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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 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 MGM Healthcare: Costs, Top Doctors, and Reviews

Chennai, India

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

There are a wide variety of healthcare facilities and specialized, targeted treatments provided by MGM HealthCare. Some of its most prominent services are listed below:

Institute of Heart and Lung Transplant and Mechanical Circulatory Support:  Well renowned for having the third-highest number of heart transplants in a year (102) and also the successful completion of several other transplant surgeries and cardiac surgeries.

Cardiac Sciences: They offer a variety of screening tests and facilities including Tilt Table Test, Coronary Angioplasty and Stenting, CT Angiography, Coronary Artery Bypass Grafting, Stress Echocardiogram, Cardiac Stress Test and Cardiac Catheterisation.

Obstetrics and Gynaecology: They provide all services to ensure a woman’s well-being. Some of the services offered are Menstrual Cramps Treatment, Colposcopy, Myomectomy, Vaginal Hysterectomy, Breastfeeding Support, Ovarian Cyst Removal, Menopause Management, Vaginal Birth After Caesarean (VBAC), and Menorrhagia Treatment.

Orthopedics: Bilateral Knee Replacement, Total hip Replacement, and Knee Arthroscopy are all the procedures that are offered in this department.

Liver Transplantation: An exceptionally skilled team of professionals who have performed over 4,000 liver transplant surgeries and an operation theatre and ICU specifically dedicated to HBP surgery is available at the patient’s disposal.

Emergency Medicine: MGM Healthcare has a fully functioning facility dedicated to emergency medicine that operates 24 hours a day and 7 days a week. 

Oncology: The patients will be in the safe hands of well-trained medical personnel qualified in the field of oncology and specialize in procedures like Bowel resection surgery, Biopsy, Lumpectomy, Liver Resection Surgery, Lung Cancer resection surgery, Lymph Node Surgery, and Laparoscopic Prostatectomy. They also provide cancer treatments like Chemotherapy, Immunotherapy, and Targeted Therapy.

Anaesthesiology and SICU: They specialize in the field of local, general and regional anesthesia and work to assist doctors during surgical procedures.

Neurosciences and Spine: The doctors in this department handle difficult procedures like Brain Tumour Surgery, Spine Reconstructive Surgery, Neuro Surgeries, and Spine Surgeries with the utmost ease and professionalism. They also have a specific area dedicated to Neuroanaesthesia and NeuroCritical Care.

Do visit the environment-friendly medical facility in Chennai and experience medical excellence.

Transmyocardial Revascularization (TMR) in Burjeel Medical City: Costs, Top Doctors, and Reviews

Abu Dhabi, United Arab Emirates

  • ISO 9001

The Hospital owns an International Patient Services Team that is responsible to assist international patients with world-class healthcare, transportation arrangement, accommodation facilities, language interpreters, and much more. 

Burjeel Medical City (about 1.2 million square facilities)provides 7-star hospitality to its patients. It has the largest facility space bed among all the private hospitals. The Hospital consists of-

  • Large waiting areas and consultation rooms 
  • Spacious lobbies on each floor 
  • 338 Luxurious Patient Rooms 
  • 70 Ambulatory Rooms
  • Intensive Care Units
  • The Hospital comprises various centers, under Burjeel Cancer Institute- 
  • Breast Center
  • Uro-oncology Center
  • Surface Malignancy Center (HIPC)
  • Head & Oncology Center
  • Medical Oncology & Hematology Center and others
Transmyocardial Revascularization (TMR) in Medstar Antalya Hospital: Costs, Top Doctors, and Reviews

Ankara, Turkey

  • Joint Commission International, or JCI
  • Medstar Antalya Hospital has been providing patients with modern medical services since 2009.
  • It is part of the trusted Memorial Health Group, which is known for expert healthcare in Turkey.
  • The hospital is situated on a large campus and features advanced medical equipment and facilities.
  • It has 124 comfortable beds for patients and five fully prepared operating rooms for surgeries.
  • There are 33 intensive care beds, including specialised units for newborns who require additional support.
  • The hospital treats many health issues like cancer, heart problems, brain conditions, and more.
  • Modern machines, such as MRI, CT, and PET-CT, help doctors identify and treat problems quickly and safely.
  • Medstar meets international safety and care standards and is trusted by both local and global patients.
  • Care plans are made specially for each person, and emotional well-being is also supported.
  • Its location in Antalya makes it easy to reach and ideal for people coming from other countries for treatment.
Transmyocardial Revascularization (TMR) in Sri Ramachandra Medical Centre: Costs, Top Doctors, and Reviews

Chennai, India

2.9 ( 1 Reviews )
  • Joint Commission International, or JCI
  • National Accreditation Board for Hospitals & Healthcare Providers (NABH)

Sri Ramachandra Medical Centre located in Chennai, India is accredited by ISO, JCI, NABH, NABL. Also listed below are some of the most prominent infrastructural details:

  • The best minds in healthcare including specialists, and other healthcare professionals work together to treat patients with simple to complex and critical conditions.
  • The number of inpatients and outpatients (annually) are 35,000 and 2,50,000 respectively.
  • A wide range of surgical specialties, sub specialties are available in Sri Ramachandra Medical Centre Chennai.
  • The bed capacity of the hospital is 800 which is inclusive of 200 Intensive Care Unit beds.
  • Blood Bank and Eye Bank are available on a 24/7 basis.
Transmyocardial Revascularization (TMR) in Jaypee Hospital: Costs, Top Doctors, and Reviews

Noida, India

  • National Accreditation Board for Hospitals & Healthcare Providers (NABH)
  • Joint Commission International, or JCI

Jaypee Hospital located in Noida, India is accredited by ISO, NABH, NABL. Also listed below are some of the most prominent infrastructural details:

  • 525 beds in the first phase
  • 150 Critical Care beds
  • 325 ward beds with Suite, Deluxe, Twin Sharing, and Economy options
  • 18 Modular OTs
  • 4 Cardiac Catheterization Lab with unqie Hybrid Operating Room
  • 24 bedded Advanced Neonatal ICUs20 bedded Dialysis Units
  • 2 Linear Accelerator (IMRT, VMAT, I
  • GRT), Wide Bore CT Simulator, one Brachytherapy Suite
  • True Beam STx Linear Accelerator
  • 2 MRI (3.0 Tesla) with High-Intensity Focused Ultrasound
  • 64 Slice PET CT, Gamma Camera, Dual Head 6 Slice SPECT CT
  • 256 Slice CT Scan, CT Simulation
  • Amongst the few GOLD LEED-certified hospital buildings in India
  • Appointment Scheduling
  • Flow motion 64 Slice PET CT technology
  • Pick and drop facility from/to the Airport
  • Foreign exchange facility
  • Treatment packages
  • Visa assistance
  • Admission in the hospital
  • Wi-Fi/internet service in the room
  • Travel arrangement for patient & attendant after discharge
  • Tele-consults after discharge
  • Dedicated Guest House for International Patients maintained by Jaypee Hospital
  • In-house translators for patient’s comfort
  • Assistance in getting doctor’s opinion
  • Registration with the Foreigners Regional Registration Office
  • Accommodation arrangements after discharge
  • Accommodation arrangement for the accompanying attendant
  • Customized diet for patient and attendant
  • Laundry services
  • Prayer room
  • Dialysis facility for 60 patients
  • Cadaver organs
  • Blood bank facilities
  • Advanced Laboratory facilities
  • Diagnostic and Radiology facilities
  • High-end Ultrasound facilities
Transmyocardial Revascularization (TMR) in Aakash Healthcare Super Speciality Hospital: Costs, Top Doctors, and Reviews

Delhi, India

  • National Accreditation Board for Hospitals & Healthcare Providers (NABH)
  • ISO 9001

Aakash Healthcare Super Speciality Hospital located in New Delhi, India is accredited by NABH. Also listed below are some of the most prominent infrastructural details:

  • One of the biggest tertiary care hospitals in India
  • Facility is fusion of state of the art technology, competent clinicians, and world-class infrastructure
  • 230 beds
  • 70 bedded medical and surgical and Critical Care Unit
  • Ward Bed Options- Twin, Deluxe, Sharing and Economy
  • Pneumatic Tube System
  • Ambulance Services 24x7
  • 15 Bedded dialysis unit
  • Advanced Neonatal ICU
  • Advanced imaging services, including magnetic resonance imaging, computed tomography scanning, digital mammography, ultrasound
  • 8 modular OTs
  • Flat Panel Cath Labs
  • LASIK - SMILE Suite
  • Wellness Lounge
  • State-of-the-art diagnostic equipment
  • 15 Dialysis beds
  • 24x7 ‘Trauma & Emergency Center
  • Dedicated blood bank
  • 24x7 comprehensive patient care.
  • Deployed high-end technologies & smart digital system
  • Robust Hospital Information Systems to meet complex medical needs of patients
  • Robotic assisted surgeries
  • International Patients Lounge
  • Airport Pick-up and Drop
  • Accommodation and Food for Attendant
  • Language Interpreter Services
  • 4 triage beds, a dedicated sample collection room, 6 observation beds, and highly skilled emergency staff
  • Robotic knee replacement surgery
  • ATM
  • Lounge for visitors
  • Internet Access: The whole facility is Wi-Fi enabled
  • Travel Desk: Provides an all-round patient care.
  • 24x7 pharmacy
Transmyocardial Revascularization (TMR) in Aster Medcity: Costs, Top Doctors, and Reviews

Kochi, India

  • National Accreditation Board for Hospitals & Healthcare Providers (NABH)
  • Joint Commission International, or JCI
  • 670 bed facility
  • 24 hours Emergency and Trauma Care

Aster Centres of Excellence

    • Cardiac Sciences
    • Orthopaedics & Rheumatology
    • Neurosciences
    • Nephrology & Urology
    • Oncology
    • Gastroenterology
    • Integrated Liver Care
    • Womens Health
    • Child & Adolescent Health
    • Multi Organ Transplant
  • Diagnostic Technology used for increasing the efficiency of diagnostic procedures.
  • Streamlined Application of Therapeutic Technology
  • Minimal Access Robotic Surgery (MARS) which makes use of the da Vinci Surgical System is applied by the specialists in Aster Medcity, Kochi, Kerala.
  • ORI Fusion Digital Integrated Operation Theatres which applies Karlstorz OR1 Fusion system.
  • Completely digital Anesthesia facility
  • Pharmacy which possesses completely Automated Drug Dispensing
Transmyocardial Revascularization (TMR) in Medicana Camlica Hospital: Costs, Top Doctors, and Reviews

Istanbul, Turkey

4.2 ( 2 Reviews )
  • ISO 9001
  • Joint Commission International, or JCI

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

  • 150 bedded Hospital
  • Specialty-based clinics
  • Fully-equipped patient rooms
Transmyocardial Revascularization (TMR) in Memorial Sisli Hospital: Costs, Top Doctors, and Reviews

Istanbul, Turkey

  • Joint Commission International, or JCI
  • National Accreditation Board for Hospitals & Healthcare Providers (NABH)

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

  • Operates in a closed area of 53,000 sqm
  • Capacity of 252 beds
  • 13 Operating rooms
  • 4 Intensive Care Units (KVC, General, Coronary, Neonatal)
  • 3 Laboratories
  • Organ Transplantation Center
  • IVF Center
  • Genetic Center
  • Stroke Center
  • Breast Health and Disease Center
  • Oncology Center
  • Da Vinci Robotic Surgery Center
  • Bone Marrow Transplantation Center

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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

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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