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Transmyocardial Revascularization (TMR) Cost in Istanbul

Costs starts from USD18000 to USD32000
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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 ( 16 )
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

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

Istanbul, Turkey

4.9 ( 1 Reviews )
  • Joint Commission International, or JCI

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

  • The Istanbul center consists of 154 beds, 8 operating rooms, and 50 clinics
  • Boasts of most experienced and talented Robotic surgeons in the world and is the only hospital in Turkey to receive the Robotic Surgery Center of Excellence certification
  • Highest form and techniques in Radiation Oncology among Hospitals in Turkey
  • Highly advanced Cancer treatment techniques like Immunotherapy, Nuclear Medicine, Robotic Surgery, etc
  • Specialized treatments like Box Technique, Zygomatic Implants
  • IVF Center
  • Hair Transplant Clinic
  • Check Up Center
  • Stem Cell Center
  • Emergency Department
  • Diabetes Polyclinic
  • Pediatric Ear, Nose & Throat Clinic
Transmyocardial Revascularization (TMR) in Medicana International Istanbul: Costs, Top Doctors, and Reviews

Istanbul, Turkey

  • Joint Commission International, or JCI

Medicana International Istanbul located in Istanbul, Turkey is accredited by ISO, JCI. Also listed below are some of the most prominent infrastructural details:

  • Covers an indoor area of 30.000 m
  • Capacity of 191 beds
  • 34 ICUs
  • 8 NICUs
  • 8 Operation Theatres
  • Inpatient Floors
  • Outpatient Floors
  • Internal and Surgical Intensive Unit Care
  • Cardiovascular Surgery Intensive Care Unit
  • Coronary Intensive Care Unit
  • Neonatal Intensive Care Unit
  • Patient comfort CIP, VIP and Standard Patient Rooms
  • Intensive care patient rooms
  • Technology Advancement- PET-CT, ERCP, BT/MR 1.5 Tesla
Transmyocardial Revascularization (TMR) in Memorial Atasehir Hospital: Costs, Top Doctors, and Reviews

Istanbul, Turkey

  • Joint Commission International, or JCI

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

  • Covers an area of 22,000 sqm in the Anatolian side of Istanbul
  • The Hospital has comfortable patient rooms, designed while considering all the required needs of the patients
  • Capacity of 144 beds
  • Intensive Care Unit
  • Emergency Department
Transmyocardial Revascularization (TMR) in Medicana Bahcelievler Hospital: Costs, Top Doctors, and Reviews

Istanbul, Turkey

0.5 ( 1 Reviews )
  • Joint Commission International, or JCI

Medicana Bahcelievler Hospital located in Istanbul, Turkey is accredited by ISO, JCI. Also listed below are some of the most prominent infrastructural details:

  • Capacity of 89 beds
  • 6 Operating Rooms
  • 2 Delivery Rooms
  • Coronary Intensive Care Unit
  • General Intensive Care Unit
  • Neonatal Intensive Care Unit
  • Dialysis Unit with 30 beds
Transmyocardial Revascularization (TMR) in Acibadem Bakirkoy Hospital: Costs, Top Doctors, and Reviews

Istanbul, Turkey

  • Joint Commission International, or JCI

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

  • This hospital has as many as 102 beds with intensive care beds (27), operating theatres (7).
  • There is also one heliport in the hospital that is used for the purpose of emergency transfer within the hospital.
  • The operating theatres as well as inpatient facilities have been upgraded vis. a vis. technology and infrastructure in the year 2008 and 2009 and both outpatient as well as inpatient were upgraded as recently as in the year 2017.
  • A very well developed Neonatal Intensive care unit.
  • Some popular specialties and departments of Acibadem Bakirkoy Hospital, Istanbul, Turkey are Cardiology, Dermatology, Endocrinology, Family medicine, Gastroenterology, Nephrology, Neurology and Oncology.
Transmyocardial Revascularization (TMR) in Acibadem Maslak Hospital: Costs, Top Doctors, and Reviews

Istanbul, Turkey

  • Joint Commission International, or JCI

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

  • Beds are 210 in number including 27 intensive care beds with 15 sterile operation rooms, and 9 advanced-level rooms
  • Smart building technology of the hospital
  • Number of doctors in this hospital are 170.
  • Thyroid Clinic, Stroke Center, Obesity Clinic, Reproductive Health Center, and a fully equipped radiotherapy center are all the additional facilities present in the Acibadem Maslak Hospital, Istanbul, Turkey.
  • There is also a seamlessly operating International Patient Center which enables functions like registrations, orientations, admissions, presenting medical information to International patients, appointments, visa, travel, transfer and accomodation arrangements.
  • Translation and interpreter services are available as is multilingual staff.
  • The hospital has moved with the times and all its systems are electronically upgraded.
Transmyocardial Revascularization (TMR) in Acibadem Fulya Hospital: Costs, Top Doctors, and Reviews

Istanbul, Turkey

  • Joint Commission International, or JCI

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

  • The hospital has cutting edge infrastructure and all latest amenities.
  • Equipment like Whole body MR scanner, 4D Ultrasound system for Breast Cancer screening, 3D Imaging and Navigation System for Prostate Biopsy, Posturography (Balance) Device, and EBUS.
  • Everything that makes healthcare delivery a 360* process is present in Acibadem Fulya Hospital, Istanbul, Turkey like diagnostic services, insurance, language interpretation services, travel and lodging arrangements.
  • Clinic Laboratory, Dialysis, Gastrointestinal Endoscopy Laboratory, Pulmonary Function Laboratory, Radiology and Sleep Laboratory are also present.
  • Intensive Care Units (ICU) are also available in the Acibadem Fulya Hospital, Istanbul, Turkey.
  • There are many popular specialties and departments present in Acibadem Fulya Hospital, Istanbul, Turkey, which is a multidisciplinary healthcare organisation. Some are Cardiology, Neurology, Cardiology, Cardiovascular Surgery, Dermatology, Ear, Nose and Throat (Otolaryngology) etc.
Transmyocardial Revascularization (TMR) in Medipol Mega University Hospital: Costs, Top Doctors, and Reviews

Istanbul, Turkey

  • Joint Commission International, or JCI

Medipol Mega University Hospital located in Istanbul, Turkey is accredited by JCI. Also listed below are some of the most prominent infrastructural details:

  • The Hospital includes 4 centers i.e. general surgery, cardiovascular surgery, oncology, and dentistry
  • Medipol patients have access to over 60,000 m2 of the gardens, 26,000 m2 of the five-storied underground parking, 100,000 m2 covered premises and 1,500 members of the stuff
  • Capacity of 470 patient beds
  • Oncology Center
  • Emergency department that can admit up to 134 patients (including general, coronary, KVC and neonatal emergency department)
  • 25 Operating rooms
  • Medipol Mega University Hospital uses the following innovative technologies- Biplane digital flat-panel angiographic system, Digital flat-panel tomosynthetic mammography, Surgical O-ARM PEROP CT Imaging system, etc.
  • Helicopters enabling the transfer of the patient at the most emergency cases
  • The Hospital creates a friendly & comfortable ambience for the patients and their relatives with terrace garden suites, normal rooms. Each room is equipped with multimedia services like TV, DVD, Internet, online access from patients bedside, Unlimited Digital Archive pacs and high-quality meal service
  • Prayer Room
  • 5-starred cafeteria/restaurant
Transmyocardial Revascularization (TMR) in I.A.U VM Medical Park Florya Hospital: Costs, Top Doctors, and Reviews

Istanbul, Turkey

  • Joint Commission International, or JCI

I.A.U VM Medical Park Florya Hospital located in Istanbul, Turkey is accredited by JCI. Also listed below are some of the most prominent infrastructural details:

  • Situated on an area of 51.000 m2
  • Capacity of 300 beds
  • 13 Operating rooms
  • 92 Polyclinics
  • Emergency Unit
  • Intensive care Unit
  • Parking lots
  • Places of worship
  • Rooms designed according to different needs offer the comfort of a 5-star hotel
  • Special services are provided in all rooms, from television with domestic and foreign channels to internet service, from patient-specific diet menu to newspaper and magazine service
  • Cafe/Restaurant with delicious menu

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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