Angiography involves the x-ray imaging use to inspect blood vessels. The images produced during an angiography technique are called as angiograms. Angiograms are done in hospitals with patients generally under local anesthesia. The technique may take from 20 minutes to several hours, subject to the difficulty of the test and how much contrast is needed.

Angiography in Singapore

Singapore is an extremely urbanized, methodical and spotless country so medical tourists can avoid the muddled environment which is usual to some Asian countries. People looking for angiography in Singapore can be assured for best results as all Singaporean hospitals offer 'top-of-the-line' medical services and facilities.

The health standards are high in Singapore and the private hospitals are fortified with top class medical equipment - few attaining international accreditations like ISO9002 and the American accreditation, Joint Commission International (JCI).  Singapore is well-known for performing advanced and difficult surgical procedures which from time to time have presented in world news.

Treatment and Cost

15

Total Days
In Country

2 No. Travelers

3 Day in Hospital

12 Days Outside Hospital

Treatment cost starts from

USD 4400

Hospitals

Most physicians advise their patients to undergo the angiogram procedure (also known as angiography and arteriogram) when certain symptoms such as a heart attack or chest pain become a source of worry. A stress test is performed on patients who report chest pain, which is then followed by an angiogram test.

Angiography procedure aims at testing the blockages in the coronary arteries apart from any other cardiovascular-related ailments. Angiography and angiogram procedure can both locate narrowing arteries or blockages that may exist in different parts of the body.

Angiography is recommended for patients with coronary heart diseases (CHD), which can cause the heartbeat to stop suddenly and abruptly. The patient may also suffer from severe chest pain. Angiography can also be performed on patients on an emergency basis when they experience a heart attack. If the blockage is not treated immediately, then healthy tissues around the heart start perishing and turn into scar tissue. It can give rise to several long-lasting problems. Angiography may also be required in the case of a patient with aortic stenosis or those who have had an abnormal heart stress test.

The procedure involves administering a sedative for relaxation. An intravenous line is inserted into the vein. This is just a precautionary step to ensure that medication can be provided or blood products can be given in case of unwanted complications that take place during the angiography procedure.

  • An antiseptic agent is used to clean the location and a local anesthetic is then administered. For the passage of the needle, a small incision is made. Something named as a stylet, which is a needle with a solid inner core, is inserted into the artery via the incision. After the puncture of the artery, the radiologist replaces the stylet with a guide wire, which is a long wire. Spurting of blood is normal during the process. Through the outer needle, the guide wire is fed into the artery that is supposed to be studied. To direct the guide wire to the correct location of the artery, a fluoroscope display is used. Once the location is spotted, the needle is removed and a catheter is placed over the guide wire’s length until it reaches the region of the study. The guide wire is then removed and now a contrast medium is injected in the region.
  • The contrast medium can be injected either through a syringe or an automatic injector referred to as power injector. Before this, a small test injection is given to check that the catheter is in the right position. The patient is informed to stay as still as possible during this process. The injection can cause a little bit of dizziness, warmth, burning sensation, chest pain, irregular heartbeat, or a headache. The patient is often asked to change position to allow the study from different perspectives.
  • Throughout the procedure, radiographs or fluoroscopic images are obtained in rapid succession. Because of the high pressure of the blood flow in the artery, the contrasting medium gets diluted and starts dissipating in the body. More than one automatic film changers is employed to capture the images.
  • Digital image capture makes it possible to manipulate the information electronically. This is known as digital subtraction angiography or DSA. Computers make use of pixels to analyze the information better. After the completion of the X-Ray, the catheter is slowly removed and manual pressure is applied to the site for about 10 to 20 minutes with a sandbag. This allows resealing of the arterial puncture. A pressure bandage is then applied at this site.

The patient is kept under close observation for at least 6 to 12 hours if the procedure is performed on an outpatient basis. In case of a femoral artery puncture, the leg is almost kept immobile during the observation period.

Blood pressure and other vital signs are continuously monitored. A cold pack is applied to reduce swelling in the area of puncture and medications are given in case of extreme discomfort.

Hematoma may develop in a few patients. This indicates continuous bleeding from the puncture site and has to be watched for. Two to three days of complete rest is advised and driving should be avoided in the case of patients who have had fluorescein angiography. Direct exposure to sunlight should be avoided for at least 12 hours.

Frequently Asked Questions

A coronary angiogram is a special test that uses X-ray to look for any blockages or abnormalities in the blood vessels of the heart. It is commonly performed on patients with a recent history of any cardiac event, chest pain or in patients wherein a cardiac blockage is suspected.

Angiogram cost in Singapore is between $3800 to $6500. This is inclusive of the hospital fee and the doctor’s fee. The hospital charges include the use of X-ray equipment, catheterization lab charges, cost of dye used to visualize the blood flow, and the daycare room charges for the patient. It is not inclusive of hospital stay or the use of any special equipment, additional tests and medicines, and treatment for any cardiac condition.

The hospitals that perform angiograms in Singapore have well-equipped and completely isolated catheterization labs. Some of the best hospitals in Singapore for angiography include the following:

  • Farrer Park Hospital
  • Mount Elizabeth Novena Hospital
  • Mount Elizabeth Hospital
  • Parkway East Hospital
  • Thomson Medical Center

After performing an angiogram, if there is any diagnosis, the patient further needs treatment. Sometimes, the interventional cardiologist may perform angioplasty while performing an angiogram if he or she finds that there is a cardiac blockage that requires further intervention.

The following are some of the top doctors for angiography in Singapore:

  • Dr. Julian Tan, Mount Elizabeth Hospital
  • Dr. Chia Stanley, Mount Elizabeth Novena Hospital
  • Dr. Lim Chong Hee, Mount Elizabeth Hospital
  • Dr. Chan Wan Xian, Mount Elizabeth Novena Hospital
  • Dr. Baldev Singh, Parkway East Hospital
  • Dr. Chan Wah Hak Nien Shen Charles, Gleneagles Hospital
  • Dr. Gerard Leong Kui Toh, Thomson Medical Center

The following factors affect the cost of angiography in Singapore:

  • Need for hospital stay
  • Doctor’s fee
  • Experience of the specialist
  • Hospital fee and charges
  • Catheterization lath charges
  • Medications and consumables
  • Need for any intervention during procedure
  • Any unforeseen circumstances
Singapore is generally known for its well-managed health care infrastructure and has an efficient and widespread system of healthcare. Singapore was ranked 6th in the World Health Organization's ranking of the world's health systems in the year 2000. Bloomberg ranked Singapore's healthcare system the most efficient in the world in 2014. Three main healthcare groups exist in Singapore:
  • National Healthcare Group
  • National University Health System
  • SingHealth
The 10 public hospitals in Singapore comprise 8 general hospitals (AH, SGH, NUH, CGH, TTSH, KTPH, NTFGH & SKH), and 2 specialized hospitals (KKH & IMH). In addition, there are 9 national specialty centres for cancer (NCCS & NCIS), cardiac (NHCS & NUHCS), eye (SNEC), skin (NSC), neuroscience (NNI) and dental care (NDCS & NUCOHS). The private healthcare infrastructure in Singapore is also well established. The payment methods include private payment gateways or private insurance companies. You can expect better technology to be used in private hospitals in Singapore. Various procedures like stem cell therapy and cancer research are conducted in Singapore.
The Joint Commission International (JCI) is a global leader in health care accreditation. JCI accreditation is considered a gold standard in worldwide health care. It provides the most skilled and experienced healthcare professionals in the medical industry, as evaluators of the rigorous international standards in healthcare quality and patient safety. Here are some of the JCI certified hospitals in Singapore :
  • Mount Elizabeth Hospital
  • Singapore National Eye Centre
  • National Dental Centre
  • Raffles Hospital
  • National University Hospital
  • Gleneagles Hospital
  • Singapore General Hospital
  • National Heart Centre Singapore
  • Changi General Hospital
  • National Cancer Centre
  • National Skin Centre
  • Johns Hopkins Singapore International Medical Centre
  • Tan Tock Seng Hospital
Since Singapore is known all over the world for some of the best medical treatments all across the globe, you can surely expect the best quality of doctors and surgeons here. This country has a very high quality of life and hence the health of people is of high priority.
People who wish to go to Singapore as a tourist for social purposes or seeking medical treatment, and require a longer period of stay beyond the Visit Pass granted on entry into Singapore, may submit an application for extension of stay (not more than 89 days from date of entry) online using the e-Service of ICA. All extension applications must be submitted online using the e-service at least seven days prior to the expiry of the visit pass to avoid overstaying. Extension of visit will not be accepted over the counter. Every visit pass issued to any person as a tourist or for the purpose of a social visit or medical treatment shall be subjected to the condition that the holder shall not engage in any form of employment (paid or unpaid) or in any business, profession or occupation in Singapore during the validity of that pass unless he is a holder of a valid work pass issued under the Employment of Foreign Manpower Act. Do visit the ICA website for further information.
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