Endovascular Thrombectomy for Stroke in Mumbai for Bangladesh Patients

Facing a stroke emergency can be incredibly stressful for patients from Bangladesh and their families. The critical need for quick, effective treatment often brings questions about where to find the best care, especially when local options are limited or too costly.

Many turn to Mumbai, recognizing its established reputation as a leading medical hub in the region. Patients consider this city for its comprehensive care environment, advanced facilities, and well-coordinated medical services tailored for international visitors.

Trust in Mumbai's hospitals and stroke specialists is high, with a focus on immediate attention and seamless follow-up care. The city's medical infrastructure supports a complete treatment journey, from initial diagnosis to recovery.

Mumbai offers advanced stroke care with experienced medical teams.

What is Endovascular Thrombectomy for Stroke?

Endovascular Thrombectomy is a minimally invasive procedure designed to remove blood clots from large arteries in the brain, restoring blood flow during an acute ischemic stroke. This treatment is time-sensitive and crucial for patients experiencing severe strokes caused by blockages in major brain vessels. It typically involves guiding a catheter through an artery, usually in the groin, up to the blocked vessel in the brain, where specialized devices are used to capture and remove the clot. The primary goal is to minimize brain damage and improve neurological outcomes for eligible patients.

Approaches to Endovascular Thrombectomy

When is Endovascular Thrombectomy Needed?

• Acute ischemic stroke caused by a large vessel occlusion in the anterior circulation.
• Symptoms onset typically within 6 hours, though extended windows (up to 24 hours in select cases) are possible.
• Presence of a treatable clot visible on imaging tests.
• Minimal pre-existing disability before the stroke.
• Patient meets specific neurological and imaging criteria indicating potential benefit.

Pre-Treatment Evaluation for Stroke Patients

• Immediate neurological examination and assessment of stroke severity.
• Non-contrast CT scan of the brain to rule out hemorrhage.
• CT angiography (CTA) or MR angiography (MRA) to identify large vessel occlusion.
• Perfusion imaging (CTP or MRP) to assess brain tissue viability.
• Blood tests, including coagulation profile, complete blood count, and kidney function.
• Electrocardiogram (ECG) to check heart rhythm.

How Endovascular Thrombectomy is Performed

The procedure for endovascular thrombectomy is highly specialized and is performed by a neurointerventional surgeon in a dedicated angiography suite.

Understanding the Recovery After Thrombectomy

Recovery from endovascular thrombectomy varies greatly depending on the stroke's severity, the extent of brain damage, and the patient's overall health. Immediate recovery involves close monitoring in an intensive care unit for several days to manage blood pressure, prevent further complications, and assess neurological function. Rehabilitation, including physical therapy, occupational therapy, and speech therapy, often begins shortly after stabilization and can continue for weeks or months. Patients will have follow-up appointments with neurologists to monitor progress and manage long-term stroke prevention. Adherence to prescribed medications and lifestyle adjustments are crucial for sustained recovery.

Potential Risks and Expected Outcomes

• Reperfusion injury: Damage to brain tissue after blood flow is restored.
• Intracranial hemorrhage: Bleeding within the brain.
• Vessel dissection or perforation: Damage to the blood vessel during catheter navigation.
• Clot fragmentation or distal embolization: Pieces of the clot breaking off and moving to smaller vessels.
• Infection at the access site or systemic infection.
• Re-occlusion of the treated vessel.

The success rates for endovascular thrombectomy in achieving reperfusion (restoring blood flow) are generally high, often exceeding 80-90%. Functional outcomes, measured by reduced disability, are significantly improved when the procedure is performed early and successfully. However, individual results vary widely based on factors such as the patient's age, stroke severity, time to treatment, and overall health. Long-term expectations focus on maximizing recovery through comprehensive rehabilitation and preventing future strokes through medication and lifestyle changes.

Cost of Endovascular Thrombectomy in Mumbai

The cost of endovascular thrombectomy in Mumbai is influenced by several factors, including the chosen hospital's infrastructure and technology, the experience of the neurointerventional specialist, the complexity of the stroke, and the duration of hospital stay, particularly in the ICU. Post-procedure rehabilitation needs also impact the overall expenditure.

For Bangladeshi patients, endovascular thrombectomy for stroke in Mumbai typically ranges from INR 8,00,000 to INR 15,00,000.

Comprehensive Support for Your Medical Journey in Mumbai

• Assistance with medical visa applications and extensions.
• Coordination of airport transfers and local transportation.
• Arrangements for suitable accommodation for patients and accompanying family.
• Facilitation of interpreter services for clear communication.
• Guidance for pre-registration and hospital admission processes.
• Support for follow-up appointments and post-treatment care planning.

Essential Documents for Your Treatment Trip

• Valid passport and Indian medical visa.
• Detailed medical reports, imaging scans, and doctor's referral letter from Bangladesh.
• Proof of financial solvency for treatment and stay.
• Copies of all previous medical records relevant to the stroke condition.
• Any international health insurance details, if applicable.

Preparing for Your Endovascular Thrombectomy

• Undergo a thorough medical review with the Mumbai medical team upon arrival.
• Follow specific fasting instructions provided by the hospital before the procedure.
• Discuss all current medications with your doctor; some may need to be stopped temporarily.
• Arrange for a responsible adult to accompany you, especially for post-procedure support.
• Ensure all travel and accommodation logistics are finalized for a smooth arrival and stay.

Post-Thrombectomy Care and Follow-Up

• Adhere strictly to all prescribed medications, including antiplatelets or anticoagulants.
• Actively participate in your customized rehabilitation program (physical, occupational, speech therapy).
• Attend all scheduled follow-up consultations with your neurologist in Mumbai or back home.
• Monitor for any new neurological symptoms or complications and report them immediately.
• Adopt healthy lifestyle changes, including diet, exercise, and smoking cessation, if applicable.
• Plan for a safe return journey and discuss any travel restrictions with your medical team.

Take Your Next Step Toward Better Health

Choosing Mumbai for endovascular thrombectomy offers access to world-class stroke care, ensuring you receive timely and effective treatment.