Ventricular assist device (LVAD, RVAD, BVAD) implantation in 13 Cardiac surgery clinics in Japan

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13 clinics specializing in Cardiac surgery providing Ventricular assist device (LVAD, RVAD, BVAD) implantation Ventricular assist device implantation is a surgical procedure that involves implanting a mechanical pump device into the heart to help it pump blood to the body. LVAD assists the left ventricle, RVAD assists the right ventricle, and BVAD assists both ventricles.
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procedure in Japan.

Akita · 1
Chiba · 1
Kamogawa · 1
Kurashiki · 1
Kyoto · 1
Musashino · 1
Nagaizumi · 1
Okayama · 1
Sapporo · 1
Suita · 1
Tokyo · 3
You can select a specific city
Akita · 1 Chiba · 1 Kamogawa · 1 Kurashiki · 1 Kyoto · 1 Musashino · 1 Nagaizumi · 1 Okayama · 1 Sapporo · 1 Suita · 1 Tokyo · 3
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Prices for selected procedures, total:
by request
  1. Ventricular assist device (LVAD, RVAD, BVAD) implantation
    by request
Prices for popular procedures:
  1. Cardiac resynchronization therapy with pacemaker (CRT-P)
    ≈ $21,364
  2. Cardiac resynchronization therapy with defibrillator (CRT-D)
    ≈ $39,572
  3. Change of defibrillator
    ≈ $10,702
  4. Management of ICD system
    ≈ $1,669
  5. Insertion of Optimizer smart implantable pulse generator (IPD) system
    ≈ $22,587
  6. Implantable cardioverter-defibrillator implantation (ICD)
    by request
photo
Okayama, Japan
Specializations: Cardiac surgery, Vascular surgery
Languages: English, Japanese
The Sakakibara Heart Institute of Okayama is one of the most prestigious cardiovascular institutes in Japan, and was established in 1932 by Dr Toru Sakakibara. read more
Prices for selected procedures, total:
by request
  1. Ventricular assist device (LVAD, RVAD, BVAD) implantation
    by request
Prices for popular procedures:
  1. Cardiac catheterization
    ≈ $4,370
  2. Heart transplantation
    ≈ $71,284
  3. Intraaortic balloon pump (IABP) procedure
    ≈ $3,776
  4. Cardiac resynchronization therapy with pacemaker (CRT-P)
    ≈ $21,364
  5. Cardiac resynchronization therapy with defibrillator (CRT-D)
    ≈ $39,572
  6. Change of defibrillator
    ≈ $10,702
photo
Suita, Japan
Specializations: Cardiac surgery, Vascular surgery, Neurosurgery, Oncology
National Cerebral and Cardiovascular Center (NCVC) Hospital was established in 1977 to provide world-class, advanced quality of care to patients with cerebral and cardiovascular diseases read more
Prices for selected procedures, total:
by request
  1. Ventricular assist device (LVAD, RVAD, BVAD) implantation
    by request
Prices for popular procedures:
  1. Coronary catheterization
    ≈ $3,345
  2. Cardiac resynchronization therapy with pacemaker (CRT-P)
    ≈ $21,364
  3. Cardiac resynchronization therapy with defibrillator (CRT-D)
    ≈ $39,572
  4. Change of defibrillator
    ≈ $10,702
  5. Management of ICD system
    ≈ $1,669
  6. Insertion of Optimizer smart implantable pulse generator (IPD) system
    ≈ $22,587
photo
Chiba, Japan
Specializations: Cardiac surgery, Vascular surgery, Thoracic surgery, Neurosurgery, Spine surgery, Orthopedic surgery, Oncology
Chiba University Hospital overlooks central Chiba City from a hilltop, occupying the greenery of the university’s Inohana Campus alongside its neighbors the School of Medicine, read more
Prices for selected procedures, total:
by request
  1. Ventricular assist device (LVAD, RVAD, BVAD) implantation
    by request
Prices for popular procedures:
  1. Coronary artery bypass graft (CABG)
    ≈ $39,725
  2. Heart valve replacement
    ≈ $48,864
  3. Heart valve repair
    ≈ $36,475
  4. Aortic valve replacement (AVR)
    ≈ $57,387
  5. Mitral valve replacement (MVR)
    ≈ $46,499
  6. Transcatheter aortic valve replacement (TAVR)
    ≈ $79,550
photo
Kamogawa, Japan
Specializations: Cardiac surgery, Vascular surgery, Thoracic surgery, Neurosurgery, Spine surgery, Orthopedic surgery, Oncology
Languages: Chinese, English
Kameda Medical Center is the English corporate designation of our medical service facility, which includes Kameda General Hospital, Kameda Clinic. Located in the southern part read more
Prices for selected procedures, total:
by request
  1. Ventricular assist device (LVAD, RVAD, BVAD) implantation
    by request
Prices for popular procedures:
  1. Coronary catheterization
    ≈ $3,345
  2. Coronary artery bypass graft (CABG)
    ≈ $39,725
  3. Heart valve replacement
    ≈ $48,864
  4. Heart valve repair
    ≈ $36,475
  5. Aortic valve replacement (AVR)
    ≈ $57,387
  6. Mitral valve replacement (MVR)
    ≈ $46,499
photo
Kurashiki, Japan
Specializations: Cardiac surgery, Vascular surgery, Thoracic surgery, Neurosurgery, Spine surgery, Orthopedic surgery, Oncology
Kurashiki Central Hospital is founded upon the principles of egalitarianism and patient centered care. We strive to provide for our patients advanced, complete medical care read more
Prices for selected procedures, total:
by request
  1. Ventricular assist device (LVAD, RVAD, BVAD) implantation
    by request
Prices for popular procedures:
  1. Cardiac catheterization
    ≈ $4,370
  2. Heart transplantation
    ≈ $71,284
  3. Intraaortic balloon pump (IABP) procedure
    ≈ $3,776
  4. Change of defibrillator
    ≈ $10,702
  5. Management of ICD system
    ≈ $1,669
  6. Implantable cardioverter-defibrillator implantation (ICD)
    by request
photo
Tokyo, Japan
Specializations: Cardiac surgery, Vascular surgery, Thoracic surgery, Neurosurgery, Spine surgery, Orthopedic surgery, Oncology
Languages: English
The University of Tokyo Hospital contributes to the advancement of clinical medicine and the cultivation of healthcare professionals in order to provide each patient with read more
Prices for selected procedures, total:
by request
  1. Ventricular assist device (LVAD, RVAD, BVAD) implantation
    by request
Prices for popular procedures:
  1. Cardiac catheterization
    ≈ $4,370
  2. Coronary catheterization
    ≈ $3,345
  3. Heart transplantation
    ≈ $71,284
  4. Intraaortic balloon pump (IABP) procedure
    ≈ $3,776
  5. Cardiac resynchronization therapy with pacemaker (CRT-P)
    ≈ $21,364
  6. Cardiac resynchronization therapy with defibrillator (CRT-D)
    ≈ $39,572
photo
Sapporo, Japan
Specializations: Cardiac surgery, Vascular surgery, Thoracic surgery, Neurosurgery, Spine surgery, Orthopedic surgery, Oncology
The hospital is an important part of the Hokkaido University as an institution for education and research. We have been designated by the government as read more
Prices for selected procedures, total:
by request
  1. Ventricular assist device (LVAD, RVAD, BVAD) implantation
    by request
Prices for popular procedures:
  1. Cardiac catheterization
    ≈ $4,370
  2. Coronary catheterization
    ≈ $3,345
  3. Heart transplantation
    ≈ $71,284
  4. Intraaortic balloon pump (IABP) procedure
    ≈ $3,776
  5. Cardiac resynchronization therapy with pacemaker (CRT-P)
    ≈ $21,364
  6. Cardiac resynchronization therapy with defibrillator (CRT-D)
    ≈ $39,572
photo
Tokyo, Japan
Specializations: Cardiac surgery, Vascular surgery, Thoracic surgery, Neurosurgery, Spine surgery, Orthopedic surgery, Oncology
Languages: English
In July 1992 the Medical Service Law was revised, through which university hospitals providing advanced medical care were certified as "special functioning hospitals". Since February read more
Prices for selected procedures, total:
by request
  1. Ventricular assist device (LVAD, RVAD, BVAD) implantation
    by request
Prices for popular procedures:
  1. Coronary catheterization
    ≈ $3,345
  2. Cardiac resynchronization therapy with pacemaker (CRT-P)
    ≈ $21,364
  3. Cardiac resynchronization therapy with defibrillator (CRT-D)
    ≈ $39,572
  4. Dual chamber pacemaker insertion
    ≈ $14,364
  5. Coronary artery bypass graft (CABG)
    ≈ $39,725
  6. Off-pump coronary artery bypass surgery
    ≈ $29,996
photo
Nagaizumi, Japan
Specializations: Cardiac surgery, Vascular surgery, Thoracic surgery, Neurosurgery, Oncology
Languages: English
The Shizuoka Cancer Center has the main hospital building, the Proton Therapy Facility, the Palliative Care Ward Annex and the Energy Center. Situated on a read more
Prices for selected procedures, total:
by request
  1. Ventricular assist device (LVAD, RVAD, BVAD) implantation
    by request
Prices for popular procedures:
  1. Cardiac catheterization
    ≈ $4,370
  2. Coronary catheterization
    ≈ $3,345
  3. Intraaortic balloon pump (IABP) procedure
    ≈ $3,776
  4. Cardiac resynchronization therapy with pacemaker (CRT-P)
    ≈ $21,364
  5. Cardiac resynchronization therapy with defibrillator (CRT-D)
    ≈ $39,572
  6. Dual chamber pacemaker insertion
    ≈ $14,364
photo
Akita, Japan
Specializations: Cardiac surgery, Vascular surgery, Thoracic surgery, Neurosurgery, Spine surgery, Orthopedic surgery, Oncology
Akita Kosei Medical Center is a core hospital in the northern part of Akita City, with Akita City, Oga City, and Katagami City as its read more
Prices for selected procedures, total:
by request
  1. Ventricular assist device (LVAD, RVAD, BVAD) implantation
    by request
Prices for popular procedures:
  1. Coronary catheterization
    ≈ $3,345
  2. Cardiac resynchronization therapy with pacemaker (CRT-P)
    ≈ $21,364
  3. Cardiac resynchronization therapy with defibrillator (CRT-D)
    ≈ $39,572
  4. Dual chamber pacemaker insertion
    ≈ $14,364
  5. Coronary artery bypass graft (CABG)
    ≈ $39,725
  6. Heart valve replacement
    ≈ $48,864
photo
Tokyo, Japan
Specializations: Cardiac surgery, Vascular surgery, Thoracic surgery, Neurosurgery, Spine surgery, Orthopedic surgery, Oncology
Languages: Chinese, English, Vietnamese
Center Hospital of the National Center for Global Health and Medicine, National Research and Development Agency. Center Hospital of NCGM provides optimum comprehensive healthcare in read more
Prices for selected procedures, total:
by request
  1. Ventricular assist device (LVAD, RVAD, BVAD) implantation
    by request
Prices for popular procedures:
  1. Cardiac catheterization
    ≈ $4,370
  2. Coronary catheterization
    ≈ $3,345
  3. Intraaortic balloon pump (IABP) procedure
    ≈ $3,776
  4. Cardiac resynchronization therapy with pacemaker (CRT-P)
    ≈ $21,364
  5. Cardiac resynchronization therapy with defibrillator (CRT-D)
    ≈ $39,572
  6. Change of defibrillator
    ≈ $10,702
photo
Kyoto, Japan
Specializations: Cardiac surgery, Vascular surgery, Thoracic surgery, Neurosurgery, Spine surgery, Orthopedic surgery, Oncology
Kyoto University Hospital was established in 1899, we have a 120-year history. We are committed to providing safe, relief medical care based on this three read more
Prices for selected procedures, total:
by request
  1. Ventricular assist device (LVAD, RVAD, BVAD) implantation
    by request
Prices for popular procedures:
  1. Cardiac catheterization
    ≈ $4,370
  2. Coronary catheterization
    ≈ $3,345
  3. Intraaortic balloon pump (IABP) procedure
    ≈ $3,776
  4. Cardiac resynchronization therapy with pacemaker (CRT-P)
    ≈ $21,364
  5. Cardiac resynchronization therapy with defibrillator (CRT-D)
    ≈ $39,572
  6. Change of defibrillator
    ≈ $10,702
photo
Musashino, Japan
Specializations: Cardiac surgery, Vascular surgery, Thoracic surgery, Neurosurgery, Spine surgery, Orthopedic surgery, Oncology
It has been 70 years since our hospital was established in Musashino City, Tokyo as a hospital of love. Even now, it is a rare read more

Procedure price distribution in Japan

Ventricular assist device (LVAD, RVAD, BVAD) implantation:

For the certain case all the prices for Ventricular assist device (LVAD, RVAD, BVAD) implantation are "by request" only.

Procedure prices in popular countries:

Ventricular assist device (LVAD, RVAD, BVAD) implantation:

China by request in 4 clinics
Germany by request in 26 clinics
Israel by request in 13 clinics
Turkey by request in 26 clinics
United States by request in 15 clinics

Countries with the highest number of clinics offering the procedures treatment:

Ventricular assist device (LVAD, RVAD, BVAD) implantation:

Clinics grouping by rating

Clinic with the highest rating of 4 — National Cerebral and Cardiovascular Center (NCVC) in Suita, Japan and 1 more, clinic with the most reviews number of 628 — Keio University Hospital in Tokyo, Japan.

With rating 4.0 and over — 2 clinics .

What you should know about chronic heart failure?

Classification, staging of CHF

Chronic heart failure (CHF) is a fairly common pathology that can significantly reduce the patient's quality of life. Below we will analyze in detail the classification and staging of CHF for a better understanding of medical documentation and the patient's condition.

What is heart failure (CHF)?

In this disease, due to various possible causes, the blood moves through the heart and body more slowly, and the pressure in the heart chambers increases. As a result, the vessels do not carry enough oxygen and nutrients to meet the needs of the body. Thus, heart failure does not mean that the heart has stopped working. Rather, it means that it does not work as efficiently as under normal conditions.

To maintain normal blood flow, the walls of the chambers of the heart can change, that is, stretch and thicken, and the kidneys can retain fluid and ions in the body to a greater extent.

How is the pathology of the pumping function of the heart determined?

For this, a concept such as ejection fraction (EF) is used, which is determined during an echocardiogram. EF is used to measure how well the heart is pumping blood with each beat and helps determine if systolic or diastolic dysfunction is present.

What classifications of CHF exist?

Physicians have developed several different classifications of this pathology, but the following three are most often used:

  1. Determination of the functional class in accordance with the classification of the New York Heart Association.
  2. Clinical staging according to Strazhesko and Vasilenko.
  3. Determination of the variant of heart failure:
    • with left ventricular systolic dysfunction (ejection fraction less 40%);
    • with normal systolic function of the left ventricle (ejection fraction over 40%).

Less often, right ventricular and left ventricular failure, as well as systolic and diastolic dysfunction, are distinguished.

New York Heart Association (NYHA) Clinical Classification of Heart Failure

This division categorizes people into classes I-II-III-IV depending on the severity of symptoms or functional limitations (functional classes).

| Class I | Physical activity is not impaired, and the patient does not experience unusual fatigue, shortness of breath, palpitations, or pain with daily habitual activities |
| Class II | Minor restrictions in normal activities. At this stage, the person already has mild fatigue, shortness of breath, palpitations, or pain during normal activities, but no symptoms at rest |
| Class III | Severe limitation of normal activities. The patient has severe fatigue, shortness of breath, palpitations, or pain even during minimal exercise. There are no symptoms at rest |
| Class IV | The patient is uncomfortable even at rest. Discomfort increases with any physical activity |

Classification of heart failure according to Strazhesko and Vasilenko

Differentiation according to Strazhesko-Vasilenko includes three clinical stages of heart failure.

I stage (initial). Symptoms occur latently during physical exertion: shortness of breath, palpitations. These symptoms subside with rest.

II stage. Symptoms and signs of heart failure occur not only during physical exertion, but also at rest. Stage II heart failure, in turn, is divided into two: stage II A and stage II B.
In stage A, there are signs of moderate heart failure (congestion in the right or left ventricle).
For heart failure stage II B is characterized by signs of stagnation in the small and large circles of blood circulation. Patients experience severe discomfort. At rest, pronounced cyanosis, swollen jugular veins, edema, and ascites are detected.

III stage. It is defined as terminal, dystrophic. It is characterized by pronounced plethora in the small and large sections, impaired hemodynamics of blood circulation, irreversible changes in all organs (multiple organ failure), functional and metabolic (metabolic) disorders.

Systolic and diastolic dysfunction

Systolic dysfunction (or systolic heart failure) occurs when there is abnormal contractility of the heart. In this case, the tissues of the body lack oxygen and nutrients.

Diastolic dysfunction (or diastolic heart failure) occurs in patients whose heart beats normally but the ventricles do not relax properly. In this case, the heart cavities are not filled completely and the body also experiences a lack of oxygen.

Left ventricular and right ventricular failure

Symptoms and signs of heart failure depend on the extent of the affected parts of the heart. Left ventricular failure corresponds to a decrease in ventricular output and an increase in pressure in the left atrium and pulmonary veins, and with the progression of the disease - in the pulmonary artery.

In patients with right ventricular failure, blood stagnation occurs in the systemic circulation.

Total heart failure develops when the pathological process affects both ventricles.

Thus, CHF has several different classifications, each of which is important in its own way. Based on a certain stage and form of the disease, the doctor can develop an appropriate treatment strategy for the patient and improve his quality of life.

References:

  1. Harrison`s Principles of Internal Medicine 19/E (Vol.1). Dennis Kasper, Anthony Fauci, Stephen Hauseret all. McGraw-HillEducation 2015 ISBN: 0071802134 ISBN-13(EAN): 9780071802130.
  2. McDonagh TA, Metra M, Adamo M, et al. 2021 ESC Guidelines for the diagnosis and treatment of acute and chronic heart failure [published correction appears in Eur Heart J. 2021 Oct 14;:]. Eur Heart J. 2021;42(36):3599-3726.
  3. Moiseev, V.S. Internal diseases: textbook: in 2 volumes / ed. V. S. Moiseeva, A. I. Martynova, N. A. Mukhina. - 3rd ed.: GEOTAR-Media, 2018. - T. 1. - 960 p. : ill. - 960 p. - ISBN 978-5-9704-4416-0.

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