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 )
Apollo Hospitals Bannerghatta
Bangalore, India
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
Medipol Mega University Hospital
Istanbul, Turkey
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
Assuta Hospital
Tel Aviv, Israel
Assuta Hospital located in Tel-Aviv, Israel is accredited by JCI. Also listed below are some of the most prominent infrastructural details:
- Annual numbers for Assuta Hospital group
- 92,000 surgeries
- 683,000 healthcare examinations, ambulatory treatments
- 440,000 imaging tests
- 4,000 (approx.) cardiac catheterization diagnosis, treatments
- 16,000 (approx.) IVF treatments
- 500 (approx.) kinds of surgical procedures
- Assuta Hospital, Tel Aviv, is an important healthcare facility which is recognised for being a surgical specialist.
- Even in the surgical specialty, Assuta Hospital, Tel Aviv performs superlative Minimally Invasive Surgeries.
- Impressive imaging technology is present in the hospital, such as CT (advanced), PET-CT, MRI and two-head nuclear imaging camera.
- 15 Operating Theatres
- 200 plus beds
- Resuscitation units
- 2 monitoring laboratories
Yashoda Hospital, Malakpet
Hyderabad, India
Yashoda Hospital, Malakpet located in Hyderabad, India is accredited by NABH, NABL. Also listed below are some of the most prominent infrastructural details:
- Multi-bed facility
- High-tech labs, modular operation theaters
- Advanced medical equipement
- Dedicated rooms for patients with all facilities
- State-of-art technology
- 24/7 blood bank
- State of the art Cardio-Thoracic Center with the latest CATH LAB Equipment & Modular steel operation theatre
- Neurosurgery department equipped with an operating microscope, high-speed drill & stereotaxy
- 24-hour Emergency services to take care of all kinds of trauma and other orthopedic emergencies
- Pulmonology department equipped with modern gadgets.
- One of the best PFT labs and bronchoscopy units
- Nephrology services include Renal Biopsy, AV Fistulas, AV Grafts & Permanent Catheter Insertions, Hemodialysis; Temporary Access For Dialysis; Peritoneal Dialysis
- Has a comprehensive cancer care unit following a trans-disciplinary & multi-modality approach
- State-of-the-art services of Digital X rays, Flouroscopy, Ultrasonography, OPG, Mammography, CT 64 Slices, MRI, etc.
- Airport Transfer Service
- Scheduling Of All Medical Appointment
- Processing Of Medical Second Opinion
- Provide Language Interpreter
- Special Dietary Needs / Religious Arrangement
- Coordination Of Admissions Process
- Cost Estimates For Anticipated Treatments
- Foreign Exchange service
- Billing and Finance Related Service
- Providing Information Of Patient’s Relatives Back Home
Anadolu Medical Center
Kocaeli, Turkey
Anadolu Medical Center located in Kocaeli, Turkey is accredited by ISO, JCI. Also listed below are some of the most prominent infrastructural details:
- The Medical Center is present over an area of 188.000 square meters. This is inclusive of the indoor area which is 50 thousand square meters.
- Let us also have a look at some of the important infrastructure pointers of this hospital.
- Bed capacity of 201
- Outpatient Clinic at Ata?ehir
- Bone Marrow Transplantation Center that opened its doors in June 2010
- Developed and using latest technologies such as IMRT and Cyberknife
- Multidisciplinary care
- An OECI-designated clinical cancer centre
Lenmed Ethekwini Hospital and Heart Centre
Durban, South Africa
4.9 ( 1 Reviews )
Apart from in-detail treatment procedures available, Lenmed Ethekwini Hospital and Heart Centre located in Durban, South Africa 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:
- 377 bed capacity
- 24 hour accident and emergency unit
- Heart, lung and kidney transplants available
- Pediatric Cardiac Surgery services
- Cardiac Centre of Excellence for Adult & Paediatric Cardiac Surgery
- Two Cardiac Catheterisation Labs
- Cardiac Theatre
- 7 Major Operating Theatres
- 42 Bed ICU
- Neuro Operating Theatre
- Stroke Centre of Excellence
- Renal Centre of Excellence
- 24/7 Emergency unit
- Transplant Program
- Pharmacy and Prayer Facility
I.A.U VM Medical Park Florya Hospital
Istanbul, Turkey
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
Medical Park Bahcelievler Hospital
Istanbul, Turkey
0.5 ( 1 Reviews )
Medical Park Bahcelievler Hospital located in Istanbul, Turkey is accredited by JCI. Also listed below are some of the most prominent infrastructural details:
- Covers an area of 33.000 m
- 19-storey Hospital Building
- Capacity for 242 beds
- 89 Outpatient clinic rooms
- 10 Operating rooms
- 24 Newborn Incubators
- 6 Paediatric Intensive Care Beds
- 28 Adult Intensive Care beds
- 6 CVS and 12 cardiology intensive care beds
- Luxurious & comfortable rooms like of 5-star hotel rooms for patients
- Free Wi-fi
- Parking lot
- Place of worship
- Cafe/Restaurant
Medical Park Fatih Hospital
Istanbul, Turkey
Medical Park Fatih Hospital located in Istanbul, Turkey is accredited by JCI. Also listed below are some of the most prominent infrastructural details:
- Situated in an area of 6500 m2
- Capacity of 84 beds
- Emergency Clinic
- ICU
- Many special services, including but not limited to T.V. (all domestic and international canals are available), Internet, patient-specific diet and journals and newspapers, are offered to patients to maximize satisfaction
- Private rooms for patients available
- Family accommodation
- Pharmacy
- Laundry
- Mobility accessible rooms
- Parking lot
- Prayer Room
- Cafeteria
University Hospital Quironsalud Madrid
Madrid, Spain
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.
Need Some Advice From Our Experts?
Request a Call Back Now!
Our team of healthcare experts would be happy to assist you
+99
