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Transmyocardial Revascularization (TMR) Cost in Spain

Costs starts from USD22000 to USD42000
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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 ( 8 )
Transmyocardial Revascularization (TMR) in Centro Medico Teknon: Costs, Top Doctors, and Reviews

Barcelona, Spain

  • Joint Commission International, or JCI

Apart from in-detail treatment procedures available, Centro Medico Teknon located in Barcelona, Spain has a wide variety of facilities available for International Patients. Some of the facilities which are provided by them are Accommodation, Airport Transfer, Choice of Meals, Interpreter, SIM, TV inside room. Also listed below are some of the most prominent infrastructural details:

  • 60,000 square meters of area
  • 211 wards
  • International visitors program to manage the patient base
  • Cardiovascular Institute and Oncology Institute as specialised centres
  • Assisted Reproduction availaibility
  • Checkup program
  • Plastic & Reparative surgery capacities

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

Barcelona, Spain

  • Joint Commission International, or JCI
  • ISO 9001

Apart from in-detail treatment procedures available, Hospital Quironsalud Barcelona located in Barcelona, Spain has a wide variety of facilities available for International Patients. Some of the facilities which are provided by them are Accommodation, Airport Transfer, Choice of Meals, Interpreter, SIM, TV inside room. Also listed below are some of the most prominent infrastructural details:

  • There are more than 50 healthcare specialties in the hospital.
  • It has different kinds of rooms such as over 130 private rooms, 56 suits, and more than 150 consultation rooms.
  • There are more than 14 operation theatres and 1 robotic surgery theatre is also present.
  • Technologically advanced devices are present in the hospital such as 1 linear accelerator, 2 CAT and 3 MRI scanners.
  • Accommodation, flight booking, transfers and interpreters are available.
Transmyocardial Revascularization (TMR) in Jimenez Diaz Foundation University Hospital: Costs, Top Doctors, and Reviews

Madrid, Spain

  • ISO 9001
  • Joint Commission International, or JCI

With about 80,000 m 2 , it is equipped with the highest sanitary technology and offers a wide portfolio of services-

  • Day hospital
  • 11 central operating rooms
  • 3 operating rooms for CMA
  • 6 Delivery rooms
  • 686 beds
  • Ambulatory major surgery
  • Emergencies
  • Pediatric emergency
  • ICU
  • Neonatal ICU
  • External Consultations
Transmyocardial Revascularization (TMR) in Quironsalud Marbella Hospital: Costs, Top Doctors, and Reviews

Marbella, Spain

  • ISO 9001

Apart from in-detail treatment procedures available, Quironsalud Marbella Hospital located in Marbella, Spain has a wide variety of facilities available for International Patients. Some of the facilities which are provided by them are Accommodation, Airport Transfer, Choice of Meals, Interpreter, SIM, TV inside room. Also listed below are some of the most prominent infrastructural details:

  • The hospital is present in an area of 10.500 square meters.
  • A 24- hour emergency service for all kinds of emergency scenarios, even pediatric.
  • There is a specialised radiology department as well as a hemodialysis unit.
  • The hospital also consists of an Intensive Care Unit with a laboratory.
  • Also present are a functional test area with physiotherapy services in addition to functional recovery.
  • Wide network of Insurance partners both national and international.
  • A professionally managed international patient care center.
  • There are more than 25 medical specialties
  • The number of rooms are: 65 plus private rooms, over 14 consultation rooms.
  • There are also more than 5 operation theatres with 2 endoscopy rooms
  • Ultrasound, MRI, CAT scan are also present as per needs and requirements.
Transmyocardial Revascularization (TMR) in University Hospital Quironsalud Madrid: Costs, Top Doctors, and Reviews

Madrid, Spain

  • Joint Commission International, or JCI
  • ISO 9001

Apart from in-detail treatment procedures available, University Hospital Quironsalud Madrid located in Madrid, Spain has a wide variety of facilities available for International Patients. Some of the facilities which are provided by them are Accommodation, Airport Transfer, Choice of Meals, Interpreter, SIM, TV inside room. Also listed below are some of the most prominent infrastructural details:

  • 54,000 square meters is the area of the hospital.
  • It has huge healthcare capacities with an annual number of 300,000 plus consultations and surgical procedures.
  • The hospital has 39 medical as well as surgical disciplines.
  • There are a variety of rooms available in the hospital which includes 235 individual rooms, as many as 57 suites with 4 royal rooms, 14 Intensive Care unit beds, 8 pediatric ICU beds and 18 Neonatal ICU beds.
  • There are over 70 out-patient clinics present in the hospital.
  • Quironsalud Madrid University Hospital, Madrid has 21 advanced operation rooms.
  • It also possesses one da Vinci surgical robot.
  • The international patient care of the hospital is top notch.
Transmyocardial Revascularization (TMR) in Quironsalud Torrevieja Hospital: Costs, Top Doctors, and Reviews

Torrevieja, Spain

  • ISO 9001

Quironsalud Torrevieja Hospital located in Torrevieja (Alicante), Spain is accredited by ISO. Also listed below are some of the most prominent infrastructural details:

  • The national and international partners of Quironsalud Torrevieja Hospitalmake it a healthcare centre of excellence.
  • The technological upgrades in the hospital have made it the choice of patients in specialties such as Nephrology, Neurology, Orthopedics, Cardiac surgery etc.
  • There are over 35 medical specialties in the hospital.
  • The number of private rooms in the hospital are more than 70 and 45 plus consultation rooms and more than 6 operation theatres.
  • The number of suites are 4 suites and there are 4 royal suites.
  • Ultrasound machines, linear accelerators and even PET-CT, MRI, CAT scan options are present.
Transmyocardial Revascularization (TMR) in Sagrat Cor University Hospital: Costs, Top Doctors, and Reviews

Barcelona, Spain

The Hospital is an amalgamation of a group of buildings located in the Eixample Left of Barcelona, ??between Paris, Viladomat, and London streets. It has a capacity of 350 adjustable beds and first-class hotel-like services inpatient rooms. Currently, it has a workforce of about 1100 Healthcare Professionals. 

In order to treat patients with intensive care, the Hospital has 10 beds in its ICU for critically ill patients. 

The Hospital has launched a few more things to improve customers’ services- 4 new Operating Rooms and a New Diagnostic Imaging Service.

Other Services

  • Surgical Block with 13 major surgery operating rooms, 5 operating rooms for Minor Surgeries, 1 for Dermatology Service
  • The Non-Admitted Surgery Unit (UCSI) Major Outpatient Surgery (CMA) has a total of 14 units to care for major surgery patients who do not require admission to hospitalization
  • Rehabilitation Center with treatment boxes and group therapy room, Gym, Medical visit offices, priests rooms, waiting rooms, and others 
  • 7 Examination Cabinets 
  • The pediatric patients waiting room 
  • Emergency Center-12 emergency boxes, 1 double resuscitation box, and 7 rapid visit offices

Types of Room

Double Rooms, Double Rooms for Individual Use, and Single Rooms; equipped with an easy-to-use electrical movement control system and a nursing call/warning system, located at the head of the bed, a sofa-bed for the companion, and a bathroom with a shower. They are also equipped with television and telephone.

A cafeteria/Restaurant is also available for the patients or visitors.

Transmyocardial Revascularization (TMR) in Catalunya General University Hospital: Costs, Top Doctors, and Reviews

Barcelona, Spain

  • ISO 9001
  • A 328-bed capacity, offering comfortable rooms with modern facilities for patient recovery.
  • Twenty-two intensive care beds are available for adults, children, and newborns needing close monitoring.
  • Seventeen advanced surgical theatres are used for different operations, from general to highly specialised surgeries.
  • Over 120 medical consultation rooms where patients receive personalised outpatient care.
  • A full suite of diagnostic imaging tools, including MRI, CT, and ultrasound, for accurate medical evaluations.
  • A round-the-clock emergency department equipped to handle urgent and critical health issues.
  • Dedicated units for neurology and neurosurgery, treating conditions such as stroke, epilepsy, and nerve disorders.
  • Neurological testing facilities, including EEG and EMG, are available for detailed assessments of the brain and nerves.
  • A strong focus on rehabilitation, helping patients recover from surgeries, injuries, or neurological events.
  • A maternity area designed for safe deliveries, with neonatal support for newborn care.
  • A day hospital section allows patients to get procedures or therapies without an overnight stay.
  • On-site services, including a pharmacy and laboratory, are available to streamline patient care and testing.
  • Support for international patients, including multilingual staff and travel and care planning assistance.
  • Additional conveniences include a cafeteria, family waiting areas, and ample parking spaces.

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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