Transmyocardial Revascularization (TMR) cost in India
Transmyocardial revascularization (TMR) treatment in India typically ranges from $5,000 to $10,000 USD which is equivalent to 4,50,000 to 9,00,000 Indian Rupees, depending on the type of procedure (laser TMR vs combined TMR with bypass), hospital chosen, surgeon expertise, and overall complexity of the patient’s coronary disease. This cost is significantly lower compared to Western countries, while Indian hospitals offer experienced cardiothoracic surgical teams, advanced laser systems, and comprehensive cardiac recovery care.
Cost Range of Transmyocardial Revascularization (TMR) cost in India
What is Transmyocardial Revascularization (TMR) ?
Transmyocardial Revascularization (TMR) is a surgical treatment for severe coronary artery disease used in patients who cannot undergo angioplasty or bypass surgery. In TMR, a surgeon uses a laser to create tiny channels in the heart muscle (myocardium). These channels help improve blood flow and oxygen delivery to areas of the heart that are not receiving enough blood due to blocked coronary arteries. The procedure can be performed alone or in combination with coronary artery bypass grafting (CABG). TMR is mainly recommended for patients with refractory angina (severe chest pain) that does not respond to medications or other standard treatments. The primary goal of TMR is to reduce chest pain, improve quality of life, and enhance exercise tolerance in advanced heart disease patients.
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Who Is a Candidate for Transmyocardial Revascularization (TMR)?
Patients with severe coronary artery disease who are not suitable for angioplasty or bypass surgery
Individuals with refractory angina, experiencing persistent chest pain despite maximum medical therapy
Patients with diffuse or small-vessel coronary disease where standard revascularization is not possible
Those who have failed previous treatments, such as CABG or stent placement
Patients with viable heart muscle but poor blood supply to certain regions
Individuals with high surgical risk who still require symptom relief
Patients evaluated and approved by a cardiac surgeon after detailed imaging and testing
Types of Transmyocardial Revascularization TMR Procedures & Cost in India (USD)
Type of Procedure | Description |
Laser TMR Only | Standard TMR using laser channels in the heart muscle for symptom relief |
TMR + CABG (Combined) | TMR performed along with coronary artery bypass grafting to treat multiple blockages |
Minimally Invasive TMR | Laser TMR via smaller incisions (if facility available) |
Hybrid TMR Procedures | TMR combined with other advanced cardiac interventions (e.g., PCI) |
The cost of the Transmyocardial Revascularization (TMR) treatment Starts from 5000 US dollars
Factors Affecting Transmyocardial Revascularization (TMR) Cost in India
Type of TMR procedure performed: Standalone laser TMR costs less than TMR combined with CABG or hybrid procedures.
Severity and extent of coronary artery disease: Diffuse or advanced disease increases surgical complexity and cost.
Need for combined surgery (TMR + CABG): Additional bypass grafts, longer operating time, and ICU care raise expenses.
Patient’s overall health and age: High-risk patients may require prolonged ICU monitoring and supportive care.
Heart function (ejection fraction): Poor heart function may need advanced peri-operative management.
Choice of hospital and city: Costs vary based on hospital infrastructure, technology, and location.
Surgeon’s experience and expertise: Highly experienced cardiac surgeons may have higher professional fees.
Length of ICU and hospital stay: Longer recovery or complications increase hospitalization charges.
Pre-operative diagnostic tests: Advanced imaging and cardiac evaluations add to total cost.
Post-operative care and rehabilitation: Medications, follow-ups, and cardiac rehab influence final expenses.
Symptoms Prompting Transmyocardial Revascularization (TMR)
TMR is usually recommended for patients with advanced coronary artery disease who continue to have symptoms despite maximum medical therapy. Common symptoms include:
Severe, persistent chest pain (refractory angina) not relieved by medications
Chest discomfort during minimal activity or at rest
Shortness of breath due to poor blood supply to the heart muscle
Extreme fatigue and reduced exercise tolerance
- Frequent episodes of angina despite previous treatments such as stents or bypass surgery
Diagnostic Tests for Transmyocardial Revascularization (TMR) & Cost in India (USD)
Diagnostic Test | Purpose |
Electrocardiogram (ECG) | Detects heart rhythm abnormalities and prior heart damage |
Echocardiography (2D Echo) | Assesses heart function, wall motion, and ejection fraction |
Stress Test / Stress Echo | Evaluates severity of ischemia and exercise tolerance |
Coronary Angiography | Confirms diffuse coronary artery disease and non-bypassable vessels |
Cardiac MRI | Assesses myocardial viability and scar tissue |
CT Coronary Angiography (if required) | Non-invasive coronary anatomy assessment |
Blood Tests | Evaluates kidney function, infection, and surgical fitness |
Chest X-ray | Assesses heart size and lung condition |
The cost of Diagnostic Tests forTransmyocardial Revascularization (TMR) - $600-$1000
Why Is India Preferred for Transmyocardial Revascularization (TMR)?
Significantly lower treatment costs compared to the US, UK, and Europe, with savings of up to 70–80%
Highly experienced cardiothoracic surgeons skilled in advanced laser-based heart procedures
Availability of modern laser technology for precise and effective TMR treatment
Internationally accredited hospitals with advanced cardiac ICUs and operation theaters
Multidisciplinary cardiac care teams, including cardiologists, surgeons, and anesthesiologists
High success rates in symptom relief for patients with refractory angina
Short waiting times for evaluation and surgery
Comprehensive support for international patients, including visa assistance, accommodation, and post-treatment follow-up
Best Hospitals for Transmyocardial Revascularization (TMR) Treatment in India
Best Doctor for Transmyocardial Revascularization (TMR) Treatment in India
