Cardiac Procedures
Advanced cardiac procedures in Navi Mumbai — coronary angioplasty, TAVR, MitraClip, pacemaker implantation, and ASD closure. Performed by Dr. Amit Singh, FACC at Kokilaben Hospital, Koperkhairne.
Evidence-based procedures.
Coronary Angiography
Gold-standard radial-route coronary artery mapping with FFR physiological assessment. Identifies which blockages need treatment.
Coronary Angioplasty & Stenting
IVUS/OCT-guided drug-eluting stent implantation. RENOVATE: −25% MACE vs angio-only guidance. Radial access standard.
High-Risk Complex Angioplasty
IVL for calcified vessels, rotablation, DCB, bifurcation PCI, left main intervention, haemodynamic support.
Structural Heart Interventions
TAVR, MitraClip, ASD closure, balloon valvuloplasty — all transcatheter, without open-chest surgery.
TAVR / TAVI
Transcatheter aortic valve replacement. PARTNER 3: 1.0% vs 3.3% composite in low-risk patients.
MitraClip
Transcatheter mitral valve repair. COAPT: −47% HF hospitalisation, −38% mortality in secondary MR.
ASD Device Closure
Catheter-based ASD and PFO closure without open-heart surgery. Day-procedure, same-day discharge.
Pacemaker / ICD / CRT
Permanent pacemaker, ICD (SCD-HeFT: −23% mortality), CRT (CARE-HF: −36% mortality in HFrEF).
Evidence-Based Cardiac Procedures
Every procedure is performed using latest-generation technology with trial-backed protocols. Radial access, IVUS/OCT guidance, and evidence-based device selection are standard.
Access Standard — reduces major bleeding by 73% vs femoral (RIVAL trial)
Guided PCI — reduces MACE by 25% vs angio-only (RENOVATE trial)
State-of-the-art cath lab at Kokilaben Hospital, Koperkhairne
Procedures performed by Dr. Amit Singh, FACC
Performed at
Kokilaben Hospital.
Kokilaben Dhirubhai Ambani Hospital, Koperkhairne is a state-of-the-art, NABH-accredited tertiary care medical center. Equipped with Navi Mumbai's leading flat-panel cardiac catheterization laboratory, dedicated hybrid cardiac surgery suites, and 24-hour cardiac intensive care units.
Clinic-to-Cath Lab Flow
All elective procedures are planned and scheduled directly through the Vashi consulting suite, ensuring seamless pre-authorizations and continuous clinical oversight by Dr. Amit Singh.
Coronary Intervention
Atheroma and stenting procedures- Radial-access diagnostic angiography
- IVUS / OCT-guided PCI
- FFR / iFR physiological testing
- IVL — calcified vessel treatment
- Rotational atherectomy
- Bifurcation & left main PCI
- Drug-coated balloon (DCB)
Structural Heart Interventions
Transcatheter valve and shunt closure- TAVR / TAVI
- MitraClip (TEER)
- ASD / PFO device closure
- Balloon aortic valvuloplasty
- Balloon mitral valvotomy (PBMV)
- Pericardiocentesis
- Balloon Pulmonary Valvuloplasty
Device Implantation
Electrical rhythm pacing therapies- Permanent pacemaker (PPM)
- ICD (implantable defibrillator)
- CRT-P / CRT-D
- Temporary pacing
- Leadless Pacemaker
Procedure Options Comparison
Use this table to understand which procedure is typically recommended for each cardiac condition, the approach used, and expected recovery.
| Condition | Procedure Options | Approach | Key Evidence | Recovery |
|---|---|---|---|---|
| Coronary Artery Disease | PCI (Angioplasty) vs CABG | Radial-access PCI with DES for 1-2 vessel disease; CABG for multi-vessel or diabetes | SYNTAX: CABG superior for complex 3VD · FREEDOM: CABG superior in diabetics | PCI: 24hr discharge · CABG: 5-7 day stay |
| Aortic Stenosis | TAVR vs SAVR | Transfemoral TAVR for most patients; surgical AVR if不适合 TAVR | PARTNER 3: TAVR non-inferior to SAVR in low-risk | TAVR: 2-3 day stay · SAVR: 5-7 day stay |
| Mitral Regurgitation | MitraClip vs Surgical Repair | Transcatheter edge-to-edge repair for secondary MR; surgery for primary MR | COAPT: MitraClip −47% HF hosp, −38% mortality | MitraClip: 2-3 days · Surgery: 5-7 days |
| Heart Block / Bradycardia | Pacemaker Implantation | Transvenous pacemaker under local anaesthesia; CRT for HF with LBBB | CARE-HF: CRT −36% mortality in HFrEF | 24hr observation, discharge next day |
Frequently Asked Questions
Common questions about cardiac procedures at Heartwise and Kokilaben Hospital.
Recovery after coronary angioplasty (PCI) is typically rapid. Most patients are discharged within 24 hours of the procedure. You can usually return to work within 3–7 days for desk jobs and within 2 weeks for physically demanding work. Strenuous exercise and heavy lifting should be avoided for 1 week. The radial artery access site (wrist) heals quickly with minimal discomfort. You will be prescribed dual antiplatelet therapy (aspirin + clopidogrel/ticagrelor) to prevent stent thrombosis — it is essential to take this exactly as prescribed.
Yes — all cardiac procedures including angioplasty, stenting, TAVR, MitraClip, pacemaker implantation, and ASD closure are covered under most major Indian health insurance policies. Kokilaben Dhirubhai Ambani Hospital offers cashless treatment for insured patients. It is recommended to contact our Vashi clinic at +91 97695 17636 before scheduling for insurance verification, pre-authorisation guidance, and to understand any co-payment or deductible requirements.
For most cardiac procedures, you will need a referral from a cardiologist after appropriate diagnostic evaluation (ECG, echo, angiography). If you have been advised a procedure by another cardiologist, Dr. Amit Singh will review your reports and can proceed. You can schedule an initial consultation at the Vashi clinic directly without a referral. During this consultation, Dr. Singh will determine if a procedure is indicated and coordinate the necessary pre-procedure workup.
TAVR (Transcatheter Aortic Valve Replacement) is a minimally invasive procedure performed through a small incision in the groin or chest — no open-heart surgery, no cardiopulmonary bypass, and typically a 2–3 day hospital stay. Surgical AVR (SAVR) is open-heart surgery requiring a sternotomy (chest opening), cardiopulmonary bypass, and a 5–7 day hospital stay with longer recovery. The PARTNER 3 trial showed TAVR is non-inferior to SAVR in low-risk patients with excellent outcomes. Dr. Amit Singh will help you choose the best option based on your age, anatomy, and overall health.
Preparation depends on the specific procedure. Generally: fast from midnight before the procedure (no food or water); take prescribed medications as instructed by Dr. Singh (especially heart medications); arrange for a family member to accompany you and drive you home; bring a list of all your current medications, previous ECG/echo reports, and insurance documents. For same-day procedures like angiography, you will be admitted in the morning and discharged after a few hours of observation. For more complex procedures like TAVR or MitraClip, a 2–3 day hospital stay is planned.
Our Cardiology
Centers.
Dr. Amit Singh consults across multiple flagship centers and outreach clinics in Navi Mumbai & Dombivli to ensure specialized, top-tier cardiac care is directly accessible.
Navi Mumbai Sectors & Surrounding Nodes Served
Triple ESC & FACC Certified
International guidelines and clinical safety protocols applied across all heart centers.
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