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Transmyocardial Revascularization (TMR) Cost in India

Costs starts from USD6000 to USD11000
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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.

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Explore Hospitals ( 17 )
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 Mumbai: Costs, Top Doctors, and Reviews

Mumbai, India

  • Joint Commission International, or JCI
  • Gleneagles Hospital, Parel, Mumbai, is a premier quaternary-care multispeciality hospital and a top destination for complex medical care in Western India.
  • Renowned for multi-organ transplants and advanced surgeries, the hospital offers specialised treatment across Cardiology, Neurology, Gastroenterology, Hepatology, Nephrology, Urology, Orthopaedics, Critical Care, Interventional Radiology, Gynaecology, and General Medicine.
  • Equipped with state-of-the-art diagnostic and surgical technology, including 3-Tesla MRI, 128-slice CT Scan, Bi-plane Cath Lab, and robotic surgery systems, Gleneagles provides integrated, patient-focused care.
  • Its expert team of doctors, nurses, and support staff ensures high standards of safety, efficiency, and compassionate care, making it a trusted healthcare destination for patients in Mumbai and beyond.
Transmyocardial Revascularization (TMR) in Indraprastha Apollo Hospital: Costs, Top Doctors, and Reviews

Delhi, India

4.4 ( 5 Reviews )
  • Joint Commission International, or JCI

Indraprastha Apollo Hospital is known for delivering treatment to over 200,000 patients every year; 10,000 of which are generally medical tourists. The efficient team of doctors has the record of 99.6 percent success rate. Indraprastha Apollo Hospital deals in treatment of over 50 specialities.  

Let’s see some of the features of the infrastructure:

  • Spread over 15 acres, the hospital has 710 beds.
  • 6 beds dedicated to bone marrow transplant units with very strict infection control practices.
  • 64-Slice Scan coupled with data acquisition which provides highest temporal resolution
  • One of the hospitals to be using Da Vinci Robotics Surgery System
  • In South Asia, the Spect-CT and Pet-CT got their first installation at Indraprastha Apollo Hospital in India
  • Technologies such as PET- MR, BrainLab Navigation System, PET-CT, Portable CT Scanner, Tilting MRI, NovalisTx, Cobalt based HDR Brachytherapy, Hyperbaric Chamber, DSA Lab, Fibroscan, 3 Tesla MRI, Endosonography, 128 Slice CT scanner are all installed at the hospital.
  • The Cancer Institute at Indraprastha Apollo is equipped with a highly advanced Radiation Oncology Center with ClinaciX, NovalisTx, and HDR-Brachytherapy.
  • It is equipped with the largest Sleep Lab in Asia, & has one of the largest Dialysis Units in India.
  • A large number of ICU beds than any other Private Hospitals in India.
  • WIFI is accessible across the whole campus.
Transmyocardial Revascularization (TMR) in Global Health City: Costs, Top Doctors, and Reviews

Chennai, India

  • National Accreditation Board for Hospitals & Healthcare Providers (NABH)
  • National Accreditation Board for Testing and Calibration Laboratories (NABL)

The Hospital has world-class infrastructure with a capacity of over 1000 beds and much more-

  • 265 Licensed beds
  • 13 Operation Theatres
  • 24*7 Cath Lab
  • 24*7 available Blood Bank
  • 24*7 Emergency Department
  • 24*7 Open Pharmacy
Transmyocardial Revascularization (TMR) in Apollo Hospitals: Costs, Top Doctors, and Reviews

Hyderabad, India

  • Joint Commission International, or JCI

Apollo Hospitals located in Hyderabad, India is accredited by JCI, NABH. Also listed below are some of the most prominent infrastructural details:

  • A premier multi-specialty hospital with 477-bed capacity
  • More than 50 specialties, super-specialties
  • 12 Centers of Excellence
  • The Institutes for Heart Diseases, Neurosciences, Cancer, Emergency, Orthopaedics, Renal Diseases, and Transplants
  • Centers of Excellence are known for patient care, training and research
  • Doctors with years of truly global experience in healthcare delivery
Transmyocardial Revascularization (TMR) in Sterling Wockhardt Hospital: Costs, Top Doctors, and Reviews

Mumbai, India

  • National Accreditation Board for Testing and Calibration Laboratories (NABL)

Sterling Wockhardt Hospital located in Mumbai, India is accredited by NABH. Also listed below are some of the most prominent infrastructural details:

  • The bed capacity of Sterling Wockhardt Hospital is 50.
  • Critical care and complex cases resolution is done with excellent results.
  • Emergency departments with 3 beds capacity and Intensive Care Unit with 10 beds capacity.
  • The healthcare delivery focus of the hospital is both on prevention as well curing the conditions.
  • Diagnostics are well developed with the latest technological developments.
  • Pharmacy, operating rooms, lab services are at par with the best in the country.
  • 24/7 ambulance services to cover healthcare requirements in Panvel and Vashi.
  • Accommodation, airport transfers, flight bookings and translation services are all available for international patients.
Transmyocardial Revascularization (TMR) in Star Hospitals: Costs, Top Doctors, and Reviews

Hyderabad, India

  • National Accreditation Board for Hospitals & Healthcare Providers (NABH)
  • National Accreditation Board for Testing and Calibration Laboratories (NABL)

Star Hospitals located in Hyderabad, India is accredited by NABH, NABL. Also listed below are some of the most prominent infrastructural details:

  • The bed capacity of Star Hospitals, Hyderabad, India is 130.
  • The hospital has Intensive Care Units which are upgraded with the latest technologies.
  • International patient care services are applied to make the process of medical travel easier for international patients.
  • Centres of Excellence across disciplines such as Cardiac Sciences, Renal Sciences, Critical Care, ENT, Spine Surgery etc.
  • A radiology centre which has been digitised.
  • There are Centers of Excellence for prominent specialties such as cardiac care and neurosciences, there are a total of six.
Transmyocardial Revascularization (TMR) in Apollo Hospital: Costs, Top Doctors, and Reviews

Chennai, India

  • Joint Commission International, or JCI

Apollo Hospital located in Chennai, India is accredited by JCI, NABH. Also listed below are some of the most prominent infrastructural details:

  • Committed Centers of Excellence involving many major specialties, super specialties
  • Assistance in trip planning and execution
  • Insurance related assistance
  • Visa facilitation
  • International patient representatives for complete end to end travel and transfer processing for medical travellers
  • Language translators availability
  • Robust safety and infection protocols
  • Personalised, Visa and Premium Health Checks available
  • Health Library and accessing health records online
  • Wide variety of procedures accomplished including complex and critical procedures
  • Technologically advanced systems and procedures in place
  • Research and academics base of healthcare delivery
Transmyocardial Revascularization (TMR) in BGS Gleneagles Global Hospitals: Costs, Top Doctors, and Reviews

Bangalore, India

  • National Accreditation Board for Hospitals & Healthcare Providers (NABH)
  • National Accreditation Board for Testing and Calibration Laboratories (NABL)

Gleneagles BGS Hospital, Kengeri, is a leading healthcare centre in Bengaluru, committed to delivering compassionate, patient-focused care locally and globally. The hospital houses 15 specialised departments with over 30 medical and surgical specialities, supported by 450 beds, advanced emergency services, imaging, laboratory, and transfusion facilities.

It is renowned for pioneering initiatives such as South India’s first 5G-enabled ambulance and Karnataka’s largest Multi-Organ Transplant Program. Recognised among India’s top paediatric cranio-maxillofacial centres, it is also the first in Karnataka to receive the AHPI Award 2024 for “Excellence in Nursing Practices” consecutively.

Transmyocardial Revascularization (TMR) in Apollo Hospitals Bannerghatta: Costs, Top Doctors, and Reviews

Bangalore, India

  • Joint Commission International, or JCI

Apollo Hospitals Bannerghatta located in Bengaluru, India is accredited by JCI, NABH. Also listed below are some of the most prominent infrastructural details:

  • Bed Capacity is 250
  • Largest and most sophisticated sleep laboratory in the world
  • Technological powerhouse with latest equipments
  • 120 slice CT angiogram
  • 3 Tesla MRI
  • Low energy & High energy Linear Accelerators
  • Navigation System in surgical procedures
  • 4-D Ultrasound for 4 dimensional sonography
  • Digital Fluoroscopy
  • Gamma Camera
  • Stereotactic Robotic Radio- surgery
  • Autologous Bone Marrow Transplantation
  • Robotic assisted surgeries
  • Thallium Laser-First in India
  • Holmium Laser-First in South India
  • Digital X-Ray-First in Karnataka
  • 100 plus consultants
  • Uses Y shaped stent for tracheoesophageal fistula
  • Four autologous chondrocyte implantations procedure is performed and several more like Spinal angiolipoma excision, Tibial tuberosity shift with MPSL reconstruction
  • Biggest series of airway stents in India
  • The Minimal Access Surgery Centre (MASC) centre of excellence

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Author

Dr. Abdullah Rahil
Dr. Abdullah Rahil

MPT (Neuro)

7 Years of Experience

Dr. Abdullah Rahil, M.P.T. (Neurology), is a dedicated physiotherapy professional specializing in orthopedic, neurological, and musculoskeletal rehabilitation. With strong clinical expertise, he focuses on improving patient mobility, reducing pain, and restoring functional independence through evidence-based rehabilitation techniques. He is skilled in advanced therapeutic approaches that support effective rehabilitation and recovery for a wide range of musculoskeletal and neurological conditions, focusing on improving mobility, reducing pain, and restoring functional independence. Dr. Rahil has extensive experience managing diverse rehabilitation cases. His patient-centered approach emphasizes personalized treatment plans, continuous assessment, and comprehensive rehabilitation to achieve optimal recovery outcomes.. View More

Reviewer

Dr. Naresh Kumar Goyal
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

Last Reviewed - January 2026