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Cost of Transmyocardial Revascularization (TMR) Worldwide

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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 ( 67 )
Transmyocardial Revascularization (TMR) in Medicana International Samsun Hospital: Costs, Top Doctors, and Reviews

Samsun, Turkey

  • Joint Commission International, or JCI

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

  • International Samsun Hospital provides services in a closed area of 30.000 m2
  • 9 elevators with pressure control have been designed for you in the hospital with 3 blocks, two of which are 11 floors and the other 10 floors
  • Capacity of 249 beds
  • 7 Operating Theatres
  • 109 Intensive Care beds (19 Newborn, 7 Paediatric, 20 Coronary, 8 CVS, and 54 General)
  • Laboratories - Biochemistry, Pathology, Hormone, Microbiology, Sleep Lab
  • IVF Center
  • Oncology Center
  • The Hospital serves patients with a team of about 99 specialists and academicians in 40 branches and 631 employees
  • Medicana International Samsun uses advanced technology & modern equipment such as BT/MR 1.5 Tesla, 3d Conformal, Thermal Welding, Holmium Laser, 4D Ultrasonography, Color Doppler Ultrasonography, Mammography, and Radiotherapy; in order to perform safe, authentic and quick treatment
  • All kinds of rooms are available for the patients- Single, Suite and VIP Rooms. Patient rooms are equipped with the latest technology and comfort
  • Amenities provided in the room for patients and their relatives- TV and Minibar in each room, 24-hour interrupted Cafeteria service, central air-conditioning ventilation system in each room, Internet access, phones in rooms, and much more
  • Cafeteria/Restaurant
  • Pharmacies on Duty
  • Parking lot with a capacity for 50 vehicles
Transmyocardial Revascularization (TMR) in Medicana International Ankara Hospital: Costs, Top Doctors, and Reviews

Ankara, Turkey

  • Joint Commission International, or JCI

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

  • Area of 20.000 m2
  • Capacity for 207 bed capacity
  • 8 Operating rooms
  • 26 Observation beds
  • 17 internal and surgical intensive care units
  • 9 cardiovascular intensive care units
  • 10 incubators
  • 5 Coronary Intensive Care Unit
  • Neonatal intensive care unit (NICU)
  • IVF Center
  • Advanced Oncology Unit
  • Bone Marrow Center
  • Organ Transplant Center
  • Cardiology center
  • Obesity Center
  • Clinical Services
  • In-house Pharmacies
  • Parking capacity of 50 vehicles and free valet service
  • Patients rooms are fully equipped and categorized as Suite room, VIP room and standard room
Transmyocardial Revascularization (TMR) in Rabin Medical Center: Costs, Top Doctors, and Reviews

Petah Tikva, Israel

  • Joint Commission International, or JCI

Rabin Medical Center located in Petah Tikva, Israel is accredited by JCI. Also listed below are some of the most prominent infrastructural details:

  • There are as many as 6 intensive care departments at the center.
  • The hospital has been able to treat and manage complex heart conditions by exceptional cardiologists.
  • The Emergency care services of the hospital have also helped a large number of patients.
  • The Cardiothoracic Center is also worth mentioning for the care it has provided to patients.
  • The hospital is also recognised for its organ transplantation facilities with 70% of organ transplants in Israel done in Beilinson Hospital.
  • Bone Marrow transplants performed at the Davidoff Cancer Research and Treatment Center have been a boon for many patients.
Transmyocardial Revascularization (TMR) in VM Medical Park Samsun Hospital: Costs, Top Doctors, and Reviews

Samsun, Turkey

  • Joint Commission International, or JCI

Apart from in-detail treatment procedures available, VM Medical Park Samsun Hospital located in Samsun, Turkey 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. Also listed below are some of the most prominent infrastructural details:

  • All the patient rooms are equipped with all the amenities like Nurse call system, computer access system and controllable patient bed and Blue Code Call systems; to provide a comfort zone to the patients
  • 8 specially-equipped Operating Rooms (2 reserved for cardiovascular surgery)
  • IVF Unit
  • Dental Unit
  • Technology advancement- Linear Accelerator and PET-CT, etc.
Transmyocardial Revascularization (TMR) in Carthage International Medical Center: Costs, Top Doctors, and Reviews

Monastir, Tunisia

  • Joint Commission International, or JCI

Apart from in-detail treatment procedures available, Carthage International Medical Center located in Monastir, Tunisia 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 covers an area of about 15,000 sqm with a capacity of about 133 beds
  • Standard Rooms & Suites facility is available in order to give them physical and psychological comfort to the patients
  • Furthermore, the rooms are equipped with plasterboard partitions for optimum sound and thermal comfort, individual bathrooms, a television with satellite reception, and a fire door, etc.
  • Ambulance of the Hospital is fully equipped with all the necessary medical equipment of latest technology ensuring the best medical transportation services of the patients
  • The hospital has a Department for international patients offering interpreter services for various languages
Transmyocardial Revascularization (TMR) in Carolina Medical Center: Costs, Top Doctors, and Reviews

Warsaw, Poland

  • ISO 9001

Apart from in-detail treatment procedures available, Carolina Medical Center located in Warsaw, Poland 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:

  • Focus on innovative scientific research based treatments
  • Multidisciplinary healthcare organisation
  • Academic focus on training and education of healthcare workers as well as on therapeutic programmes.
  • They are an undisputed segment of LUX MED Group whe are associated with Polish Olympics Committee. This enables them to take care of Polish athletes.
  • The healthcare requirements of dancers of National Ballet, national team members associated with several sports teams are borne by Carolina Medical Center, Warsaw, Poland.
  • Diagnostics and rehabilitation section of this medical center is top notch.
  • It is also a preferred medical destination for international patients owing to the best of services provided by them to ease the experience of international medical tourists in every aspect.
  • Online consultations and emergency services are also available for patients.
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 The London Clinic: Costs, Top Doctors, and Reviews

London, United Kingdom

  • Joint Commission International, or JCI

We, The London Clinic family, take pride in our reputation as a multi-disciplined healthcare facility. With skilled nurses and expert consultants, our medical teams are always focused to deliver the best individualized medical care. More than 1,000 nursing, clinical, and support staff are currently working with us to give our patients an extensive range of treatments. We use cutting-edge technologies to ensure a comprehensive range of healthcare services. Not only that, in order to make your stay with us comfortable enough, we equip our patient bedrooms with:

  • Electronic patient-controlled bed
  • En-suite bathroom
  • Air conditioning system
  • Remote-controlled television and radio
  • Telephone with direct dial facility
  • Nurse call system
  • Personal safe
  • Wi-fi

Patients from all over the world fly to us to get their procedures done by our specialist doctors, which is why we also provide our patient's concierge services. Our concierge services include:

  • Booking travel and hotel accommodation
  • Arranging London tour
  • Making theatre and restaurant reservation

The London Clinic has a zero-tolerance policy when it comes to hygiene and cleanliness. Our dedicated housekeeping team cleans every room every day between 8.00 am and 5.00 pm. They are also entitled to supply fresh towels every day and clean the rooms properly between patients.

We also have a day surgery unit based on the third floor at 20 Devonshire Place to make sure a hassle-free surgery as well as post-surgery care for our patients. Our cancer care unit at 22 Devonshire Place is also among our key services.

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

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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