Your Notifications
All done, no notifications

Cost of Transmyocardial Revascularization (TMR) Worldwide

Costs starts from Get a Quote
Filters

Transmyocardial Revascularization (TMR) is performed to relieve severe, chronic chest pain (angina) in patients who are not candidates for conventional procedures like angioplasty or coronary artery bypass grafting (CABG). It improves blood flow directly to the heart muscle by creating small channels in the myocardium (heart wall), allowing oxygen-rich blood from the left ventricle to nourish ischemic areas. TMR is especially useful in patients with diffuse coronary artery disease or those with previously failed revascularization attempts.

You should consult a cardiologist if you're experiencing persistent chest pain despite optimal medical therapy, especially if previous stent placement or bypass surgery hasn’t worked or isn’t an option. TMR is typically considered for patients with refractory angina who are at high surgical risk or have complex blockages not amenable to traditional methods.

Preparation for TMR includes a complete cardiac evaluation — such as ECG, echocardiography, coronary angiography, and stress tests — to assess heart function and identify suitable candidates. Patients are advised to fast for several hours before the surgery or procedure and to temporarily stop certain medications as instructed. A detailed consultation will cover the procedure, potential risks, and recovery expectations.

Usually, a powerful CO₂ or Holmium:YAG laser is used for TMR as a minimally invasive treatment or during open heart surgery:
  • Hybrid or standalone surgical TMR: After making a tiny incision in the chest, 20–40 tiny channels are formed in the left ventricle wall using a laser. These channels permit blood to enter oxygen-depleted cardiac tissue straight from the ventricle.
  • A hybrid strategy: In some situations, if only some coronary arteries can be bypassed and others need TMR, TMR and CABG are combined.

The procedure generally takes one to two hours. Hospitalisation typically lasts 3 to 5 days after standalone TMR, while hybrid TMR with bypass surgery may require a longer stay depending on patient condition and surgical complexity.

  • Irregular heart rhythms (arrhythmias)
  • Bleeding
  • Infection
  • Pericardial effusion (fluid around the heart)
  • Stroke or heart attack (rare)
  • Reaction to anesthesia

  • Significant reduction in angina symptoms
  • Improved quality of life and exercise tolerance
  • Decreased dependence on anti-anginal medications
  • Beneficial for patients with no other surgical options
  • May promote long-term blood vessel formation (angiogenesis)

Recovery time varies by the type of procedure. After TMR, patients are typically monitored in the ICU for 24–48 hours. Discomfort at the incision site is normal. Physical activity is gradually resumed over weeks. Regular follow-up is essential to monitor heart function and adjust medications.

TMR has an 80–90% success rate in easing the symptoms of angina. Many patients report significant pain reduction and increased everyday functioning, even if it might not be able to treat coronary artery disease. The greatest long-term advantages occur when lifestyle changes and the best medical care are combined.

Would you like some help? We are available.

Get Help
Explore Hospitals ( 67 )
Transmyocardial Revascularization (TMR) in Bangkok Hospital: Costs, Top Doctors, and Reviews

Bangkok, Thailand

  • Joint Commission International, or JCI

Bangkok Hospital located in Bangkok, Thailand is accredited by JCI. Also listed below are some of the most prominent infrastructural details:

  • It is recognised for the application of the newest healthcare technology.
  • Blood analysis center that is not just the best in Thailand but in Asia Pacific as well.
  • Biomolecule center that is the seed of healthcare equipment for Thailand and overseas.
  • International affiliations and collaborations with universities and hospitals in Japan and the United States of America.
  • 11 hospitals are recognised as Centers of Excellence.
  • Known excellence in Trauma, Orthopedics, Cardiovascular, Neurology as well as Cancer Care.
  • There is a proper streamlined patient services process followed in Bangkok Dusit Medical Services, Bangkok, Thailand.
  • A well developed research center showcases the intent of the organisation to provide research based treatment opportunities to the patients.
  • The group has several Medical industry partnerships as well to ensure healthcare solutions.
Transmyocardial Revascularization (TMR) in Asan Medical Centre: Costs, Top Doctors, and Reviews

Seoul, South Korea

  • ISO 9001

Asan Medical Centre located in Seoul, South Korea is accredited by ISO. Also listed below are some of the most prominent infrastructural details:

  • 524,700 square meters is the floor area of Asan Medical Centre
  • Number of beds is 2,715
  • 67 operating rooms
  • 11,680 outpatients
  • Everday 2,427 inpatients come to the Centre
  • 66,838 Sophisticated surgeries (per year)
  • 1,600 physicians and surgeons
  • 3,100 nurses
  • Five various types of rooms ranging from suites to multi-bed rooms
Transmyocardial Revascularization (TMR) in Mount Elizabeth Novena Hospital: Costs, Top Doctors, and Reviews

Novena, Singapore

  • Joint Commission International, or JCI

Mount Elizabeth Novena Hospital located in Novena, Singapore is accredited by JCI. Also listed below are some of the most prominent infrastructural details:

  • Capacity of 333 beds
  • Intensive Care Unit beds
  • Endoscopy beds
  • Day ward with 20 beds
  • 13 Operating Theatres, which includes 1 Neurological operating room, 2 Cardiac operating rooms, 4 Orthopaedic operating rooms, etc.
  • High Dependency Unit (HDU)
  • Neonatal Intensive Care Unit (NICU)
  • 24/7 Accident & Emergency Department
  • Maternity ward
  • 1 major operating unit with 13 operating rooms inclusive of 1 hybrid theatre
  • In-house Pharmacy
  • Rooms are categorized as Single Signature Rooms, Junior Suite and Regal Suite
  • All patient rooms are equipped with electric safe, LCD, sofa cum bed, wardrobe, radio channels, and much more
Transmyocardial Revascularization (TMR) in Parkway Pantai: Costs, Top Doctors, and Reviews

Kuala Lumpur, Malaysia

  • Joint Commission International, or JCI

Parkway Pantai located in Kuala Lumpur, Malaysia is accredited by JCI. Also listed below are some of the most prominent infrastructural details:

  • Capacity of 335 beds
  • 200+ specialist Doctors
  • Critical Care Unit
  • Neonatal Intensive Care Unit
  • Operating Theatre
  • International Patient Care Center
  • Types of rooms available- Premier Suite, Supreme Suite, Deluxe Single Room, 2-bedded room, 4-bedded room, Deluxe Suite, Premier Single room, and Supreme Single room
Transmyocardial Revascularization (TMR) in Memorial Ankara Hospital: Costs, Top Doctors, and Reviews

Ankara, Turkey

  • Joint Commission International, or JCI

Memorial Ankara Hospital located in Ankara, Turkey is accredited by JCI. Also listed below are some of the most prominent infrastructural details:

  • Covers an area of 42,000 sqm of closed area
  • Capacity of 230 beds (60 intensive care units
  • 11 Operating rooms
  • 63 Polyclinics
  • Technologies used by the Hospital are PET/CT, Endosonography-EUS, Elekta Versa HD Signature, etc.
  • Besides the patient rooms and suites where any needs and luxuries of the patients and their relatives are considered, Memorial also has rooms for dissable patients, where all details are designed specially
Transmyocardial Revascularization (TMR) in Artemis Health Institute: Costs, Top Doctors, and Reviews

Gurgaon, India

3.3 ( 4 Reviews )
  • Joint Commission International, or JCI
  • National Accreditation Board for Hospitals & Healthcare Providers (NABH)

Artemis Hospital, established in 2007 in Gurgaon, India, is a 750+ bed, state-of-the-art multi-speciality hospital and the first in Gurgaon accredited by JCI and NABH. A flagship of the Apollo Tyres Group, it offers advanced care across cardiology, oncology, orthopaedics, neurology, and transplant medicine, supported by modern infrastructure and 60+ world-class operating theatres. Its Centres of Excellence span critical areas like heart, cancer, neurosciences, orthopaedics, and women & child care. Guided by values of Service, Compassion, and Integrity, Artemis combines innovation, technology, and affordability, making it a trusted international healthcare destination for comprehensive and compassionate patient care.

Transmyocardial Revascularization (TMR) in Gleneagles Hospital: Costs, Top Doctors, and Reviews

Singapore, Singapore

  • Joint Commission International, or JCI

Gleneagles Hospital, located on Napier Road in Singapore, is a leading private healthcare institution offering comprehensive medical services and advanced clinical care. With 221 beds and a strong team of medical specialists, the hospital holds the Singapore Quality Class certification for excellence in healthcare. Its state-of-the-art facilities include ICU, HDU, NICU, Urgent Care Centre, operating theatres, radiology, endoscopy, laboratories, and rehabilitation units. Gleneagles specializes in orthopaedics, oncology, women’s health, and gastroenterology, offering tailored programs for cancer, bone, and gut health. With modern maternity packages and patient-friendly rooms, the hospital ensures compassionate, high-quality care focused on safety, comfort, and recovery.

Transmyocardial Revascularization (TMR) in International St. Mary's Hospital: Costs, Top Doctors, and Reviews

Seoul, South Korea

  • Joint Commission International, or JCI

International St. Mary's Hospital located in Seoul, South Korea is accredited by JCI. Also listed below are some of the most prominent infrastructural details:

  • 3 Basements and 5 Floors Building
  • International Healthcare Center
  • Korean Traditional Medicine Hospital
  • Hybrid Operation Theatres
  • Conference Rooms
  • Seminar Rooms
  • Auditorium
  • Intensive Care Units
  • Hospice ward
  • Chapel
  • Emergency Medical Center
  • Pathology
  • Outpatient Pharmacy
  • 15 Professional Treatment Centers
  • 35 Clinical Departments
  • Transplant Centers
  • Admission & Discharge Center
  • Counseling office
  • Convenience Store
  • Animal Laboratories
  • Parking in basement
  • Food court for patients & visitors
  • Coffee Shop
  • Free Wi-fi is available throughout the Hospital premises
Transmyocardial Revascularization (TMR) in Sunway Medical Centre: Costs, Top Doctors, and Reviews

Kuala Lumpur, Malaysia

  • The Australian Council on Healthcare Standards (ACHS)

Sunway Medical Centre has initiated a comprehensive expansion plan close to its current hospital facility to enhance its ability to provide services to the global market. The new Cancer Radiosurgery Center and Nuclear Medicine Center, which will also house additional Centers of Excellence like the Digestive Health Center and Dialysis Center, marked the completion of Tower C's first phase in October 2016.

Transmyocardial Revascularization (TMR) in Medipol Bahçelievler Hospital: Costs, Top Doctors, and Reviews

Istanbul, Turkey

  • Joint Commission International, or JCI

Medipol Bahcelievler Hospital is a medical institution providing a full range of medical and individualized approaches to its patients. Medipol has the ambition to bring high quality and maximum security to people in need by employing state-of-the-art technologies in medicine. They ensure that the health of the patients is improved by fashioning unique physician specialty treatment programs.

Medipol Bahcelievler Hospital provides an exceptional position in the healthcare industry with a policy of clear communication, professionalism, and reliability to patient expectations. Medipol Bahçelievler Hospital is situated in the European Side of Istanbul, dedicated to 24-hour health care for you and your loved ones, equipped with a fully functional operation theatre and ICUs with state-of-the-art equipment, laboratory, emergency, and advanced treatment rooms

Need Some Advice From Our Experts?

Request a Call Back Now!

Our team of healthcare experts would be happy to assist you

trusted Patientstrusted Patients+99
Trusted by 50000+ Patients
Required | alphabets and spaces
Required | A valid, working email address
Required | A valid contact

Instantly Connect with our Transmyocardial Revascularization (TMR) Specialists

Doctor 1
Doctor 2
Doctor 3
Doctor 4
Doctor 5
Doctor 6
Doctor 7
Doctor 8
Our Services to Better your Experience

Opinion & Option

We submit the most accurate opinion and options from one or more countries for your review

Consult Privately

Consult with a certified specialist privately on our telemedicine platform even before you decide to travel

Logistics

We handle flights, visas, transfers, and accommodation—so you can focus on your health.

Recovery

Our In-house rehabilitation service packages to better your recovery and treatment outcome

Author

Dr. Vijita Jayan

BPT, MPT (Neuro)

18 Years of Experience

With over 18 years of distinguished clinical experience, Dr. Vijita Jayan is a highly accomplished Clinical Director and Rehabilitation Specialist, renowned for her expertise in neuro-rehabilitation, functional recovery, and mobility-dependent case management. Her extensive practical knowledge enables her to design and implement individualized, evidence-based rehabilitation protocols that consistently yield measurable patient outcomes. A prolific researcher and academic writer, she has authored numerous peer-reviewed articles and research papers, significantly advancing the field of rehabilitative medicine. The recipient of multiple prestigious accolades, Dr. Jayan is widely regarded as one of the foremost authorities in Physical Medicine and Rehabilitation, continually shaping neuro-rehabilitative care through research, innovation, and clinical excellence.. View More

Reviewer

Dr. Naresh Kumar Goyal

Cardiologist

21 Years of Experience

Dr. Naresh Kumar Goyal is highly trained as a cardiologist with exposure in virtually all aspects of cardiology. He qualified with an MD in internal medicine in 1999 from SMS Medical College, Jaipur, and served in the Cardiology Department as an honorary resident. From this stage, he also started with training in the temporary pacing of the pacemaker as well as interventional services. View More