Total Arterial Revascularization in Delhi NCR

Not all bypass surgeries are built to last the same way. Total arterial revascularization in Delhi NCR, offered by Dr. Biswarup Purkayastha at Artemis Hospitals, Gurugram, uses only arterial grafts instead of vein grafts, giving many patients a bypass that stays open longer and performs better over the years. This page explains what total arterial CABG in Delhi NCR involves, who it’s for, and what it costs.

What Is Total Arterial Revascularization?

Total arterial revascularization is a bypass surgery technique that uses only arterial grafts, rather than a mix of arteries and veins, for longer-lasting results.

• In a standard bypass (CABG), surgeons often use a mix of arteries and veins to reroute blood around blocked coronary arteries
• Total arterial revascularization uses only arterial grafts, usually both internal mammary arteries, for every bypass needed
• Arteries tend to stay open (patent) longer than vein grafts, especially over 10-15+ years
• This approach is offered as total arterial bypass surgery in Delhi NCR for suitable candidates with multi-vessel coronary disease

How Is It Different from Traditional CABG?

Total arterial CABG differs from traditional bypass by using both internal mammary arteries (LIMA-RIMA/BIMA) instead of leg-vein grafts.

• LIMA-RIMA bypass surgery in Delhi NCR uses both the left and right internal mammary arteries as graft material, instead of relying on a leg vein
• This is also called bilateral internal mammary artery bypass in Delhi NCR, or simply BIMA CABG in Delhi NCR
• Traditional CABG often uses one internal mammary artery plus vein grafts from the leg
• Using two internal mammary arteries avoids leg-vein harvesting altogether in a fully arterial approach, reducing leg-wound complications

Who Needs Total Arterial CABG?

Total arterial CABG is best suited for patients with multi-vessel coronary disease, particularly younger patients where long-term graft durability matters most. You may be a candidate for this approach if you have:

• Multi-vessel coronary artery disease requiring bypass surgery
• A relatively younger age, where long-term graft durability matters most
• Good quality internal mammary arteries suitable for grafting
• A preference to avoid leg-vein harvesting and its related recovery issues
• No major anatomical or medical factors that make an all-arterial approach unsafe

Total Arterial Bypass Surgery – Step by Step

Total arterial bypass surgery involves using internal mammary arteries to reroute blood around blocked coronary arteries, followed by ICU monitoring and structured recovery.

1. Evaluation: Coronary angiogram and imaging to map blockages and assess artery quality
2. Graft planning: Surgeon decides how internal mammary arteries (and other arterial conduits, if needed) will be routed
3. Surgery: Blocked arteries are bypassed using only arterial grafts, restoring blood flow to the heart muscle
4. ICU monitoring: Close observation for the first 24-48 hours
5. Recovery: Structured physiotherapy and gradual return to activity over several weeks

Benefits of Total Arterial Revascularization

Total arterial revascularization offers longer-lasting grafts, lower repeat-procedure risk, and avoids leg-vein harvesting compared to conventional bypass surgery.

• Longer graft durability compared to vein grafts
• Lower long-term risk of needing repeat bypass or angioplasty
• No leg-vein harvesting in a fully arterial approach, less leg pain, fewer wound issues
• Particularly valuable for younger patients who need decades of graft performance
• Arterial bypass surgery in Gurgaon using this technique is increasingly preferred for patients wanting the most durable long-term option

Total Arterial Revascularization Cost in Delhi NCR

Total arterial revascularization in Delhi NCR can cost approximately ₹3,50,000 to ₹7,00,000, depending on the hospital, surgical complexity, grafts used, and overall treatment requirements.

The total arterial revascularization cost in Delhi NCR depends on several factors:

• Number of grafts required and complexity of the blockages
• Whether the surgery is done on-pump or off-pump
• Hospital stay duration and ICU requirements
• Pre-surgery tests and any additional cardiac procedures needed

Because every patient’s coronary anatomy is different, the most accurate cost estimate comes from a personalised evaluation and consultation.

Why Choose Dr. Biswarup Purkayastha?

Dr. Biswarup Purkayastha is a Gurgaon-based cardiac surgeon specialising in total arterial CABG and LIMA-RIMA bypass surgery for patients across Delhi NCR.

• One of the few surgeons offering true total arterial revascularization in Gurgaon, with dedicated experience in LIMA-RIMA/BIMA grafting
• Recognised as a leading total arterial CABG surgeon in Gurgaon, with 100+ total arterial cases performed
• Known as one of the best heart doctors in Delhi NCR for advanced coronary surgery
• Regarded as one of the best cardiothoracic surgeon in Gurgaon, combining cardiac and thoracic surgical expertise

Book a Consultation

If you’ve been advised bypass surgery, and you are looking for one of the best chest doctor in Gurgaon for a longer-lasting result, you may consult Dr. Biswarup Purkayastha at Artemis Hospitals, Gurugram.

Frequently Asked Questions

Q1: How long do arterial grafts last compared to vein grafts?

Ans: Arterial grafts, especially internal mammary arteries, often remain open for 15-20+ years, significantly longer than vein grafts, which can narrow within 10 years.

Q2: Is total arterial CABG suitable for everyone needing bypass surgery?

Ans: Not always. Suitability depends on artery quality, the number of blockages, and overall health, your surgeon will confirm this after evaluation.

Q3: Is total arterial bypass surgery riskier than traditional CABG?

Ans: When performed by an experienced surgeon, total arterial CABG is safe and often reduces certain risks, like leg-wound complications from vein harvesting.

Q4: What is the recovery time after total arterial revascularization?

Ans: Most patients are up and moving within a day or two after surgery, with a full recovery typically taking 6-8 weeks.

Q5: Can total arterial CABG be done without stopping the heart (off-pump)?

Ans: Yes, off-pump total arterial CABG is possible in suitable patients, and your surgeon will advise the safest approach for your case.

Q6: Is revascularization a major surgery?

Ans: Yes, total arterial revascularization is a major heart surgery performed to restore blood flow to the heart. The procedure involves creating bypasses around blocked coronary arteries and requires careful surgical planning and recovery.