{"key":"op_1495_TR","page":{"url":"https://ru.bookimed.com/clinics/country=turkey/procedure=operaciya-koronarnogo-shuntirovaniya/","procedure":{"id":1495,"slug":"operaciya-koronarnogo-shuntirovaniya","name":"Операция коронарного шунтирования","name_forms":{"plural":{"status":"missing","reason":"not_collected"},"genitive":{"status":"missing","reason":"not_collected"}},"type":"surgery","grammar_number":{"status":"missing","reason":"not_collected"},"parent_id":"cardiology","family_attribute":{"status":"missing","reason":"not_collected"}},"country":{"id":46,"iso":"TR","name":"Турция"},"currency":"USD","data_date":"2025-03-11"},"pages":{"clinics_url":"https://ru.bookimed.com/clinics/country=turkey/procedure=operaciya-koronarnogo-shuntirovaniya/","cost_url":"https://ru.bookimed.com/clinics/country=turkey/procedure=operaciya-koronarnogo-shuntirovaniya/cost/","best_url":{"status":"missing","reason":"template not live"}},"price":{"from":10000,"to":14000,"avg":{"value":18321,"method":"median","source":"offers"},"us":{"from":70000,"to":125000},"uk":{"from":28000,"to":42000},"by_technique":{"status":"missing","reason":"not_collected"},"by_city":[{"city":"Стамбул","from":10000},{"city":"Анталия","from":12500},{"city":"Измир","from":11000}],"per_unit":{"status":"missing","reason":"not_collected"},"factors":{"status":"missing","reason":"not_collected"},"tiers":{"source":"offers","items":[{"tier":"premium","min":16642,"max":20000,"median":18321,"count":2}]},"comparison":[{"country_iso":"UA","from":12000,"to":18000},{"country_iso":"FR","from":30000,"to":50000},{"country_iso":"GB","from":28000,"to":42000},{"country_iso":"US","from":70000,"to":125000},{"country_iso":"IL","from":38000,"to":52000},{"country_iso":"MX","from":19000,"to":28000},{"country_iso":"DE","from":44400,"to":66600},{"country_iso":"CA","from":38000,"to":68000},{"country_iso":"AE","from":17000,"to":32000},{"country_iso":"TH","from":17500,"to":29000},{"country_iso":"PL","from":14500,"to":21000},{"country_iso":"KR","from":22000,"to":34000},{"country_iso":"CZ","from":17500,"to":25500},{"country_iso":"AT","from":28000,"to":39000},{"country_iso":"ES","from":25000,"to":34000},{"country_iso":"IT","from":24000,"to":35000},{"country_iso":"CN","from":14000,"to":25000},{"country_iso":"AU","from":27500,"to":44800},{"country_iso":"IN","from":6500,"to":9500},{"country_iso":"MY","from":12000,"to":19500},{"country_iso":"VN","from":9500,"to":16500},{"country_iso":"BR","from":21000,"to":29000},{"country_iso":"DO","from":50000,"to":{"status":"missing","reason":"not_collected"}},{"country_iso":"RO","from":13900,"to":{"status":"missing","reason":"not_collected"}}],"base_country":"US","base_is_fallback":false},"savings":{"pct":86,"variant":">=15%"},"package":{"included":["4* Hotel","Blood tests","Consultation with a heart surgeon","Consultation with an anesthesiologist","Echocardiography","Electrocardiogram (ECG)","Hospitalization","Transfer airport-clinic-airport","VIP transfer (premium vehicle service, all transfers between airport, hotel and clinic)"],"excluded":{"status":"missing","reason":"not_collected"},"extra_charges":{"status":"missing","reason":"not_collected"}},"clinics":{"count":7,"items":[{"id":426,"name":"Hisar Hospital Intercontinental","city":"Istanbul","rating":4.5,"reviews_count":266,"accreditations":["Joint Commission International","Turkish Medical Association (Türk Tabıplerı Bırliği)","Turkish Medical Association","Patient choice in Oncology & Hematology Oncology","Best patient assistance","Best clinic for radiotherapy"],"rank":1,"has_procedure":true,"why_ranked":{"status":"missing","reason":"not_collected"},"bookimed_stats":{"status":"missing","reason":"not_published"},"procedure_description":{"status":"missing","reason":"not_collected"},"offers":[{"id":"6aacf48bc98b110b12099012","price":20000,"price_before_discount":22000,"nights":7,"included":["Blood tests","Consultation with a heart surgeon","Consultation with an anesthesiologist","4* Hotel","VIP transfer (premium vehicle service, all transfers between airport, hotel and clinic)"],"excluded":{"status":"missing","reason":"not_collected"},"other_services":"Robotic Coronary Artery Bypass Surgery – da Vinci Surgical Package This comprehensive package is designed for patients undergoing Robotic Coronary Artery Bypass Grafting (CABG) using the advanced da Vinci Robotic Surgical System. The package provides an integrated treatment pathway, covering the patient’s pre-operative assessment, robotic cardiac surgery, inpatient care, post-operative follow-up, and accommodation. The treatment begins with a detailed pre-operative medical evaluation, including the necessary blood tests, laboratory investigations, and radiological/cardiac imaging examinations to assess the patient’s condition and ensure appropriate surgical planning. The package includes the robotic coronary artery bypass surgery, followed by continuous 24-hour professional nursing care and close medical monitoring throughout the hospital stay. Post-operative follow-up is provided by the medical team to monitor recovery and identify any potential complications at an early stage. To provide additional comfort during the recovery period, the package also includes 7 nights of hotel accommodation after hospital discharge, together with ongoing medical coordination and post-operative follow-up. Package Includes: Robotic Coronary Artery Bypass Grafting (CABG) with the da Vinci Surgical System Pre-operative medical consultation and evaluation Pre-operative blood tests and laboratory investigations Required pre-operative radiology and cardiac imaging tests Robotic cardiac surgery Hospitalization and medical monitoring 24-hour professional nursing care Post-operative medical follow-up Post-operative blood tests and imaging examinations when medically indicated 7 nights of hotel accommodation Medical coordination throughout the treatment process"}]},{"id":7176,"name":"Memorial Göztepe Hospital","city":"Istanbul","rating":4.8,"reviews_count":9,"accreditations":{"status":"missing","reason":"not_collected"},"rank":2,"has_procedure":true,"why_ranked":{"status":"missing","reason":"not_collected"},"bookimed_stats":{"status":"missing","reason":"not_published"},"procedure_description":{"status":"missing","reason":"not_collected"},"offers":{"status":"missing","reason":"no_offers"}},{"id":8361,"name":"Prof. Öztekin Oto Heart Clinic","city":"Istanbul","rating":5,"reviews_count":{"status":"missing","reason":"not_collected"},"accreditations":{"status":"missing","reason":"not_collected"},"rank":3,"has_procedure":true,"why_ranked":"Uses arterial grafts with 90% patency at 10 years. Offers off-pump beating-heart and minimally invasive bypass through small incisions. Lead surgeon is past president of ESCVS.","bookimed_stats":{"status":"missing","reason":"not_published"},"procedure_description":{"status":"missing","reason":"not_collected"},"offers":[{"id":"6a82edc547251c0f29094ea6","price":16642,"nights":7,"included":["Electrocardiogram (ECG)","Echocardiography","Hospitalization","Transfer airport-clinic-airport"],"excluded":{"status":"missing","reason":"not_collected"},"other_services":"Decades of extensive experience in coronary bypass surgery, providing individualized surgical strategies for complex and multi-vessel coronary artery disease, with expertise in advanced bypass techniques and comprehensive cardiovascular care tailored to each patient’s clinical needs."}]},{"id":87,"name":"Anadolu Medical Center","city":"Istanbul","rating":4.6,"reviews_count":544,"accreditations":["Planetree's Gold Certificate","International Accreditation System for Interventional Oncology Services (IASIOS)","Patient choice in Oncology & Hematology Oncology","Patient Choice for Basic Check-up","Johns Hopkins Medicine","Organisation of European Cancer Institutes Certificate","European Society for Medical Oncology","Joint Commission International","International Organization for Standardization","World's Best Hospitals 2026 by Newsweek"],"rank":4,"has_procedure":true,"why_ranked":"Zero mortality in isolated CABG for three consecutive years. Robotic-assisted CABG option available. JCI-accredited hospital with Johns Hopkins Medicine partnership.","bookimed_stats":{"status":"missing","reason":"not_published"},"procedure_description":{"status":"missing","reason":"not_collected"},"offers":{"status":"missing","reason":"no_offers"}},{"id":5615,"name":"Medical Park Antalya Hospital Complex","city":"Antalya","rating":4.4,"reviews_count":8,"accreditations":["International Health Tourism Authorization Certificate"],"rank":5,"has_procedure":true,"why_ranked":{"status":"missing","reason":"not_collected"},"bookimed_stats":{"status":"missing","reason":"not_published"},"procedure_description":{"status":"missing","reason":"not_collected"},"offers":{"status":"missing","reason":"no_offers"}},{"id":1900,"name":"Biruni University Hospital","city":"Istanbul","rating":{"status":"missing","reason":"not_collected"},"reviews_count":{"status":"missing","reason":"not_collected"},"accreditations":["Turkish Medical Association","TEMOS International Healthcare Accreditation"],"rank":6,"has_procedure":true,"why_ranked":{"status":"missing","reason":"not_collected"},"bookimed_stats":{"status":"missing","reason":"not_published"},"procedure_description":{"status":"missing","reason":"not_collected"},"offers":{"status":"missing","reason":"no_offers"}},{"id":6071,"name":"Erdem Hospital","city":"Istanbul","rating":4.6,"reviews_count":{"status":"missing","reason":"not_collected"},"accreditations":["Turkish Medical Association"],"rank":7,"has_procedure":true,"why_ranked":{"status":"missing","reason":"not_collected"},"bookimed_stats":{"status":"missing","reason":"not_published"},"procedure_description":{"status":"missing","reason":"not_collected"},"offers":{"status":"missing","reason":"no_offers"}}]},"doctors":{"count":24,"languages":{"status":"missing","reason":"not_collected"}},"cities":[{"id":107,"slug":"stambul","name":"Стамбул","clinics_count":2,"price_from":10000,"profile":{"city_type":"Largest city in Turkey, megacity","access":["Sabiha Gökçen Airport (SAW), 32 km southeast of city center"],"sources":["https://en.wikipedia.org/wiki/Istanbul","https://en.wikipedia.org/wiki/Sabiha_G%C3%B6k%C3%A7en_International_Airport"],"checked_at":"2026-11-03","status":"ok"}},{"id":382,"slug":"antalia","name":"Анталия","clinics_count":1,"price_from":12500,"profile":{"city_type":"Major Mediterranean coastal city in Turkey","access":["Antalya Airport (AYT), 13 km from the city center"],"sources":["https://en.wikipedia.org/wiki/Antalya","https://en.wikipedia.org/wiki/Antalya_Airport"],"checked_at":"2026-11-03","status":"ok"}},{"id":395,"slug":"izmir","name":"Измир","clinics_count":{"status":"missing","reason":"not_collected"},"price_from":11000,"profile":{"city_type":"Aegean coastal port city in Turkey","access":["Izmir Airport (ADB), 14 km from the city center"],"sources":["https://en.wikipedia.org/wiki/%C4%B0zmir","https://en.wikipedia.org/wiki/Izmir_Adnan_Menderes_Airport"],"checked_at":"2026-11-03","status":"ok"}}],"offers":{"active":2,"active_with_related":2,"hospital_nights_median":7,"days_in_country_median":{"status":"missing","reason":"fewer than 10 offers with hotel days"},"top_offers":[{"id":"6aacf48bc98b110b12099012","clinic_id":426,"clinic_listed":true,"price":20000,"price_before_discount":22000,"nights":7,"transfer":{"status":"missing","reason":"not_collected"},"tests":{"status":"missing","reason":"not_collected"},"meds":{"status":"missing","reason":"not_collected"},"aftercare":{"status":"missing","reason":"not_collected"},"guarantee":{"status":"missing","reason":"not_collected"},"included":["Blood tests","Consultation with a heart surgeon","Consultation with an anesthesiologist","4* Hotel","VIP transfer (premium vehicle service, all transfers between airport, hotel and clinic)"],"excluded":{"status":"missing","reason":"not_collected"},"other_services":"Robotic Coronary Artery Bypass Surgery – da Vinci Surgical Package This comprehensive package is designed for patients undergoing Robotic Coronary Artery Bypass Grafting (CABG) using the advanced da Vinci Robotic Surgical System. The package provides an integrated treatment pathway, covering the patient’s pre-operative assessment, robotic cardiac surgery, inpatient care, post-operative follow-up, and accommodation. The treatment begins with a detailed pre-operative medical evaluation, including the necessary blood tests, laboratory investigations, and radiological/cardiac imaging examinations to assess the patient’s condition and ensure appropriate surgical planning. The package includes the robotic coronary artery bypass surgery, followed by continuous 24-hour professional nursing care and close medical monitoring throughout the hospital stay. Post-operative follow-up is provided by the medical team to monitor recovery and identify any potential complications at an early stage. To provide additional comfort during the recovery period, the package also includes 7 nights of hotel accommodation after hospital discharge, together with ongoing medical coordination and post-operative follow-up. Package Includes: Robotic Coronary Artery Bypass Grafting (CABG) with the da Vinci Surgical System Pre-operative medical consultation and evaluation Pre-operative blood tests and laboratory investigations Required pre-operative radiology and cardiac imaging tests Robotic cardiac surgery Hospitalization and medical monitoring 24-hour professional nursing care Post-operative medical follow-up Post-operative blood tests and imaging examinations when medically indicated 7 nights of hotel accommodation Medical coordination throughout the treatment process","is_package":true},{"id":"6a82edc547251c0f29094ea6","clinic_id":8361,"clinic_listed":true,"price":16642,"nights":7,"transfer":{"status":"missing","reason":"not_collected"},"tests":{"status":"missing","reason":"not_collected"},"meds":{"status":"missing","reason":"not_collected"},"aftercare":{"status":"missing","reason":"not_collected"},"guarantee":{"status":"missing","reason":"not_collected"},"included":["Electrocardiogram (ECG)","Echocardiography","Hospitalization","Transfer airport-clinic-airport"],"excluded":{"status":"missing","reason":"not_collected"},"other_services":"Decades of extensive experience in coronary bypass surgery, providing individualized surgical strategies for complex and multi-vessel coronary artery disease, with expertise in advanced bypass techniques and comprehensive cardiovascular care tailored to each patient’s clinical needs.","is_package":true}],"packages":[{"id":"6aacf48bc98b110b12099012","clinic_id":426,"clinic_listed":true,"price":20000,"price_before_discount":22000,"nights":7,"transfer":{"status":"missing","reason":"not_collected"},"tests":{"status":"missing","reason":"not_collected"},"meds":{"status":"missing","reason":"not_collected"},"aftercare":{"status":"missing","reason":"not_collected"},"guarantee":{"status":"missing","reason":"not_collected"},"included":["Blood tests","Consultation with a heart surgeon","Consultation with an anesthesiologist","4* Hotel","VIP transfer (premium vehicle service, all transfers between airport, hotel and clinic)"],"excluded":{"status":"missing","reason":"not_collected"},"other_services":"Robotic Coronary Artery Bypass Surgery – da Vinci Surgical Package This comprehensive package is designed for patients undergoing Robotic Coronary Artery Bypass Grafting (CABG) using the advanced da Vinci Robotic Surgical System. The package provides an integrated treatment pathway, covering the patient’s pre-operative assessment, robotic cardiac surgery, inpatient care, post-operative follow-up, and accommodation. The treatment begins with a detailed pre-operative medical evaluation, including the necessary blood tests, laboratory investigations, and radiological/cardiac imaging examinations to assess the patient’s condition and ensure appropriate surgical planning. The package includes the robotic coronary artery bypass surgery, followed by continuous 24-hour professional nursing care and close medical monitoring throughout the hospital stay. Post-operative follow-up is provided by the medical team to monitor recovery and identify any potential complications at an early stage. To provide additional comfort during the recovery period, the package also includes 7 nights of hotel accommodation after hospital discharge, together with ongoing medical coordination and post-operative follow-up. Package Includes: Robotic Coronary Artery Bypass Grafting (CABG) with the da Vinci Surgical System Pre-operative medical consultation and evaluation Pre-operative blood tests and laboratory investigations Required pre-operative radiology and cardiac imaging tests Robotic cardiac surgery Hospitalization and medical monitoring 24-hour professional nursing care Post-operative medical follow-up Post-operative blood tests and imaging examinations when medically indicated 7 nights of hotel accommodation Medical coordination throughout the treatment process","is_package":true},{"id":"6a82edc547251c0f29094ea6","clinic_id":8361,"clinic_listed":true,"price":16642,"nights":7,"transfer":{"status":"missing","reason":"not_collected"},"tests":{"status":"missing","reason":"not_collected"},"meds":{"status":"missing","reason":"not_collected"},"aftercare":{"status":"missing","reason":"not_collected"},"guarantee":{"status":"missing","reason":"not_collected"},"included":["Electrocardiogram (ECG)","Echocardiography","Hospitalization","Transfer airport-clinic-airport"],"excluded":{"status":"missing","reason":"not_collected"},"other_services":"Decades of extensive experience in coronary bypass surgery, providing individualized surgical strategies for complex and multi-vessel coronary artery disease, with expertise in advanced bypass techniques and comprehensive cardiovascular care tailored to each patient’s clinical needs.","is_package":true}],"related_packages":{"status":"missing","reason":"not_collected"},"other_packages":{"status":"missing","reason":"not_classified"}},"medical":{"indications":["Left main coronary artery disease","Multivessel disease, especially with diabetes or reduced ventricular function","Proximal LAD disease with additional vessel involvement","Complex coronary anatomy not ideal for stenting","Failed or unsuitable percutaneous coronary intervention","Persistent angina despite optimal medical therapy with graftable anatomy"],"contraindications":["Prohibitive surgical risk or very limited life expectancy (relative)","Unsuitable graft targets: very small or diffusely diseased vessels","No viable myocardium in the territory to be grafted","Severe irreversible organ failure or lung disease (relative)"],"operation_hours":{"min":3,"max":6,"unit":"hours","qualifier":"Operating time for uncomplicated primary isolated CABG; varies with number of grafts."},"anesthesia":["general"],"sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"Single operation."},"stages":[{"code":"cabg_operation","label":"Coronary artery bypass grafting","after":{"min":0,"max":0,"unit":"days","qualifier":"Performed during the initial admission."}}],"qualifier":"Usual primary isolated CABG is one operation."},"hospital_nights":{"value":7,"source":"offers","parsed_details":{"min":5,"max":10,"unit":"nights","qualifier":"Uncomplicated primary isolated CABG, including 1-2 days in intensive care."}},"treatment_conditions":["inpatient"],"rehabilitation_days":{"min":42,"max":90,"unit":"days","qualifier":"Ordinary functional recovery after uncomplicated CABG, including structured cardiac rehabilitation."},"fly_home_after_days":{"min":14,"max":42,"unit":"days","qualifier":"Uncomplicated recovery only; needs surgeon clearance based on clinical course, lung and graft status, travel type."},"back_to_work_days":{"min":42,"max":90,"unit":"days","qualifier":"Desk or light work after uncomplicated on-pump CABG via sternotomy; physically demanding work often takes longer."},"exercise_resume_weeks":{"min":6,"max":12,"unit":"weeks","qualifier":"Supervised walking starts early; sternal precautions limit upper-body strain until healing, then gradual progression with surgeon clearance."},"final_result_months":{"min":3,"max":6,"unit":"months","qualifier":"Full recovery of energy and symptom relief after uncomplicated surgery."},"result_longevity":"Arterial grafts (LIMA to LAD) stay patent in about 90% at 10 years; vein grafts fail more often (roughly 40-50% by 10 years). Symptom relief often lasts a decade or more.","main_risks":["Bleeding requiring re-operation or transfusion","Postoperative atrial fibrillation","Sternal wound infection or instability","Stroke","Cognitive changes","Perioperative myocardial infarction","Acute kidney injury, occasionally requiring dialysis","Pulmonary complications and pleural effusion","Cardiac tamponade","Early or late graft failure, especially saphenous vein grafts","Harvest-site complications","Death"],"complication_rate_pct":{"min":8,"max":20,"unit":"percent","qualifier":"Major in-hospital complications after primary CABG: bleeding, stroke, kidney injury, sternal infection. Excludes atrial fibrillation; higher end for high-risk patients."},"revision_rate_pct":{"min":10,"max":20,"unit":"percent","qualifier":"Repeat revascularization (PCI or redo CABG) within about 10 years; varies with conduit type and risk-factor control."},"success":{"metric":"Operative survival (30-day)","value":98,"horizon":"30 days","source":{"status":"missing","reason":"not_collected"},"evidence_status":"proven"},"scars":"Vertical midline sternotomy scar plus a leg or forearm harvest scar; scars fade over months but may widen or become raised.","pain":"Moderate to significant chest-wall and leg-harvest pain initially, controlled with multimodal analgesia; sternal discomfort with coughing or movement often lasts weeks.","preparation":["Coronary angiography, echocardiography, ECG and chest X-ray","Blood tests; carotid ultrasound or vein mapping when needed","Surgical and anesthesia risk evaluation","Medication review with the care team, including antiplatelet plan","Smoking cessation","Fasting before surgery as instructed","Breathing-exercise and early-mobilization teaching"],"recovery_timeline":[{"phase":"Intensive care (days 0-2)","description":"Ventilator weaning, monitoring, chest drains and pain control.","restrictions":["Assisted mobilization only"]},{"phase":"Ward stay (days 2-7 or longer)","description":"Progressive walking, breathing exercises, drain and pacing wire removal, rhythm monitoring.","restrictions":["Sternal precautions","No lifting"]},{"phase":"Early home recovery (weeks 1-6)","description":"Increasing walking and wound care; fatigue gradually improves; cardiac rehabilitation begins.","restrictions":["No driving until cleared, usually about 4-6 weeks","Avoid heavy lifting, commonly over about 5 kg","Avoid pushing or pulling with the arms"]},{"phase":"Late recovery (weeks 6-12)","description":"Sternal healing, return to work and gradual exercise progression.","restrictions":["Strenuous activity only with clearance"]}],"follow_up_visits":[{"purpose":"wound_check","requirement":"routine","after":{"min":7,"max":14,"unit":"days","qualifier":"Early post-discharge wound and clinical check; urgent review for fever, wound discharge, sternal clicking or chest pain at any time."}},{"purpose":"rehabilitation","requirement":"routine","after":{"min":14,"max":42,"unit":"days","qualifier":"Start of cardiac rehabilitation, often lasting about 6-12 weeks."}},{"purpose":"assessment","requirement":"routine","after":{"min":30,"max":56,"unit":"days","qualifier":"Surgeon or cardiologist review of recovery and medications."}}],"sources":{"status":"missing","reason":"not_collected"},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Check that the surgeon discusses the risks of heart surgery","scope":"procedure","source":{"url":"https://www.mayoclinic.org/documents/mc0389-pdf/doc-20078765","host":"mayoclinic.org","quote":"Talk with your surgeon about your risks related to heart surgery.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":403}},{"id":"C2","text":"Check that the surgical team selects the bypass approach based on your heart condition and overall health","scope":"procedure","source":{"url":"https://www.mayoclinichealthsystem.org/services-and-treatments/cardiac-surgery","host":"mayoclinichealthsystem.org","quote":"The cardiac surgery team performs traditional on pump coronary bypass, off pump coronary bypass, minimally invasive coronary bypass, and minimally invasive vein harvest, selecting the approach based on a person’s specific heart condition and overall health.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":403}},{"id":"C3","text":"Check that the team includes cardiologists, cardiovascular surgeons, and other healthcare professionals working together","scope":"procedure","source":{"url":"https://www.akamai.mayoclinic.org/tests-procedures/coronary-bypass-surgery/care-at-mayo-clinic/pcc-20384591","host":"akamai.mayoclinic.org","quote":"At Mayo Clinic, cardiologists, cardiovascular surgeons and other healthcare professionals work as a team to perform coronary artery bypass surgery and deliver coordinated, comprehensive care.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":403}},{"id":"C4","text":"Check whether follow-up care is scheduled at the same facility as the procedure","scope":"treatment_abroad","source":{"url":"https://www.cdc.gov/yellow-book/hcp/health-care-abroad/medical-tourism.html","host":"cdc.gov","quote":"Medical tourists should also know whether follow-up care is scheduled to occur at the same facility as the procedure.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":403}},{"id":"C5","text":"Confirm the surgeon is trained and experienced in the exact procedure you are considering, not just in surgery generally","scope":"treatment_abroad","source":{"url":"https://www.isaps.org/discover/patients-home/considering-your-procedure-abroad/finding-a-surgeon-abroad/","host":"isaps.org","quote":"Verify that the surgeon is trained and experienced in performing the procedure you are considering.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"red_flags":{"status":"ok","items":[{"id":"F1","text":"The offer does not state whether follow-up occurs at the same facility","scope":"treatment_abroad","source":{"url":"https://www.cdc.gov/yellow-book/hcp/health-care-abroad/medical-tourism.html","host":"cdc.gov","quote":"Medical tourists should also know whether follow-up care is scheduled to occur at the same facility as the procedure.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":403}},{"id":"F2","text":"An advert or information that guarantees complete success should raise concerns","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Any advert or information that guarantees complete success should raise concerns.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"F3","text":"Forceful persuasion or cheap, time-limited offers pushing you into a quick decision","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Don’t be pressured into quick decisions either through forceful persuasion or cheap, time limited offers.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"warning_signs":{"status":"ok","items":[{"id":"W1","text":"Worsening wound pain or redness","urgency":"contact_clinic","general":false,"source":{"url":"https://www.nhs.uk/tests-and-treatments/coronary-artery-bypass-graft/complications/","host":"nhs.uk","quote":"pain or redness around your wound that's getting worse or not getting better (redness may be less obvious on brown or black skin)","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"W2","text":"Bleeding or pus from your wound","urgency":"contact_clinic","general":false,"source":{"url":"https://www.nhs.uk/tests-and-treatments/coronary-artery-bypass-graft/complications/","host":"nhs.uk","quote":"bleeding or pus from your wound","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"W3","text":"Noticeable heart palpitations","urgency":"contact_clinic","general":false,"source":{"url":"https://www.nhs.uk/tests-and-treatments/coronary-artery-bypass-graft/complications/","host":"nhs.uk","quote":"heart palpitations, where your heartbeat becomes more noticeable","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"W4","text":"High temperature or feeling shivery","urgency":"contact_clinic","general":true,"source":{"url":"https://www.nhs.uk/tests-and-treatments/coronary-artery-bypass-graft/complications/","host":"nhs.uk","quote":"a high temperature, or you feel hot, cold or shivery","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"take_home":{"status":"ok","items":[{"id":"T1","text":"Home clinicians need documentation of care and medicines for subsequent treatment","document":"medical care documentation","source":{"url":"https://www.cdc.gov/yellow-book/hcp/health-care-abroad/what-to-do-when-sick-abroad.html","host":"cdc.gov","quote":"Request documentation of any medical care received abroad, including medications, and share with healthcare professionals delivering subsequent care while traveling and at home.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":403}},{"id":"T2","text":"Ask for written details of the procedure before you leave the hospital","document":"written procedure details","source":{"url":"https://rcseng.ac.uk/patient-care/cosmetic-surgery/after-surgery/","host":"rcseng.ac.uk","quote":"After your surgery, before you leave the hospital, ask for written information about the procedure you've had.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T3","text":"Home doctor needs the clinic's follow-up recommendations in a written discharge summary","document":"discharge summary","source":{"url":"https://sbuhb.nhs.wales/about-us/individual-patient-commissioning/ipc-folder/advice-on-accessing-treatment-abroad","host":"sbuhb.nhs.wales","quote":"When you have treatment abroad, you must ask the treatment provider for their follow-up recommendations documented within a written discharge summary in English.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T4","text":"Home doctor needs the dates for required blood tests and follow-up appointments","document":"written aftercare plan","source":{"url":"https://sbuhb.nhs.wales/about-us/individual-patient-commissioning/ipc-folder/advice-on-accessing-treatment-abroad","host":"sbuhb.nhs.wales","quote":"This should include any medication and doses, as well as any dates that blood tests and follow-up appointments must be carried out.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1}},"parsed_details":{"procedure_type":"surgery","fields":{"anesthesia":["general"],"back_to_work_days":{"min":42,"max":90,"unit":"days","qualifier":"Desk or light work after uncomplicated on-pump CABG via sternotomy; physically demanding work often takes longer."},"complication_rate_pct":{"min":8,"max":20,"unit":"percent","qualifier":"Major in-hospital complications after primary CABG: bleeding, stroke, kidney injury, sternal infection. Excludes atrial fibrillation; higher end for high-risk patients."},"contraindications":["Prohibitive surgical risk or very limited life expectancy (relative)","Unsuitable graft targets: very small or diffusely diseased vessels","No viable myocardium in the territory to be grafted","Severe irreversible organ failure or lung disease (relative)"],"days_in_clinic":{"min":5,"max":10,"unit":"nights","qualifier":"Uncomplicated primary isolated CABG, including 1-2 days in intensive care."},"diagnostic_duration_minutes":null,"diagnostic_preparation":null,"diagnostic_referral_needed":null,"diagnostic_result_time_hours":null,"exercise_resume_weeks":{"min":6,"max":12,"unit":"weeks","qualifier":"Supervised walking starts early; sternal precautions limit upper-body strain until healing, then gradual progression with surgeon clearance."},"final_result_months":{"min":3,"max":6,"unit":"months","qualifier":"Full recovery of energy and symptom relief after uncomplicated surgery."},"fly_home_after_days":{"min":14,"max":42,"unit":"days","qualifier":"Uncomplicated recovery only; needs surgeon clearance based on clinical course, lung and graft status, travel type."},"follow_up_visits":[{"purpose":"wound_check","requirement":"routine","after":{"min":7,"max":14,"unit":"days","qualifier":"Early post-discharge wound and clinical check; urgent review for fever, wound discharge, sternal clicking or chest pain at any time."}},{"purpose":"rehabilitation","requirement":"routine","after":{"min":14,"max":42,"unit":"days","qualifier":"Start of cardiac rehabilitation, often lasting about 6-12 weeks."}},{"purpose":"assessment","requirement":"routine","after":{"min":30,"max":56,"unit":"days","qualifier":"Surgeon or cardiologist review of recovery and medications."}}],"indications":["Left main coronary artery disease","Multivessel disease, especially with diabetes or reduced ventricular function","Proximal LAD disease with additional vessel involvement","Complex coronary anatomy not ideal for stenting","Failed or unsuitable percutaneous coronary intervention","Persistent angina despite optimal medical therapy with graftable anatomy"],"main_risks":["Bleeding requiring re-operation or transfusion","Postoperative atrial fibrillation","Sternal wound infection or instability","Stroke","Cognitive changes","Perioperative myocardial infarction","Acute kidney injury, occasionally requiring dialysis","Pulmonary complications and pleural effusion","Cardiac tamponade","Early or late graft failure, especially saphenous vein grafts","Harvest-site complications","Death"],"pain":"Moderate to significant chest-wall and leg-harvest pain initially, controlled with multimodal analgesia; sternal discomfort with coughing or movement often lasts weeks.","preparation":["Coronary angiography, echocardiography, ECG and chest X-ray","Blood tests; carotid ultrasound or vein mapping when needed","Surgical and anesthesia risk evaluation","Medication review with the care team, including antiplatelet plan","Smoking cessation","Fasting before surgery as instructed","Breathing-exercise and early-mobilization teaching"],"recovery_timeline":[{"phase":"Intensive care (days 0-2)","description":"Ventilator weaning, monitoring, chest drains and pain control.","restrictions":["Assisted mobilization only"]},{"phase":"Ward stay (days 2-7 or longer)","description":"Progressive walking, breathing exercises, drain and pacing wire removal, rhythm monitoring.","restrictions":["Sternal precautions","No lifting"]},{"phase":"Early home recovery (weeks 1-6)","description":"Increasing walking and wound care; fatigue gradually improves; cardiac rehabilitation begins.","restrictions":["No driving until cleared, usually about 4-6 weeks","Avoid heavy lifting, commonly over about 5 kg","Avoid pushing or pulling with the arms"]},{"phase":"Late recovery (weeks 6-12)","description":"Sternal healing, return to work and gradual exercise progression.","restrictions":["Strenuous activity only with clearance"]}],"rehabilitation_days":{"min":42,"max":90,"unit":"days","qualifier":"Ordinary functional recovery after uncomplicated CABG, including structured cardiac rehabilitation."},"result_longevity":"Arterial grafts (LIMA to LAD) stay patent in about 90% at 10 years; vein grafts fail more often (roughly 40-50% by 10 years). Symptom relief often lasts a decade or more.","revision_rate_pct":{"min":10,"max":20,"unit":"percent","qualifier":"Repeat revascularization (PCI or redo CABG) within about 10 years; varies with conduit type and risk-factor control."},"scars":"Vertical midline sternotomy scar plus a leg or forearm harvest scar; scars fade over months but may widen or become raised.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"Single operation."},"stages":[{"code":"cabg_operation","label":"Coronary artery bypass grafting","after":{"min":0,"max":0,"unit":"days","qualifier":"Performed during the initial admission."}}],"qualifier":"Usual primary isolated CABG is one operation."},"success":{"metric":"Operative survival (30-day)","value":98,"unit":"percent","horizon":"30 days","population":"Adults undergoing elective isolated primary CABG; lower in emergency or high-risk patients.","evidence_status":"proven"},"techniques":[{"name":"On-pump CABG via median sternotomy","suits_whom":"Most patients with multivessel or left main disease; usually LIMA to LAD plus vein or other arterial grafts.","recovery":"Inpatient recovery starting in ICU; cardiac rehabilitation afterward."},{"name":"Off-pump CABG (beating heart)","suits_whom":"Selected patients, depending on anatomy and surgeon experience; may reduce aortic manipulation and renal injury risk.","recovery":"Broadly similar to conventional CABG."},{"name":"Minimally invasive direct CABG (MIDCAB)","suits_whom":"Selected patients needing mainly LIMA to LAD grafting.","recovery":"Smaller thoracotomy incision instead of sternotomy; typically shorter stay and faster early recovery."}],"treatment_conditions":["inpatient"],"treatment_duration_hours":{"min":3,"max":6,"unit":"hours","qualifier":"Operating time for uncomplicated primary isolated CABG; varies with number of grafts."},"initial_assessment_documents":["Coronary angiography report and images","Echocardiogram report with ejection fraction","Latest ECG","Cardiologist's report or discharge summary","List of blood thinners","Recent blood tests including creatinine and HbA1c"],"travel_trips":{"min":1,"max":1,"one_trip_possible":true,"qualifier":"Single operation; stay about 5-10 nights in hospital, then 2-6 weeks before flying home. Follow-up and rehabilitation done at home."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Check that the surgeon discusses the risks of heart surgery","scope":"procedure","source":{"url":"https://www.mayoclinic.org/documents/mc0389-pdf/doc-20078765","host":"mayoclinic.org","quote":"Talk with your surgeon about your risks related to heart surgery.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":403}},{"id":"C2","text":"Check that the surgical team selects the bypass approach based on your heart condition and overall health","scope":"procedure","source":{"url":"https://www.mayoclinichealthsystem.org/services-and-treatments/cardiac-surgery","host":"mayoclinichealthsystem.org","quote":"The cardiac surgery team performs traditional on pump coronary bypass, off pump coronary bypass, minimally invasive coronary bypass, and minimally invasive vein harvest, selecting the approach based on a person’s specific heart condition and overall health.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":403}},{"id":"C3","text":"Check that the team includes cardiologists, cardiovascular surgeons, and other healthcare professionals working together","scope":"procedure","source":{"url":"https://www.akamai.mayoclinic.org/tests-procedures/coronary-bypass-surgery/care-at-mayo-clinic/pcc-20384591","host":"akamai.mayoclinic.org","quote":"At Mayo Clinic, cardiologists, cardiovascular surgeons and other healthcare professionals work as a team to perform coronary artery bypass surgery and deliver coordinated, comprehensive care.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":403}},{"id":"C4","text":"Check whether follow-up care is scheduled at the same facility as the procedure","scope":"treatment_abroad","source":{"url":"https://www.cdc.gov/yellow-book/hcp/health-care-abroad/medical-tourism.html","host":"cdc.gov","quote":"Medical tourists should also know whether follow-up care is scheduled to occur at the same facility as the procedure.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":403}},{"id":"C5","text":"Confirm the surgeon is trained and experienced in the exact procedure you are considering, not just in surgery generally","scope":"treatment_abroad","source":{"url":"https://www.isaps.org/discover/patients-home/considering-your-procedure-abroad/finding-a-surgeon-abroad/","host":"isaps.org","quote":"Verify that the surgeon is trained and experienced in performing the procedure you are considering.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"red_flags":{"status":"ok","items":[{"id":"F1","text":"The offer does not state whether follow-up occurs at the same facility","scope":"treatment_abroad","source":{"url":"https://www.cdc.gov/yellow-book/hcp/health-care-abroad/medical-tourism.html","host":"cdc.gov","quote":"Medical tourists should also know whether follow-up care is scheduled to occur at the same facility as the procedure.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":403}},{"id":"F2","text":"An advert or information that guarantees complete success should raise concerns","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Any advert or information that guarantees complete success should raise concerns.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"F3","text":"Forceful persuasion or cheap, time-limited offers pushing you into a quick decision","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Don’t be pressured into quick decisions either through forceful persuasion or cheap, time limited offers.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"warning_signs":{"status":"ok","items":[{"id":"W1","text":"Worsening wound pain or redness","urgency":"contact_clinic","general":false,"source":{"url":"https://www.nhs.uk/tests-and-treatments/coronary-artery-bypass-graft/complications/","host":"nhs.uk","quote":"pain or redness around your wound that's getting worse or not getting better (redness may be less obvious on brown or black skin)","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"W2","text":"Bleeding or pus from your wound","urgency":"contact_clinic","general":false,"source":{"url":"https://www.nhs.uk/tests-and-treatments/coronary-artery-bypass-graft/complications/","host":"nhs.uk","quote":"bleeding or pus from your wound","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"W3","text":"Noticeable heart palpitations","urgency":"contact_clinic","general":false,"source":{"url":"https://www.nhs.uk/tests-and-treatments/coronary-artery-bypass-graft/complications/","host":"nhs.uk","quote":"heart palpitations, where your heartbeat becomes more noticeable","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"W4","text":"High temperature or feeling shivery","urgency":"contact_clinic","general":true,"source":{"url":"https://www.nhs.uk/tests-and-treatments/coronary-artery-bypass-graft/complications/","host":"nhs.uk","quote":"a high temperature, or you feel hot, cold or shivery","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"take_home":{"status":"ok","items":[{"id":"T1","text":"Home clinicians need documentation of care and medicines for subsequent treatment","document":"medical care documentation","source":{"url":"https://www.cdc.gov/yellow-book/hcp/health-care-abroad/what-to-do-when-sick-abroad.html","host":"cdc.gov","quote":"Request documentation of any medical care received abroad, including medications, and share with healthcare professionals delivering subsequent care while traveling and at home.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":403}},{"id":"T2","text":"Ask for written details of the procedure before you leave the hospital","document":"written procedure details","source":{"url":"https://rcseng.ac.uk/patient-care/cosmetic-surgery/after-surgery/","host":"rcseng.ac.uk","quote":"After your surgery, before you leave the hospital, ask for written information about the procedure you've had.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T3","text":"Home doctor needs the clinic's follow-up recommendations in a written discharge summary","document":"discharge summary","source":{"url":"https://sbuhb.nhs.wales/about-us/individual-patient-commissioning/ipc-folder/advice-on-accessing-treatment-abroad","host":"sbuhb.nhs.wales","quote":"When you have treatment abroad, you must ask the treatment provider for their follow-up recommendations documented within a written discharge summary in English.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T4","text":"Home doctor needs the dates for required blood tests and follow-up appointments","document":"written aftercare plan","source":{"url":"https://sbuhb.nhs.wales/about-us/individual-patient-commissioning/ipc-folder/advice-on-accessing-treatment-abroad","host":"sbuhb.nhs.wales","quote":"This should include any medication and doses, as well as any dates that blood tests and follow-up appointments must be carried out.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"alternatives":{"status":"ok","items":[{"id":"A1","text":"You have angina or symptoms that have become unstable","name":"Coronary angioplasty","source":{"url":"https://www.nhs.uk/content-widgets/health-a-to-z/coronary-heart-disease/treatment","host":"nhs.uk","quote":"Angioplasty may be a planned procedure for someone with angina, or an urgent treatment if the symptoms have become unstable.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200},"operation_id":316},{"id":"A2","text":"Your coronary artery narrowings are less severe","name":"Medical treatment","source":{"url":"https://www.leedsth.nhs.uk/patients/resources/understanding-coronary-angiography-and-coronary-intervention/","host":"leedsth.nhs.uk","quote":"If your coronary angiogram reveals less severe narrowings, intensive medical management with tablets may be recommended.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200},"operation_id":null}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"technique_details":{"status":"ok","items":[{"id":"on-pump-cabg","name":"On-pump CABG via median sternotomy","how_it_works":{"text":"A machine circulates blood while the heart is operated on","source":{"url":"https://medlineplus.gov/coronaryarterybypasssurgery.html","host":"medlineplus.gov","quote":"A machine pumps blood through your body during the surgery.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},"recovery_daily":{"event":"back_to_daily_activities","min":6,"max":6,"unit":"weeks","label":"6 weeks","source":{"url":"https://www.nhs.uk/tests-and-treatments/coronary-artery-bypass-graft/recovery/","host":"nhs.uk","quote":"You should be able to get back to most of your normal activities after about 6 weeks.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}}},{"id":"off-pump-cabg","name":"Off-pump CABG (beating heart)","how_it_works":{"text":"Surgery is done while the heart continues beating","source":{"url":"https://www.mayoclinic.org/tests-procedures/coronary-bypass-surgery/about/pac-20384589","host":"mayoclinic.org","quote":"Instead the surgery is done on the beating heart.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":403}},"recovery_daily":{"status":"missing","reason":"no_official_source"}},{"id":"minimally-invasive-direct","name":"Minimally invasive direct CABG (MIDCAB)","how_it_works":{"text":"Small chest incisions provide access for minimally invasive bypass surgery","source":{"url":"https://medlineplus.gov/coronaryarterybypasssurgery.html","host":"medlineplus.gov","quote":"Small cuts are made in the chest.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1}}},"techniques":[{"id":"on-pump-cabg","name":"On-pump CABG via median sternotomy","how_it_works":{"id":"H1","text":"A machine circulates blood while the heart is operated on","source":{"url":"https://medlineplus.gov/coronaryarterybypasssurgery.html","host":"medlineplus.gov","quote":"A machine pumps blood through your body during the surgery.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},"recovery_daily":{"event":"back_to_daily_activities","min":6,"max":6,"unit":"weeks","label":"6 weeks","source":{"url":"https://www.nhs.uk/tests-and-treatments/coronary-artery-bypass-graft/recovery/","host":"nhs.uk","quote":"You should be able to get back to most of your normal activities after about 6 weeks.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},"suits_whom":"Most patients with multivessel or left main disease; usually LIMA to LAD plus vein or other arterial grafts.","price_from":{"status":"missing","reason":"not_collected"},"recovery":"Inpatient recovery starting in ICU; cardiac rehabilitation afterward."},{"id":"off-pump-cabg","name":"Off-pump CABG (beating heart)","how_it_works":{"id":"H1","text":"Surgery is done while the heart continues beating","source":{"url":"https://www.mayoclinic.org/tests-procedures/coronary-bypass-surgery/about/pac-20384589","host":"mayoclinic.org","quote":"Instead the surgery is done on the beating heart.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":403}},"recovery_daily":{"status":"missing","reason":"no_official_source"},"suits_whom":"Selected patients, depending on anatomy and surgeon experience; may reduce aortic manipulation and renal injury risk.","price_from":{"status":"missing","reason":"not_collected"},"recovery":"Broadly similar to conventional CABG."},{"id":"minimally-invasive-direct","name":"Minimally invasive direct CABG (MIDCAB)","how_it_works":{"id":"H1","text":"Small chest incisions provide access for minimally invasive bypass surgery","source":{"url":"https://medlineplus.gov/coronaryarterybypasssurgery.html","host":"medlineplus.gov","quote":"Small cuts are made in the chest.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"},"suits_whom":"Selected patients needing mainly LIMA to LAD grafting.","price_from":{"status":"missing","reason":"not_collected"},"recovery":"Smaller thoracotomy incision instead of sternotomy; typically shorter stay and faster early recovery."}],"alternatives":{"status":"ok","items":[{"id":"A1","text":"You have angina or symptoms that have become unstable","name":"Coronary angioplasty","source":{"url":"https://www.nhs.uk/content-widgets/health-a-to-z/coronary-heart-disease/treatment","host":"nhs.uk","quote":"Angioplasty may be a planned procedure for someone with angina, or an urgent treatment if the symptoms have become unstable.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200},"operation_id":316},{"id":"A2","text":"Your coronary artery narrowings are less severe","name":"Medical treatment","source":{"url":"https://www.leedsth.nhs.uk/patients/resources/understanding-coronary-angiography-and-coronary-intervention/","host":"leedsth.nhs.uk","quote":"If your coronary angiogram reveals less severe narrowings, intensive medical management with tablets may be recommended.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200},"operation_id":null}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"diagnostic":{"status":"not_applicable"},"country":{"why":{"status":"ok","items":[{"id":"Y1","text":"Turkey's Ministry of Health publishes lists of authorized healthcare providers and facilitators holding authorization certificates","specialties":[],"source":{"url":"https://shgmturizmdb.saglik.gov.tr/EN-69410/announcements.html","host":"shgmturizmdb.saglik.gov.tr","quote":"Updated lists of healthcare providers and facilitators that have been granted authorization certificates by the Ministry","tier":"government","fetched_at":"2026-11-12","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-05-11","version":1},"travel":{"status":"ok","items":[{"id":"V1","item":"visa","audience":"uk","volatile":true,"text":"UK citizen passport holders can visit Turkey without a visa for up to 90 days in any 180-day period, for business or tourism","source":{"url":"https://www.gov.uk/foreign-travel-advice/turkey/entry-requirements","host":"gov.uk","quote":"You can visit Turkey without a visa for up to 90 days in any 180-day period, for business or tourism.","tier":"official_travel","fetched_at":"2026-11-11","http_status":200}},{"id":"V2","item":"visa","audience":"us","volatile":true,"text":"US ordinary passport holders are exempt from a visa for up to 90 days in any 180-day period in Turkey","source":{"url":"https://travel.state.gov/content/travel/en/international-travel/International-Travel-Country-Information-Pages/Turkey.html","host":"travel.state.gov","quote":"Ordinary passport holders are exempted from visa up to 90 days in any 180-day period.","tier":"official_travel","fetched_at":"2026-11-11","http_status":403}},{"id":"V3","item":"passport_validity","audience":"uk","volatile":true,"text":"A UK passport must expire at least 150 days after arrival in Turkey and have at least 1 blank page","source":{"url":"https://www.gov.uk/foreign-travel-advice/turkey/entry-requirements","host":"gov.uk","quote":"To enter Turkey, your passport must have an ‘expiry date’ at least 150 days after the date you arrive and at least 1 blank page.","tier":"official_travel","fetched_at":"2026-11-11","http_status":200}},{"id":"V4","item":"passport_validity","audience":"us","volatile":true,"text":"A US passport must be valid for six months beyond the entry date into Turkey","source":{"url":"https://travel.state.gov/content/travel/en/international-travel/International-Travel-Country-Information-Pages/Turkey.html","host":"travel.state.gov","quote":"Passports must be valid for six months beyond your entry date.","tier":"official_travel","fetched_at":"2026-11-11","http_status":403}},{"id":"V5","item":"prescriptions","audience":"uk","volatile":false,"text":"British prescriptions are not accepted in pharmacies in Turkey","source":{"url":"https://www.gov.uk/foreign-travel-advice/turkey/health","host":"gov.uk","quote":"British prescriptions are not accepted in pharmacies in Turkey.","tier":"official_travel","fetched_at":"2026-11-11","http_status":200}},{"id":"V6","item":"emergency_number","audience":"all","volatile":false,"text":"Dial 112 and ask for an ambulance in Turkey","source":{"url":"https://www.gov.uk/foreign-travel-advice/turkey/health","host":"gov.uk","quote":"Dial 112 and ask for an ambulance.","tier":"official_travel","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-11","next_check_at":"2026-12-11","version":1},"other_countries_with_page":["albania","azerbaijan","cyprus","dominican-republic","germany","india","republic-of-korea","romania","spain","thailand"]},"often_combined_with":{"status":"missing","reason":"not_collected"},"reviews":{"avg_rating":4.57,"count":827,"scope":"clinic","rating_scale":5,"pros":{"status":"missing","reason":"not_collected"},"cons":{"status":"missing","reason":"not_collected"}},"current":{"seo_text":"<p>Coronary bypass surgery in Turkey typically costs from _op_1495_price_from_ to _op_1495_price_to_. Final pricing depends on the surgical technique, number of bypassed arteries, and the clinic category. Patients save around _price_percent_discount_% compared to the US, where this procedure costs _price_compare_US_average_ on average. Most Turkish medical centers include pre-operative diagnostics, ICU care, and airport logistics in their standard surgical price.</p>\n\n<ul>\n<li><strong>Number of arteries:</strong> Prices increase by 10-20% for triple or quadruple bypass procedures.</li>\n<li><strong>Surgical technique:</strong> Minimally invasive or off-pump methods often carry a premium over traditional surgery.</li>\n<li><strong>Medical hubs:</strong> Major centers are located in Istanbul, Ankara, and Antalya.</li>\n<li><strong>Facility accreditation:</strong> Costs reflect the high standards of JCI-accredited hospitals and international affiliations.</li>\n</ul>\n\n<p><strong>Bookimed Expert Insight:</strong> Choosing Turkey allows access to American-standard care through specialized centers like Anadolu Medical Center, which maintains a Johns Hopkins affiliation. For complex cases, seeking professors with over 35 years of experience, such as those at Istanbul Florence Nightingale Hospital, provides significant value. While packages in Istanbul may start around $10,000, they frequently include 7-14 days of hospitalization, ensuring a safe initial recovery period before travel.</p>","faq":[{"q":"What is typically included in a CABG package in Turkey?","a":"<p>A coronary artery bypass graft (CABG) package in Turkey typically includes the surgical procedure, preoperative diagnostics, and a 5–7 day hospital stay. These all-inclusive bundles cover surgeon fees, anesthesia, intensive care monitoring, VIP transfers, and language support to ensure a seamless international patient experience.</p> <ul> <li><strong>Medical evaluations:</strong> Includes cardiology consultations, blood panels, ECG, echocardiography, and often coronary angiography.</li> <li><strong>Hospital stay:</strong> Covers 1–2 nights in ICU and 4–5 nights in a private ward.</li> <li><strong>Surgical components:</strong> Encompasses surgeon fees, nursing care, medical supplies, and heart-lung machine usage.</li> <li><strong>Logistics support:</strong> Includes private airport-hotel-clinic transfers and dedicated multi-lingual patient coordinators for assistance.</li> </ul> <p><strong>Bookimed Expert Insight:</strong> While many clinics offer a 5-night stay, top-tier centers like Anadolu Medical Center or Hisar Hospital often bundle 7 nights to ensure stability before travel. We see a trend where packages include 3–5 initial cardiac rehab sessions, which is vital since full recovery takes 6–8 weeks.</p> <p><strong>Patient Consensus:</strong> Patients emphasize confirming whether discharge medications and extended ICU stays are included, as these can add unexpected costs. They highly value having a dedicated coordinator to navigate the complex surgical schedule and recovery steps.</p>"},{"q":"What is the success rate of CABG in Turkey?","a":"<p>The success rate for coronary artery bypass grafting in Turkey ranges from 95% to 98.5%, with leading JCI-accredited cardiac centers maintaining complication rates as low as 1.2%. High surgical volumes, exceeding 20,000 annual procedures, and specialized techniques like off-pump and robotic surgery drive these excellent clinical outcomes.</p> <ul> <li><strong>Survival metrics:</strong> Turkey reports 98% 30-day survival rates, aligns with average European Union standards.</li> <li><strong>Long-term relief:</strong> Roughly 95% of patients report significant symptom relief and improved heart function.</li> <li><strong>Surgical expertise:</strong> Surgeons like Prof. Cengiz Köksal at Medipol Acibadem have performed 2,000+ operations.</li> <li><strong>Technique variety:</strong> Clinics offer beating-heart (off-pump) and minimally invasive bypass to reduce recovery time.</li> </ul> <p><strong>Bookimed Expert Insight:</strong> While success rates are high, long-term graft patency depends heavily on the clinic volume. Centers like Hisar Hospital Intercontinental serve 250,000 patients annually, creating a high-repetition environment that typically correlates with lower surgical error rates. Always confirm if your surgeon has completed 1,000+ procedures, as experience is the primary driver of the 98.5% success figure.</p> <p><strong>Patient Consensus:</strong> Patients report a 95-100% immediate improvement in symptoms like angina at top Istanbul facilities. However, many emphasize that long-term success requires strict lifestyle changes, as the high initial success rate does not prevent future graft occlusion without smoking cessation.</p>"},{"q":"How long should I stay in Turkey for coronary bypass surgery?","a":"<p>Plan for a 21 to 28-day stay in Turkey for coronary bypass surgery. Most patients spend 5 to 7 days in JCI-accredited hospitals followed by 10 to 14 days of local recovery before being cleared for an international flight by senior cardiovascular surgeons.</p> <ul> <li><strong>Hospital duration:</strong> Typically includes 1–2 days in ICU and 4–5 days in a standard ward.</li> <li><strong>Flight clearance:</strong> Surgeons generally approve long-haul travel only after 3 weeks to prevent complications.</li> <li><strong>Follow-up schedule:</strong> Essential appointments for stitch removal and echocardiograms occur between days 10 and 12.</li> <li><strong>Technique impact:</strong> Minimally invasive or off-pump procedures may allow for discharge as early as day 5.</li> </ul> <p><strong>Bookimed Expert Insight:</strong> Data from leading Istanbul centers like Anadolu Medical Center shows staying near the clinic for 14 days post-discharge is vital. While physical recovery starts early, the 10-day mark is the primary safety threshold for identifying late-onset issues. Choosing clinics with Johns Hopkins or Mayo Clinic-trained specialists ensures protocols specifically designed for safe international repatriation.</p> <p><strong>Patient Consensus:</strong> Patients recommend booking flexible hotel stays near the hospital to accommodate follow-up checks. Many suggest wearing compression socks and using anticoagulants to reduce travel risks during the flight home.</p>"},{"q":"Is CABG a permanent cure for heart disease?","a":"<p>Coronary artery bypass grafting (CABG) is not a permanent cure for heart disease. It creates a detour around blocked arteries to restore blood flow but does not stop atherosclerosis. Patients must manage underlying conditions through medication and lifestyle changes to prevent new blockages in grafts.</p> <ul> <li><strong>Graft longevity:</strong> Internal mammary artery grafts often remain functional for 15 to 20 years.</li> <li><strong>Success rates:</strong> Long-term patency reaches 50–70% after 10 years with strict medical adherence.</li> <li><strong>Re-intervention risk:</strong> Approximately 30–40% of patients require further procedures within a decade without changes.</li> <li><strong>Vessel durability:</strong> Arterial grafts (LIMA-RIMA) typically last significantly longer than traditional vein grafts.</li> </ul> <p><strong>Bookimed Expert Insight:</strong> Expert surgeons in Turkey, such as Professor Emin Tireli who has performed over 6,000 procedures, often prioritize arterial grafts over vein grafts. Data shows arterial grafts offer superior long-term durability. When selecting a clinic like Anadolu Medical Center, check if they provide post-operative rehabilitation. This support is statistically linked to higher graft patency because it reinforces the lifestyle changes necessary to keep the new bypass open.</p> <p><strong>Patient Consensus:</strong> Many patients emphasize that the surgery is a second chance rather than a total fix. They highlight the necessity of a low-carb diet and zero smoking to avoid needing stents or reoperation within five years.</p>"}],"h2":[{"text":"Как это работает","kind":"content"},{"text":"Какая цена операции коронарного шунтирования в Турции?","kind":"content"},{"text":"Предложения по операции коронарного шунтирования в Турции — ноябрь 2026","kind":"content"},{"text":"Лучшие клиники по операции коронарного шунтирования в Турции — 7 проверенных вариантов с ценами","kind":"content"},{"text":"Обзор процедуры Операция коронарного шунтирования в Турции","kind":"content"},{"text":"Лучшие специалисты по операции коронарного шунтирования в Турции — 24 доктора с отзывами и ценами","kind":"content"},{"text":"Видеоистории пациентов Bookimed","kind":"content"},{"text":"Отзывы о Bookimed: узнайте о реальном опыте пациентов","kind":"content"},{"text":"Поделитесь этим материалом","kind":"content"},{"text":"FAQ по операции коронарного шунтирования в Турции","kind":"content"},{"text":"Получить бесплатную консультацию","kind":"content"}]},"placeholders":{"price_from":"{{price_from}}","clinics_count":"{{clinics_count}}","cities_count":"{{cities_count}}","savings_pct":"{{savings_pct}}","data_date":"{{data_date}}"},"legal":{"restricted_markets":{"status":"missing","reason":"not_collected"}},"conflicts":[]}