{"key":"op_1495_RO","page":{"url":"https://fr.bookimed.com/clinics/country=romania/procedure=coronary-bypass-surgery/","procedure":{"id":1495,"slug":"coronary-bypass-surgery","name":"Chirurgie de pontage coronarien","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":116,"iso":"RO","name":"Roumanie"},"currency":"USD","data_date":"2025-02-24"},"pages":{"clinics_url":"https://fr.bookimed.com/clinics/country=romania/procedure=coronary-bypass-surgery/","cost_url":"https://fr.bookimed.com/clinics/country=romania/procedure=coronary-bypass-surgery/cost/","best_url":{"status":"missing","reason":"template not live"}},"price":{"from":13800,"to":{"status":"missing","reason":"not_collected"},"avg":{"status":"missing","reason":"no_offers"},"us":{"from":70000,"to":125000},"uk":{"from":28000,"to":42000},"by_technique":{"status":"missing","reason":"not_collected"},"by_city":[{"city":"Bucarest","from":13800}],"per_unit":{"status":"missing","reason":"not_collected"},"factors":{"status":"missing","reason":"not_collected"},"tiers":{"status":"missing","reason":"no_offers"},"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":"TR","from":10000,"to":14000},{"country_iso":"MX","from":19000,"to":28000},{"country_iso":"DE","from":44100,"to":66100},{"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"}}],"base_country":"US","base_is_fallback":false},"savings":{"pct":80,"variant":">=15%"},"package":{"included":{"status":"missing","reason":"no_offers"},"excluded":{"status":"missing","reason":"no_offers"},"extra_charges":{"status":"missing","reason":"not_collected"}},"clinics":{"count":1,"items":[{"id":6339,"name":"Ponderas Academic Hospital","city":"Bucharest","rating":5,"reviews_count":5,"accreditations":["Bariatric Surgery Center of Excellence","Joint Commission International","Surgical Review Corporation","Robotic Surgery Center of Exellence","Colorectal Surgery Center for Excellence"],"rank":1,"has_procedure":true,"why_ranked":"Features beating-heart CABG – surgery on a beating heart without the bypass machine. Dedicated Heart Team (Echipa Inimii) at a JCI-accredited hospital.","bookimed_stats":{"status":"missing","reason":"not_published"},"procedure_description":{"status":"missing","reason":"not_collected"},"offers":{"status":"missing","reason":"no_offers"}}]},"doctors":{"count":{"status":"missing","reason":"not_collected"},"languages":{"status":"missing","reason":"not_collected"}},"cities":[{"id":2508,"slug":"bucharest","name":"Bucarest","clinics_count":1,"price_from":13800,"profile":{"city_type":"Capital and largest city of Romania","access":["Henri Coandă Airport (OTP), 17 km from the city center"],"sources":["https://en.wikipedia.org/wiki/Bucharest","https://en.wikipedia.org/wiki/Henri_Coandă_International_Airport"],"checked_at":"2026-11-03","status":"ok"}}],"offers":{"active":{"status":"missing","reason":"no_offers"},"active_with_related":{"status":"missing","reason":"no_offers"},"hospital_nights_median":{"status":"missing","reason":"no_offers"},"days_in_country_median":{"status":"missing","reason":"no_offers"},"top_offers":{"status":"missing","reason":"no_offers"},"packages":{"status":"missing","reason":"no_offers"},"related_packages":{"status":"missing","reason":"no_offers"},"other_packages":{"status":"missing","reason":"no_offers"}},"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":{"min":5,"max":10,"unit":"nights","qualifier":"Uncomplicated primary isolated CABG, including 1-2 days in intensive care."},"source":"parsed_details"},"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 the qualifications of the medical team that will treat you","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"Have you checked the qualifications of the medical team treating you?","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}},{"id":"C2","text":"Check that you can ask the treating team questions about your treatment","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"Have you been able to ask them questions about your treatment?","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}},{"id":"C3","text":"Check that the facilities and standards at the clinic or hospital satisfy you","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"Are you satisfied with the facilities and standards at the clinic or hospital where you'll be treated?","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}},{"id":"C4","text":"Check that the clinic or hospital is internationally accredited; accreditation does not guarantee a satisfactory outcome","scope":"treatment_abroad","source":{"url":"https://travelhealthpro.org.uk/factsheets/travelling-for-treatment-medical-tourism","host":"travelhealthpro.org.uk","quote":"Individuals planning overseas treatment are advised to use internationally accredited clinics or hospitals, although using an accredited clinic or hospital does not guarantee a satisfactory outcome [4].","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}},{"id":"C5","text":"Speak directly with the professional who will carry out the treatment before travel","scope":"treatment_abroad","source":{"url":"https://travelhealthpro.org.uk/factsheets/travelling-for-treatment-medical-tourism","host":"travelhealthpro.org.uk","quote":"Travellers should speak directly to the health professional undertaking the planned treatment before travel and check their qualifications and references independently.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}},{"id":"C6","text":"Check how your aftercare will be coordinated before you commit","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"Ensure you're clear about how your aftercare will be coordinated.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}}],"checked_at":"2026-11-14","next_check_at":"2027-11-14","version":1},"red_flags":{"status":"ok","items":[{"id":"F1","text":"Pressure to make a quick decision before booking is a warning sign","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"a hard sell a lack of information pressure to make a quick decision no discussion of possible complications no mention of aftercare","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}},{"id":"F2","text":"A consultation that does not explain risks and possible post-procedure problems is a warning sign","scope":"treatment_abroad","source":{"url":"https://travelhealthpro.org.uk/factsheets/travelling-for-treatment-medical-tourism","host":"travelhealthpro.org.uk","quote":"This consultation should provide a clear explanation of the planned treatment, including success/complication rates, potential risks and possible post-procedure problems.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}},{"id":"F3","text":"Being unable to reach the operating health professional by phone or video is a warning sign","scope":"treatment_abroad","source":{"url":"https://travelhealthpro.org.uk/factsheets/travelling-for-treatment-medical-tourism","host":"travelhealthpro.org.uk","quote":"The health professional carrying procedures abroad should be available to talk to the traveller (via telephone or video call).","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}},{"id":"F4","text":"Medical advice from a sales team member or travel agent is a warning sign","scope":"treatment_abroad","source":{"url":"https://travelhealthpro.org.uk/factsheets/travelling-for-treatment-medical-tourism","host":"travelhealthpro.org.uk","quote":"Medical advice from an administrator, a travel agent, or member of a sales team is not acceptable.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}}],"checked_at":"2026-11-14","next_check_at":"2027-11-14","version":1},"warning_signs":{"status":"ok","items":[{"id":"W1","text":"Chest pain that does not go away","urgency":"emergency","general":false,"source":{"url":"https://my.clevelandclinic.org/health/treatments/17289-off-pump-bypass-surgery","host":"my.clevelandclinic.org","quote":"Abdominal pain or chest pain that doesn’t go away.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}},{"id":"W2","text":"Shortness of breath","urgency":"emergency","general":false,"source":{"url":"https://my.clevelandclinic.org/health/treatments/17289-off-pump-bypass-surgery","host":"my.clevelandclinic.org","quote":"But seek immediate medical attention if you experience: Abdominal pain or chest pain that doesn’t go away. Chills or excessive sweating . Clicking or a feeling of movement in your breastbone. Fast or irregular heartbeat. Nausea or vomiting . Shortness of breath","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}},{"id":"W3","text":"Clicking or movement in your breastbone","urgency":"emergency","general":false,"source":{"url":"https://my.clevelandclinic.org/health/treatments/17289-off-pump-bypass-surgery","host":"my.clevelandclinic.org","quote":"Clicking or a feeling of movement in your breastbone.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}},{"id":"W4","text":"Fast or irregular heartbeat","urgency":"emergency","general":false,"source":{"url":"https://my.clevelandclinic.org/health/treatments/17289-off-pump-bypass-surgery","host":"my.clevelandclinic.org","quote":"Fast or irregular heartbeat.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}},{"id":"W5","text":"Bleeding from your wound","urgency":"contact_clinic","general":false,"source":{"url":"https://my.clevelandclinic.org/health/treatments/24591-triple-bypass-surgery","host":"my.clevelandclinic.org","quote":"Bleeding from your wound.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}}],"checked_at":"2026-11-14","next_check_at":"2027-11-14","version":1},"take_home":{"status":"ok","items":[{"id":"T1","text":"Home clinicians need records of care and medicines received abroad for later treatment","document":"treatment documentation with medications","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":"2026-11-14","http_status":200}},{"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":"2026-11-14","next_check_at":"2027-11-14","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 the qualifications of the medical team that will treat you","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"Have you checked the qualifications of the medical team treating you?","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}},{"id":"C2","text":"Check that you can ask the treating team questions about your treatment","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"Have you been able to ask them questions about your treatment?","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}},{"id":"C3","text":"Check that the facilities and standards at the clinic or hospital satisfy you","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"Are you satisfied with the facilities and standards at the clinic or hospital where you'll be treated?","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}},{"id":"C4","text":"Check that the clinic or hospital is internationally accredited; accreditation does not guarantee a satisfactory outcome","scope":"treatment_abroad","source":{"url":"https://travelhealthpro.org.uk/factsheets/travelling-for-treatment-medical-tourism","host":"travelhealthpro.org.uk","quote":"Individuals planning overseas treatment are advised to use internationally accredited clinics or hospitals, although using an accredited clinic or hospital does not guarantee a satisfactory outcome [4].","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}},{"id":"C5","text":"Speak directly with the professional who will carry out the treatment before travel","scope":"treatment_abroad","source":{"url":"https://travelhealthpro.org.uk/factsheets/travelling-for-treatment-medical-tourism","host":"travelhealthpro.org.uk","quote":"Travellers should speak directly to the health professional undertaking the planned treatment before travel and check their qualifications and references independently.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}},{"id":"C6","text":"Check how your aftercare will be coordinated before you commit","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"Ensure you're clear about how your aftercare will be coordinated.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}}],"checked_at":"2026-11-14","next_check_at":"2027-11-14","version":1},"red_flags":{"status":"ok","items":[{"id":"F1","text":"Pressure to make a quick decision before booking is a warning sign","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"a hard sell a lack of information pressure to make a quick decision no discussion of possible complications no mention of aftercare","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}},{"id":"F2","text":"A consultation that does not explain risks and possible post-procedure problems is a warning sign","scope":"treatment_abroad","source":{"url":"https://travelhealthpro.org.uk/factsheets/travelling-for-treatment-medical-tourism","host":"travelhealthpro.org.uk","quote":"This consultation should provide a clear explanation of the planned treatment, including success/complication rates, potential risks and possible post-procedure problems.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}},{"id":"F3","text":"Being unable to reach the operating health professional by phone or video is a warning sign","scope":"treatment_abroad","source":{"url":"https://travelhealthpro.org.uk/factsheets/travelling-for-treatment-medical-tourism","host":"travelhealthpro.org.uk","quote":"The health professional carrying procedures abroad should be available to talk to the traveller (via telephone or video call).","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}},{"id":"F4","text":"Medical advice from a sales team member or travel agent is a warning sign","scope":"treatment_abroad","source":{"url":"https://travelhealthpro.org.uk/factsheets/travelling-for-treatment-medical-tourism","host":"travelhealthpro.org.uk","quote":"Medical advice from an administrator, a travel agent, or member of a sales team is not acceptable.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}}],"checked_at":"2026-11-14","next_check_at":"2027-11-14","version":1},"warning_signs":{"status":"ok","items":[{"id":"W1","text":"Chest pain that does not go away","urgency":"emergency","general":false,"source":{"url":"https://my.clevelandclinic.org/health/treatments/17289-off-pump-bypass-surgery","host":"my.clevelandclinic.org","quote":"Abdominal pain or chest pain that doesn’t go away.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}},{"id":"W2","text":"Shortness of breath","urgency":"emergency","general":false,"source":{"url":"https://my.clevelandclinic.org/health/treatments/17289-off-pump-bypass-surgery","host":"my.clevelandclinic.org","quote":"But seek immediate medical attention if you experience: Abdominal pain or chest pain that doesn’t go away. Chills or excessive sweating . Clicking or a feeling of movement in your breastbone. Fast or irregular heartbeat. Nausea or vomiting . Shortness of breath","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}},{"id":"W3","text":"Clicking or movement in your breastbone","urgency":"emergency","general":false,"source":{"url":"https://my.clevelandclinic.org/health/treatments/17289-off-pump-bypass-surgery","host":"my.clevelandclinic.org","quote":"Clicking or a feeling of movement in your breastbone.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}},{"id":"W4","text":"Fast or irregular heartbeat","urgency":"emergency","general":false,"source":{"url":"https://my.clevelandclinic.org/health/treatments/17289-off-pump-bypass-surgery","host":"my.clevelandclinic.org","quote":"Fast or irregular heartbeat.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}},{"id":"W5","text":"Bleeding from your wound","urgency":"contact_clinic","general":false,"source":{"url":"https://my.clevelandclinic.org/health/treatments/24591-triple-bypass-surgery","host":"my.clevelandclinic.org","quote":"Bleeding from your wound.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}}],"checked_at":"2026-11-14","next_check_at":"2027-11-14","version":1},"take_home":{"status":"ok","items":[{"id":"T1","text":"Home clinicians need records of care and medicines received abroad for later treatment","document":"treatment documentation with medications","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":"2026-11-14","http_status":200}},{"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":"2026-11-14","next_check_at":"2027-11-14","version":1},"alternatives":{"status":"ok","items":[{"id":"A1","text":"Your blockages are not too complex for angioplasty and stenting","name":"Angioplasty and stenting","source":{"url":"https://my.clevelandclinic.org/health/treatments/24591-triple-bypass-surgery","host":"my.clevelandclinic.org","quote":"Their cases are too complex for angioplasty and stenting to be as effective as surgery.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200},"operation_id":null},{"id":"A2","text":"You prefer a nonsurgical treatment for your blockages","name":"Heart medicines for blockages","source":{"url":"https://my.clevelandclinic.org/health/treatments/24591-triple-bypass-surgery","host":"my.clevelandclinic.org","quote":"These include medicines or angioplasty and stenting.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200},"operation_id":null}],"checked_at":"2026-11-14","next_check_at":"2027-11-14","version":1},"technique_details":{"status":"ok","items":[{"id":"on-pump-cabg","name":"On-pump CABG via median sternotomy","how_it_works":{"text":"A heart-lung machine does the work of the heart during surgery","source":{"url":"https://my.clevelandclinic.org/health/treatments/17289-off-pump-bypass-surgery","host":"my.clevelandclinic.org","quote":"A cardiopulmonary bypass machine does the work of your heart and lungs throughout the surgery.","tier":"tier1_medical","fetched_at":"2026-11-14","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":"The surgeon stabilizes the beating heart with a device during surgery","source":{"url":"https://my.clevelandclinic.org/health/treatments/17289-off-pump-bypass-surgery","host":"my.clevelandclinic.org","quote":"Instead, the surgeon stabilizes your beating heart during surgery.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"}},{"id":"minimally-invasive-direct","name":"Minimally invasive direct CABG (MIDCAB)","how_it_works":{"text":"The surgeon reaches the heart through spaces between ribs using smaller cuts","source":{"url":"https://my.clevelandclinic.org/health/treatments/16897-coronary-artery-bypass-surgery","host":"my.clevelandclinic.org","quote":"The surgeon reaches your heart through the gaps between some of your ribs.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"}}],"checked_at":"2026-11-14","next_check_at":"2027-11-14","version":1}}},"techniques":[{"id":"on-pump-cabg","name":"On-pump CABG via median sternotomy","how_it_works":{"id":"H1","text":"A heart-lung machine does the work of the heart during surgery","source":{"url":"https://my.clevelandclinic.org/health/treatments/17289-off-pump-bypass-surgery","host":"my.clevelandclinic.org","quote":"A cardiopulmonary bypass machine does the work of your heart and lungs throughout the surgery.","tier":"tier1_medical","fetched_at":"2026-11-14","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":"The surgeon stabilizes the beating heart with a device during surgery","source":{"url":"https://my.clevelandclinic.org/health/treatments/17289-off-pump-bypass-surgery","host":"my.clevelandclinic.org","quote":"Instead, the surgeon stabilizes your beating heart during surgery.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}},"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":"The surgeon reaches the heart through spaces between ribs using smaller cuts","source":{"url":"https://my.clevelandclinic.org/health/treatments/16897-coronary-artery-bypass-surgery","host":"my.clevelandclinic.org","quote":"The surgeon reaches your heart through the gaps between some of your ribs.","tier":"tier1_medical","fetched_at":"2026-11-14","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":"Your blockages are not too complex for angioplasty and stenting","name":"Angioplasty and stenting","source":{"url":"https://my.clevelandclinic.org/health/treatments/24591-triple-bypass-surgery","host":"my.clevelandclinic.org","quote":"Their cases are too complex for angioplasty and stenting to be as effective as surgery.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200},"operation_id":null},{"id":"A2","text":"You prefer a nonsurgical treatment for your blockages","name":"Heart medicines for blockages","source":{"url":"https://my.clevelandclinic.org/health/treatments/24591-triple-bypass-surgery","host":"my.clevelandclinic.org","quote":"These include medicines or angioplasty and stenting.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200},"operation_id":null}],"checked_at":"2026-11-14","next_check_at":"2027-11-14","version":1},"diagnostic":{"status":"not_applicable"},"country":{"why":{"status":"missing","reason":"no_official_source","checked_at":"2026-11-11","next_check_at":"2027-02-09"},"travel":{"status":"ok","items":[{"id":"V1","item":"visa","audience":"uk","volatile":true,"text":"UK passport holders can visit Romania without a visa for up to 90 days in any 180-day period","source":{"url":"https://www.gov.uk/foreign-travel-advice/romania/entry-requirements","host":"gov.uk","quote":"You can travel without a visa to the Schengen area , which includes Romania, for up to 90 days in any 180-day period.","tier":"official_travel","fetched_at":"2026-11-11","http_status":200}},{"id":"V2","item":"visa","audience":"us","volatile":true,"text":"U.S. citizens with a valid passport book can stay in the Schengen area, including Romania, up to 90 days in any 180-day period for tourism or business","source":{"url":"https://travel.state.gov/content/travel/en/international-travel/International-Travel-Country-Information-Pages/Romania.html","host":"travel.state.gov","quote":"With a valid U.S. passport book, U.S. citizens can stay up to 90 days in the Schengen area for tourism or business during 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 3 months after the date you plan to leave the Schengen area","source":{"url":"https://www.gov.uk/foreign-travel-advice/romania/entry-requirements","host":"gov.uk","quote":"an ‘expiry date’ at least 3 months after the date you plan to leave the Schengen area (the expiry date does not need to be within 10 years of the date of issue)","tier":"official_travel","fetched_at":"2026-11-11","http_status":200}},{"id":"V4","item":"passport_validity","audience":"us","volatile":true,"text":"A U.S. passport must be valid for at least three months beyond your departure date from Romania","source":{"url":"https://travel.state.gov/content/travel/en/international-travel/International-Travel-Country-Information-Pages/Romania.html","host":"travel.state.gov","quote":"You must have a U.S. passport that is valid for at least three months beyond your departure date from Romania .","tier":"official_travel","fetched_at":"2026-11-11","http_status":403}},{"id":"V5","item":"medicines","audience":"all","volatile":false,"text":"Carry prescription medication in its original packaging, along with your doctor's prescription","source":{"url":"https://travel.state.gov/content/travel/en/international-travel/International-Travel-Country-Information-Pages/Romania.html","host":"travel.state.gov","quote":"Always carry your prescription medication in original packaging, along with your doctor’s prescription.","tier":"official_travel","fetched_at":"2026-11-11","http_status":403}},{"id":"V6","item":"ghic","audience":"uk","volatile":false,"text":"To get medically necessary state healthcare in Romania, UK travelers need a GHIC or an EHIC","source":{"url":"https://www.gov.uk/foreign-travel-advice/romania/health","host":"gov.uk","quote":"To get medically necessary state healthcare in Romania, you need a Global Health Insurance Card ( GHIC ) or a European Health Insurance Card ( EHIC ).","tier":"official_travel","fetched_at":"2026-11-11","http_status":200}},{"id":"V7","item":"hospital_payment","audience":"all","volatile":false,"text":"Hospitals and doctors in Romania often require payment up front before service or admission","source":{"url":"https://travel.state.gov/content/travel/en/international-travel/International-Travel-Country-Information-Pages/Romania.html","host":"travel.state.gov","quote":"Hospitals and doctors often require payment “up front” prior to service or admission.","tier":"official_travel","fetched_at":"2026-11-11","http_status":403}},{"id":"V8","item":"emergency_number","audience":"all","volatile":false,"text":"Dial 112 and ask for an ambulance","source":{"url":"https://www.gov.uk/foreign-travel-advice/romania/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","spain","thailand","turkey"]},"often_combined_with":{"status":"missing","reason":"not_collected"},"reviews":{"avg_rating":5,"count":5,"scope":"clinic","rating_scale":5,"pros":{"status":"missing","reason":"not_collected"},"cons":{"status":"missing","reason":"not_collected"}},"current":{"seo_text":{"status":"missing","reason":"not_collected"},"faq":{"status":"missing","reason":"not_collected"},"h2":[{"text":"Quel est le Coût pour votre Chirurgie de pontage coronarien en Roumanie ?","kind":"content"},{"text":"Vos avantages et garanties avec Bookimed","kind":"content"},{"text":"Votre coordinateur médical personnel","kind":"content"},{"text":"Découvrez les Meilleures Cliniques pour Votre Chirurgie de pontage coronarien en Roumanie : 1 Options Vérifiées et Prix","kind":"content"},{"text":"Aperçu de la chirurgie de pontage coronarien en Roumanie","kind":"content"},{"text":"Obtenez une évaluation médicale pour Chirurgie de pontage coronarien en Roumanie : Choisissez le meilleur spécialiste dans le domaine","kind":"content"},{"text":"Histoires vidéo des patients de Bookimed","kind":"content"},{"text":"Partager ce contenu","kind":"content"},{"text":"Obtenez une consultation gratuite","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":[]}