Angiography Examination - Where and Costs

[ReBkk]

Hi Everyone,
Unfortunately, my first post is a medical inquiry.
My cardiologist recommended that I have an Angiography. Kindly could someone give me help on this?
Any help is very appreciate,

Ciao & Grazie

[WhiteBuffaloATM]

email inquiry to multiple private hospitals near you

[faraday]

@Sheryl Will, I'm sure be able to assist you with this, when she reads your post.

 

 

[Sheryl]

Where in Thailand are you located?

 

If as your name suggest you are in Bangkok then see this excellent, US trained cardiologist at Bangkok Christian Hospital:

 

https://www.bch.in.th/find-doctor/doctor-profile/?smid=4730

 

If somewhere other than Bangkok then please advise where

 

Cost for angiogram only usually around 30k but it is customary to insert stent(s) on the spot if indicated and those run at least 100k each more (for Bangkok Christian which is a non-profit. Much more in costlier private hospitals)

 

[ReBkk]

11 minutes ago, Sheryl said:

Where in Thailand are you located?

 

If as your name suggest you are in Bangkok then see this excellent, US trained cardiologist at Bangkok Christian Hospital:

 

https://www.bch.in.th/find-doctor/doctor-profile/?smid=4730

 

If somewhere other than Bangkok then please advise where

 

Cost for angiogram only usually around 30k but it is customary to insert stent(s) on the spot if indicated and those run at least 100k each more (for Bangkok Christian which is a non-profit. Much more in costlier private hospitals)

 

Thank you guys!
Thank you Sheryl,
I live near EmQuartier; my general medicine hospital is Camillian, but for this, they don't have an operating cardiology department.

I'm going to study your link and get in touch with them and especially my insurance company, hoping to qualify for cost coverage.

I continue to follow the post,
Grazie 1000

[pauleddy]

Cheryl is correct (as usual).

 

Stenting (if they find clotted artery or two) follows on the spot because they can see the clot on the special TV above you, A titanium spring (maybe 10=20 mm long) opens the clot by using a balloon inside it that is pumped up to huge pressure and then leaves the stent inside the now-open artery snugly.

 

Mine was done at Chula, and the long tube was pushed into my groin. These days, a lot of the stenting is done at the wrist (the recovery is quicker), and unless you bleed you can normally go home in the evening. Somewhere like Bumrungrad will charge up to 400,000 if you need to have a stent.

 

Some things to remember:

 

It can be a life-saving procedure. If you decide to live in the hills near Myanmar (with your angina) check out the hospitals with Cath Labs, and don't live more than one hour away.

 

You will need to take (and pay for) a fairly pricy anti-clotting drug for a year: Something like a very strong type of Aspirin (which itself is an anti clotting drug but much weaker).

 

Stents are expensive because they are made from titanium, and also they are usually imported from Canada or USA. They are made in sterile labs and have to be very precise indeed in size and fabrication.

 

Eddy

 

 

[ReBkk]

1 hour ago, pauleddy said:

Cheryl is correct (as usual).

 

Stenting (if they find clotted artery or two) follows on the spot because they can see the clot on the special TV above you, A titanium spring (maybe 10=20 mm long) opens the clot by using a balloon inside it that is pumped up to huge pressure and then leaves the stent inside the now-open artery snugly.

 

Mine was done at Chula, and the long tube was pushed into my groin. These days, a lot of the stenting is done at the wrist (the recovery is quicker), and unless you bleed you can normally go home in the evening. Somewhere like Bumrungrad will charge up to 400,000 if you need to have a stent.

 

Some things to remember:

 

It can be a life-saving procedure. If you decide to live in the hills near Myanmar (with your angina) check out the hospitals with Cath Labs, and don't live more than one hour away.

 

You will need to take (and pay for) a fairly pricy anti-clotting drug for a year: Something like a very strong type of Aspirin (which itself is an anti clotting drug but much weaker).

 

Stents are expensive because they are made from titanium, and also they are usually imported from Canada or USA. They are made in sterile labs and have to be very precise indeed in size and fabrication.

 

Eddy

 

 

Eddy,
Thank you very much for the valuable information; you have told me things that I honestly was not aware of.

I have no intention of being a hermit (????)  I've lived in Bangkok for many years, and the only reason for me to go north is to ride on big bike with my buddies.

This week I'm organizing to have some first approach visits for next week and then decide "when & where". 

Forgive me for asking, how much did it cost you to do this at Chula.
Ciao & Grazie!
 

[pauleddy]

I was a teacher at CU for many years and went on to work in another part of the government. I've paid social security for 20-odd years, so the stenting was "free".

 

I know that the Bumr. www always had graphs or charts that show the max and min price for all operations or procedures. You could try looking there. The BKK Ht Hosp which is a wing of the BKK Hosp itself, used to be 350,000 for single stenting I believe. 

 

If you have a friendly BUPA and heart trouble is covered, they cannot refuse to see your doc's letter... If they know they will have to cough up a lot make sure you have nothing pre-existing (Heart) to find because they will dig. If you have an excess clause that pays 50% or 70% remember that in your maths. Don't go to BNH because they send the stenting to Chula--they dont have a Cath Lab. Some others are the same. For stenting and other difficult stuff the guys are trained to be INTERVENTIONAL CARDIOLOGISTS, not bog standard cardios who train in heart rhythms and drugs (but are still cool guys).

 

Sometimes the blockage is cleared in angio just with the balloon, which is pumped up to 12 or 14 Newtons (I dont remember) inside the heart vessel to dilate it without leaving a stent in place. This is a lot cheaper, but nothing in the heart is mega cheap. Of course, if you want to pay or use your BUPA at Chula, I recommend Prof. Suphot (who has done 000s of  stents)

 

Eddy

 

 

[bert bloggs]

Just had one a few months ago at Chonburi govt heart hospital 15k ,a stent was quoted at 30k, terrific hospital and heart doctor,registered there with my pink card,but you dont have to have one,also been a patient,costs are a fraction of private hospitals. 

[ReBkk]

On 6/18/2021 at 9:03 AM, bert bloggs said:

Just had one a few months ago at Chonburi govt heart hospital 15k ,a stent was quoted at 30k, terrific hospital and heart doctor,registered there with my pink card,but you dont have to have one,also been a patient,costs are a fraction of private hospitals. 

Great Info Bert, mind to share name full name Hospital and doctor? 
Thank you!

[Sheryl]

2 hours ago, ReBkk said:

Great Info Bert, mind to share name full name Hospital and doctor? 
Thank you!

It is the main government hospital in Chonburi town. You do not have a choice of doctors at a government hospital. Plan on several days to see specialist. Not very convenient if coming from Bangkok. Convemient to Pattaya.

[bert bloggs]

3 hours ago, ReBkk said:

Great Info Bert, mind to share name full name Hospital and doctor? 
Thank you!

As Sheryl said its the main govt heart hospital,its also a training hospital my Main doctor,i have 2 is Dr Wanchai.also as Sheryl says i live in Pattaya which is in Chonburi, 

I have been an in patient there as well,compared with Samitivit or Bangkok Pattaya it is far far far far cheaper.

[ReBkk]

Good Morning Everyone,
 

I wanted to update you on the developments in angiography.

After several researches, I relied on Doctor Nivit Kalra at Sukhumvit Hospital with great satisfaction. Bravo, friendly and utmost helpfulness in giving information even to my family members.

https://www.sukumvithospital.com/doctorprofile.php?id=149&language=en

Here we go:
 

Admitted Friday the 13th at 9am, series of pre-op exams (I had already brought a chart from the previous hospital), entered the OR at 4pm.

During the procedure, they found 3 arteries with a defect.

One at 55% being treated with medication.

One at 70% where a Stent was inserted

One at 99%, extremely serious, where a Stent was inserted.

The 99% closing artery would have resulted in within six months, most likely a heart attack.
 

 

I could see everything on the screens; my wife and son were invited into the adjacent room, where Doc Nivit explained the situation and how to proceed. Amazing to see my arteries and clearly the point of total closure. 
 

By 6pm I was back in the room (I.C.U. for prevention). At 10pm, the doctor came to update me on how things were going, the procedure's success, informing me that the next day (Saturday), after a series of control tests in the early morning, I could be discharged, so it was.

Two stents were inserted, one the maximum size, and went home the next day. I couldn't have hoped for better!
 

Got home yesterday, and it's stunning how my breathing has already improved, amazing.

The cost was substantial, all-inclusive with meds for a month, about 380 K. 

Excellent service from my insurance company, who covered the expense with the utmost professionalism before I was released from the hospital. If needed, happy to give you contact information. The H.O. is in France, but they also have an office in Bangkok.
 

Guys, I wanted to thank you for your help; it all started from my first post.
Thank you very much!

 

 

[Sheryl]

Thanks for the update and glad all went well.

 

I suspect you have April.International insurance? I do too.

[ReBkk]

10 hours ago, Sheryl said:

Thanks for the update and glad all went well.

 

I suspect you have April.International insurance? I do too.

Grazie 1000 Sheryl,

My insurance is WRLife:
https://www.wrlife.net

Family package for over 12 years.
 

[bert bloggs]

22 hours ago, ReBkk said:

Good Morning Everyone,
 

I wanted to update you on the developments in angiography.

After several researches, I relied on Doctor Nivit Kalra at Sukhumvit Hospital with great satisfaction. Bravo, friendly and utmost helpfulness in giving information even to my family members.

https://www.sukumvithospital.com/doctorprofile.php?id=149&language=en

Here we go:
 

Admitted Friday the 13th at 9am, series of pre-op exams (I had already brought a chart from the previous hospital), entered the OR at 4pm.

During the procedure, they found 3 arteries with a defect.

One at 55% being treated with medication.

One at 70% where a Stent was inserted

One at 99%, extremely serious, where a Stent was inserted.

The 99% closing artery would have resulted in within six months, most likely a heart attack.
 

 

I could see everything on the screens; my wife and son were invited into the adjacent room, where Doc Nivit explained the situation and how to proceed. Amazing to see my arteries and clearly the point of total closure. 
 

By 6pm I was back in the room (I.C.U. for prevention). At 10pm, the doctor came to update me on how things were going, the procedure's success, informing me that the next day (Saturday), after a series of control tests in the early morning, I could be discharged, so it was.

Two stents were inserted, one the maximum size, and went home the next day. I couldn't have hoped for better!
 

Got home yesterday, and it's stunning how my breathing has already improved, amazing.

The cost was substantial, all-inclusive with meds for a month, about 380 K. 

Excellent service from my insurance company, who covered the expense with the utmost professionalism before I was released from the hospital. If needed, happy to give you contact information. The H.O. is in France, but they also have an office in Bangkok.
 

Guys, I wanted to thank you for your help; it all started from my first post.
Thank you very much!

 

 

Glad to hear all went well ,as i have had a by pass 34 yrs ago no insurance, so used Chonburi hospital ,same treatment as Samitavit  just it would have cost about 100k  there ,i know as 1 night in Samitavit cost me  52k just for the room and 1 test. Lol 27 baht for 1 baby asprin,on and on,but a good hospital just expensive.