alleviating symptoms such as shortness of breath, chest pain, or fatigue. It involves the selective injection of medical-grade alcohol into a specific branch of the coronary artery supplying blood to the hypertrophied septum to induce controlled tissue damage and septal thinning.

Stent Placement: Stent placement, also known as percutaneous coronary intervention (PCI) or angioplasty with stent, is a therapeutic procedure used to treat coronary artery disease (CAD) by restoring blood flow to the heart muscle and relieving symptoms such as chest pain (angina) or shortness of breath. It involves the insertion of a small metal mesh tube (stent) into a narrowed or blocked coronary artery to widen the artery and provide structural support to keep it open, thereby improving blood flow and reducing the risk of heart attack or other complications.

8. How much does alcohol septal ablation (ASA) cost in Hyderabad, Telangana?

The cost of alcohol septal ablation (ASA) surgery in Hyderabad, Telangana, may vary depending on several factors, including the healthcare provider, hospital or clinic facility, location, surgeon’s fees, anaesthesia fees, diagnostic tests, medications, medical supplies, and post-operative care. It is essential to obtain a detailed cost estimate from your healthcare provider or hospital administration to understand the financial implications of ASA surgery and to explore potential insurance coverage or financing options available to you.

9. What are the risk factors for alcohol septal ablation (ASA)?

Alcohol septal ablation (ASA) is generally considered safe when performed by experienced interventional cardiologists in specialised cardiac catheterization laboratories (cath labs) equipped with modern infrastructure and advanced medical technology. However, like any medical procedure, ASA carries some risks and potential complications, including arrhythmias, heart block, myocardial infarction (heart attack), coronary artery dissection, cardiac tamponade, allergic reactions, infection, or stroke. Patients should discuss the potential risks and benefits of ASA with their healthcare provider and make an informed decision based on their individual health status and treatment goals.

10. What are the causes of hypertrophic obstructive cardiomyopathy (HOCM)?

Hypertrophic obstructive cardiomyopathy (HOCM) is a genetic heart condition characterised by abnormal thickening (hypertrophy) of the heart muscle, particularly the septum (the wall that divides the chambers of the heart), which can obstruct blood flow and impair cardiac function.

The exact cause of HOCM is often unknown, but it is thought to result from mutations in genes encoding proteins that regulate cardiac muscle contraction and relaxation. Inheritance patterns may vary, with some cases inherited in an autosomal dominant pattern (passed from one affected parent to their children) and others occurring sporadically without a family history of the condition. Additional factors such as age, gender, hypertension, obesity, and certain medications or medical conditions may contribute to the development or progression of HOCM in susceptible individuals.

11. Why Choose India for Alcohol Septal Ablation Surgery?

India is emerging as a leading destination for medical tourism, offering world-class healthcare services, state-of-the-art facilities, experienced healthcare providers, and affordable treatment options for patients seeking alcohol septal ablation (ASA) surgery and other cardiac procedures. Here’s why you should choose India for ASA surgery:

1. Quality Healthcare: India boasts a robust healthcare infrastructure comprising modern hospitals, specialised clinics, and advanced medical technology, providing high-quality cardiac care services that meet international standards and guidelines.

2. Experienced Healthcare Providers: India is home to highly skilled and experienced healthcare providers, including interventional cardiologists, cardiac surgeons, nurses, and support staff, who are trained in leading medical institutions and possess expertise in performing complex cardiac procedures such as alcohol septal ablation (ASA) with precision and accuracy.

3. Affordable Treatment Costs: Compared to Western countries and other developed nations, the cost of medical treatment in India, including alcohol septal ablation (ASA) surgery, is significantly lower, making it an attractive option for patients seeking quality care at affordable prices without compromising on safety or outcomes.

4. Accessibility and Convenience: India offers excellent connectivity and accessibility for international patients, with major cities such as Hyderabad, Chennai, Bangalore, Mumbai, and Delhi serving as prominent medical hubs equipped with world-class healthcare facilities, transportation infrastructure, and accommodation options for patients and their families.

5. Multilingual Support: India is known for its linguistic diversity, with healthcare providers and support staff fluent in multiple languages, including English, Hindi, Tamil, Telugu, Malayalam, and others, ensuring effective communication and personalised care for patients from diverse cultural backgrounds.

6. Cultural Hospitality: India is renowned for its warm hospitality, cultural richness, and tradition of guest care (Atithi Devo Bhava), offering a welcoming and supportive environment for international patients and their families during their medical journey and stay in the country.

7. Tourism and Recreation: In addition to receiving world-class medical treatment, patients visiting India for alcohol septal ablation (ASA) surgery have the opportunity to explore the country’s rich heritage, diverse landscapes, vibrant culture, and tourist attractions, including historical landmarks, UNESCO World Heritage sites, natural wonders, wildlife sanctuaries, and spiritual destinations.

8. Medical Visa Assistance: India offers medical visa facilities for international patients travelling for medical treatment, with streamlined visa application procedures, fast-track processing, and assistance from healthcare facilitators or medical tourism agencies to ensure a smooth and hassle-free experience.

9. Comprehensive Services: Indian hospitals and medical centres offer comprehensive medical services, including pre-operative evaluation, diagnostic testing, surgical procedures, post-operative care, rehabilitation, and follow-up support, catering to the diverse needs of patients and their families throughout their treatment journey.

10. Global Recognition: India has gained recognition as a leading destination for medical tourism, attracting patients from around the world seeking cost-effective, high-quality healthcare solutions, including alcohol septal ablation (ASA) surgery, cardiac interventions, organ transplants, cancer treatment, cosmetic surgery, and reproductive medicine, among others.

12. Why Choose Isha Speciality Clinics Manikonda for Alcohol Septal Ablation Surgery in India?

Isha Speciality Clinics Manikonda is a premier heart clinic in Hyderabad Telangana, offering comprehensive cardiac care services, state-of-the-art facilities, and compassionate patient-centred care. Here’s why you should choose Isha Speciality Clinics Manikonda for septal ablation (ASA) surgery in India:

1. Specialized Cardiac Care for Hypertrophic obstructive cardiomyopathy (HOCM),

2. Experienced Cardiologist Dr. Nithin Annarapu,

3. Advanced Infrastructure

4. Comprehensive Services

5. Patient-Centred Approach

6. State-of-the-Art Facilities

7. Multidisciplinary Team

8. Affordable Treatment Option

9. International Patient Services

10. Commitment to Excellence

13. How to Contact Dr. Nithin at Isha Speciality Clinics for Septal Ablation in hyderabad?

You can call now +91 96760 70203, Dr. Nithin at Isha Speciality Clinics for Septal Ablation Surgery in Hyderabad

Visit Isha Speciality Clinics at:

SSR Landmark,

Rd Number 4,

Alkapur Township,

Hyderabad, Telangana 500089.

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