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Narayana Institute of Cardiac Sciences (NICS), located at Narayana Health City in Bommasandra, Bangalore, offers Transcatheter Aortic Valve Implantation (TAVI), also known as TAVR, for patients with severe aortic stenosis. Established by renowned cardiac surgeon Dr Devi Prasad Shetty, the hospital offers advanced cardiac services, including minimally invasive heart valve replacement procedures.
The estimated TAVR surgery cost at Narayana Health Bangalore ranges from ₹12 lakh to ₹30 lakh. The hospital's published procedure package charges range from ₹2.75 lakh to ₹7.63 lakh, excluding the replacement heart valve and other medical expenses. The total cost varies based on the valve type, room category and additional treatment requirements.
This guide covers TAVI/TAVR procedure costs, package inclusions and exclusions, replacement valve options, factors affecting treatment expenses, cardiac specialists, recovery and health insurance coverage.
The TAVR surgery cost at Narayana Health Bangalore includes the replacement heart valve and other treatment expenses. The hospital's TAVI procedure package charges range from ₹2.75 lakh to ₹7.63 lakh, depending on the billing category.
The following table shows the TAVI/TAVR procedure package charges at Narayana Institute of Cardiac Sciences (NICS), Bangalore.
Billing Category | TAVI/TAVR Package Cost |
|---|---|
OPD | ₹2,78,000 |
Executive OPD | ₹2,75,000 |
General | ₹3,54,500 |
Semi-Private | ₹4,80,000 |
Private | ₹5,80,000 |
Deluxe | ₹7,13,000 |
Suite | ₹7,63,000 |
The package charges cover the procedure-related hospital expenses but exclude the replacement heart valve, medicines, consumables and certain additional medical services.
The overall treatment cost depends on the selected valve, hospital category, pre-procedure investigations, the patient's medical condition and any additional care required during hospitalisation.
The total TAVI/TAVR treatment cost at Narayana Health Bangalore includes the procedure package, replacement heart valve and additional medical expenses. The package covers specific hospital services, while implants, medicines and certain investigations are charged separately.
The TAVI/TAVR procedure package at Narayana Institute of Cardiac Sciences generally includes:
Routine procedure-related investigations
Room rent during the package period
Cardiologist and procedural fees
Operation theatre charges
Anaesthesia charges
Doctor visits during hospitalisation
The following expenses are generally charged separately:
Replacement heart valve and other implants
Medicines and consumables
Pre-operative and pre-catheterisation investigations
CT, MRI, Doppler and other specified diagnostic tests
Consultations with additional specialists
Dialysis, IABP or ECMO support, if required
Hospital stay beyond the package period
TAVI/TAVR uses a biological tissue valve mounted on a supporting frame. The two main types differ in how they expand and are positioned inside the diseased aortic valve.
Valve Type | How It Works | Example Valves |
|---|---|---|
Balloon-Expandable | A balloon expands the replacement valve into position. | Meril Myval, Edwards SAPIEN 3 |
Self-Expanding | A flexible frame expands when released from the catheter. | Hydra, Medtronic Evolut, Abbott Navitor |
Valve selection depends on the patient's aortic valve anatomy, calcium deposits, coronary arteries and blood-vessel dimensions. Both types are used for transcatheter aortic valve replacement in appropriately selected patients.
The replacement heart valve is a major component of the overall TAVI/TAVR expense. Prices vary according to the manufacturer, valve model and technology.
Valve Category | Example Valves | Indicative Valve Cost |
|---|---|---|
Indian-Manufactured | Meril Myval, Myval Octacor, Hydra | ₹7–10 lakh |
Imported | Edwards SAPIEN, Medtronic Evolut, Abbott Navitor | ₹13–18 lakh or more |
Indian-manufactured valves may cost less than imported alternatives. However, the choice depends on anatomical suitability, valve specifications and individual treatment requirements.
The estimated total TAVI/TAVR cost at Narayana Health Bangalore ranges includes:
Hospital procedure package charges
Biological replacement heart valve
Additional diagnostic investigations
Medicines and consumables
Additional medical care during hospitalisation
The overall expense depends on the selected valve, room category, the patient's medical condition and additional treatment requirements.
The TAVR/TAVI surgery cost at Narayana Health Bangalore varies based on the replacement valve, room category and the patient's medical requirements. The major factors influencing treatment expenses include:
Replacement Valve: The manufacturer, model and valve technology influence the overall cost. Valve selection depends on the patient's cardiac anatomy.
Hospital Room Category: Charges vary across General, Semi-Private, Private, Deluxe and Suite accommodation.
Pre-Procedure Investigations: Echocardiography, CT scans, blood tests and coronary assessments may add to the treatment cost.
Existing Medical Conditions: Kidney, lung or vascular diseases may require additional monitoring, investigations or treatment.
Hospital Stay and Complications: Extended hospitalisation, intensive care, pacemaker implantation or management of complications may increase expenses.
TAVI (Transcatheter Aortic Valve Implantation), also known as TAVR (Transcatheter Aortic Valve Replacement), is a minimally invasive procedure used to replace a diseased aortic heart valve.
It primarily treats severe aortic stenosis, a condition in which the aortic valve narrows and restricts blood flow from the heart to the rest of the body.
During the procedure, a biological replacement valve is delivered through a thin catheter, usually inserted through an artery in the groin. The new valve is positioned inside the narrowed aortic valve to restore blood flow without the chest incision typically required for open-heart surgery.
TAVI and TAVR are two names for the same procedure, with no difference in treatment approach or cost based on terminology.
TAVI/TAVR is a treatment option for patients with severe aortic stenosis, where narrowing of the aortic valve restricts blood flow from the heart.
Common symptoms that may indicate the need for treatment include:
Breathlessness: Difficulty breathing, especially during physical activity.
Chest Pain: Discomfort or tightness in the chest.
Dizziness or Fainting: Episodes of lightheadedness or loss of consciousness.
Fatigue: Persistent tiredness or reduced ability to perform daily activities.
Some patients with severe aortic stenosis may require valve replacement even without noticeable symptoms, depending on their heart function and disease severity.
Suitability for TAVI/TAVR depends on the patient's age, heart function, valve anatomy, existing medical conditions and surgical risk. A multidisciplinary Heart Team evaluates these factors to determine the appropriate treatment approach.
TAVI/TAVR and Surgical Aortic Valve Replacement (SAVR) are established treatments for severe aortic stenosis. However, they differ in their procedure, valve type and recovery requirements.
Factor | TAVI/TAVR | Open-Heart/Surgical Aortic Valve Replacement (SAVR) |
|---|---|---|
Procedure | Catheter-based valve replacement | Surgical valve replacement |
Chest Incision | Usually not required | Often required |
Heart-Lung Bypass | Generally not required | Commonly required |
Valve Type | Biological tissue valve | Mechanical or biological valve |
Recovery | Usually shorter | Generally longer |
Suitability | Depends on valve anatomy, age and overall health | Depends on valve anatomy, age and overall health |
Cost | Significantly influenced by replacement valve cost | Depends on surgery, valve type and hospital charges |
Both procedures can effectively treat severe aortic stenosis. The choice between TAVI and SAVR depends on the patient's cardiac condition, anatomical suitability, expected outcomes and long-term treatment needs.
Narayana Institute of Cardiac Sciences (NICS), Bangalore, has experienced interventional cardiologists specialising in TAVI/TAVR and structural heart procedures. A multidisciplinary Heart Team, including cardiologists, cardiac surgeons and imaging specialists, evaluates patients and plans treatment.
The following specialists are associated with structural heart interventions at Narayana Health Bangalore.
Doctor Name | Designation | Specialisation |
|---|---|---|
Senior Consultant – Adult Cardiology | Interventional Cardiology, TAVI/TAVR, Structural Heart Interventions | |
Senior Consultant, Director – Cath Lab Services | Interventional Cardiology, Percutaneous Aortic Valve Implantation, Structural Heart Interventions | |
Senior Consultant, Director – Heart Transplant Program | Interventional Cardiology, Structural Heart Interventions, Advanced Heart Failure |
Dr. Suraj Narasimhan A specialises in TAVI/TAVR, mitral transcatheter edge-to-edge repair (TEER) and valve-in-valve interventions. Dr. Sanjay Mehrotra has expertise in percutaneous aortic valve implantation and complex cardiac interventions. Dr. Bagirath Raghuraman specialises in structural heart interventions, advanced heart failure and heart transplantation.
Narayana Institute of Cardiac Sciences (NICS), located at Narayana Health City in Bommasandra, Bangalore, provides specialised cardiac care, including TAVI/TAVR and advanced structural heart interventions. It is founded by renowned cardiac surgeon Dr Devi Prasad Shetty, and provides specialised cardiac care, including minimally invasive heart valve replacement procedures.
Key highlights of the hospital include:
Cardiac Infrastructure: The hospital has reported 16 dedicated cardiac operation theatres and six digital catheterisation laboratories, including a hybrid cath lab.
Specialised Cardiac Team: Interventional cardiologists, cardiac surgeons and imaging specialists collaborate on complex heart valve procedures.
Critical Care Facilities: Dedicated cardiac critical-care units support patients requiring intensive monitoring and treatment.
Comprehensive Cardiac Services: Specialised adult and paediatric cardiology, cardiac surgery and structural heart intervention services.
Structural Heart Expertise: The cardiac department has reported experience with over 750 structural heart procedures.
Advanced Valve Interventions: Narayana Health City performed specialised HANCHOR transcatheter valve procedures for two high-risk patients with severe aortic regurgitation, led by Dr. Suraj Narasimhan.
Narayana Health provides cardiac care across multiple hospitals in Bengaluru. Narayana Institute of Cardiac Sciences (NICS) at Bommasandra is the primary cardiac centre offering TAVI/TAVR and advanced structural heart interventions.
Hospital | Location | Cardiac Services |
|---|---|---|
Bommasandra | TAVI/TAVR, structural heart interventions and cardiac surgery | |
Bommasandra | Cardiac care through the Narayana Health City campus | |
HSR Layout | Cardiology consultations, cardiac evaluation and diagnostic services |
TAVI/TAVR treatment at Narayana Health Bangalore may be covered under health insurance, depending on the policy terms, medical necessity, sum insured and insurer approval. Cashless and reimbursement facilities are available through associated insurance providers and Third-Party Administrators (TPAs).
Cashless Treatment: Available for eligible policies, subject to insurer pre-authorisation and network hospital arrangements.
Coverage Limits: The approved amount depends on the sum insured, policy sub-limits and applicable exclusions.
Replacement Valve Coverage: Implant limits may apply to the transcatheter heart valve and certain consumables.
Pre-Authorisation: Planned TAVI/TAVR procedures generally require approval from the insurer or TPA before admission.
Co-Payment and Deductibles: Patients may need to pay a specified percentage or fixed amount of treatment expenses.
Room Category Eligibility: Choosing accommodation above the policy entitlement may result in additional charges.
The following documents are generally required for insurance processing:
Health insurance policy details
Patient identification documents
Cardiologist's treatment recommendation
Echocardiography and relevant diagnostic reports
Hospital treatment cost estimate
Pre-authorisation request and supporting medical records
Under IRDAI guidelines, insurers are required to decide on cashless authorisation requests within one hour of receiving them. Approval and the final payable amount depend on policy conditions and medical eligibility.
Note: Cashless approval may cover part or all of the admissible treatment expenses, depending on the available insurance coverage.
Recovery after TAVI/TAVR is generally faster than conventional open-heart valve replacement, particularly when the procedure is performed through an artery in the groin. The recovery period depends on the patient's overall health, heart function and procedural outcome.
Following TAVI/TAVR, patients are monitored for:
Heart Rhythm: Irregular heartbeats or conduction problems that may require a pacemaker.
Bleeding: Bleeding or swelling at the catheter insertion site.
Kidney Function: Changes in kidney function following the procedure.
Valve Function: Leakage or other problems affecting the replacement valve.
Other Complications: Stroke or blood-vessel injuries requiring additional treatment.
Medications: Take prescribed medicines to support heart health and prevent complications.
Physical Activity: Resume daily activities gradually, following the recommended recovery plan.
Wound Care: Keep the catheter insertion site clean and monitor for bleeding or swelling.
Follow-Up Tests: Undergo echocardiography and other assessments to monitor valve function.
Emergency Symptoms: Seek immediate medical attention for severe chest pain, sudden breathlessness, fainting, stroke-like symptoms or significant bleeding.
Recovery duration and hospital stay vary according to the patient's medical condition and any additional care required.
The estimated TAVR surgery cost at Narayana Health Bangalore ranges from ₹12 lakh to ₹30 lakh. The published procedure package charges range from ₹2.75 lakh to ₹7.63 lakh, excluding the replacement heart valve. The overall treatment expense includes valve costs, hospital charges, investigations and additional medical care.
No. The replacement heart valve is excluded from the standard TAVI procedure package at Narayana Institute of Cardiac Sciences. It is billed separately, along with medicines, consumables and certain investigations. The valve represents a significant portion of the total treatment expense.
Indian-manufactured TAVI valves, such as Meril Myval and Hydra, have indicative prices of ₹7–10 lakh. Imported valves, including Edwards SAPIEN and Medtronic Evolut, may cost ₹13–18 lakh or more. Prices vary by model, technology and specifications. These are indicative device prices rather than hospital-specific charges.
TAVI (Transcatheter Aortic Valve Implantation) and TAVR (Transcatheter Aortic Valve Replacement) refer to the same catheter-based heart valve replacement procedure. The terms are used interchangeably and do not represent different treatments. Costs depend on the replacement valve, hospital package, and medical requirements rather than the terminology.
The estimated TAVI surgery cost at Devi Shetty Hospital Bangalore, ranges from ₹12 lakh to ₹30 lakh. Devi Shetty Hospital commonly refers to Narayana Institute of Cardiac Sciences (Narayana Hrudayalaya) in Bommasandra. Its published TAVI procedure package charges range from ₹2.75 lakh to ₹7.63 lakh, excluding the replacement valve and additional expenses.
TAVI/TAVR may be covered under individual, family or employer-provided health insurance policies. Coverage depends on medical necessity, policy terms, available sum insured and insurer approval. Implant sub-limits, co-payments, deductibles and room eligibility can affect the payable amount. Eligible patients may access cashless treatment through network insurance arrangements.
Dr. Suraj Narasimhan A, Dr. Sanjay Mehrotra and Dr. Bagirath Raghuraman are cardiologists at Narayana Institute of Cardiac Sciences with expertise in interventional and structural heart procedures. Dr. Suraj specialises in TAVI/TAVR and advanced structural heart interventions. Dr. Sanjay has expertise in percutaneous aortic valve implantation and complex cardiac interventions. Dr. Bagirath specialises in structural heart interventions, advanced heart failure and heart transplantation.
TAVI avoids the chest incision and heart-lung bypass generally associated with conventional surgical valve replacement. However, it carries risks such as stroke, vascular injury, valve leakage and pacemaker requirement. Open-heart surgery may be more suitable for certain patients, particularly those requiring additional cardiac procedures. Safety depends on individual anatomy, health and long-term treatment needs.
Recovery after an uncomplicated TAVI procedure is generally shorter than after conventional open-heart surgery. Patients undergo monitoring for heart rhythm changes, bleeding and replacement valve function. Return to normal activities depends on overall health and procedural outcomes. Follow-up care typically includes medication management, activity guidance and echocardiography to assess valve performance.
Yes. TAVI/TAVR is an established treatment option for appropriately selected elderly patients with severe aortic stenosis. Its catheter-based approach may be beneficial for patients with increased surgical risk. Eligibility depends on heart function, valve anatomy, other medical conditions, functional status and expected treatment outcomes. Advanced age alone does not prevent TAVI treatment.
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Last Updated on: 2 November 2026

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