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The first objective is to confirm exactly which coronary arteries are affected and whether stenting is preferable to medication or bypass surgery. When appropriate, angioplasty can restore blood flow through a minimally invasive catheter procedure without open-heart surgery. Why Dr. Juli Carballo Dr. Juli Carballo is Head of Cardiology at Centro Médico Teknon and a specialist in Interventional Cardiology. • He is accredited in interventional cardiology by the Spanish Society of Cardiology. • Quirónsalud reports that he has performed or directly participated in more than 1,000 diagnostic and therapeutic catheterization procedures annually, including coronary angioplasty with stent implantation. • His experience also includes structural heart interventions such as TAVI and treatment of complex coronary disease. • He currently leads interventional cardiology within the Teknon Heart Institute. Why Centro Médico Teknon Teknon’s Interventional Cardiology and Haemodynamics Unit treats coronary disease using catheter-based techniques including balloon angioplasty, conventional and drug-eluting stents, and rotational atherectomy for selected calcified lesions. The Heart Institute has three haemodynamic laboratories and a hybrid operating theatre for advanced cardiovascular procedures. Plan and pricing • Consultation with Dr. Juli Carballo: approximately €550. • Review of coronary CT, angiography, ECG, echocardiogram and previous cardiology reports. • Coronary angiography if required. • Percutaneous coronary intervention with stent placement. • Drug-eluting coronary stent. • Interventional cardiology and anaesthesia/sedation team. • Hospital monitoring after the procedure. • Discharge medication and follow-up recommendations."}]},{"id":6225,"name":"Hospital Ruber Internacional","city":"Madrid","rating":5,"reviews_count":3,"accreditations":["Joint Commission International","International Organization for Standardization"],"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":278,"name":"Quironsalud Madrid","city":"Madrid","rating":3.8,"reviews_count":6,"accreditations":["World's Best Hospitals 2021 by Newsweek"],"rank":3,"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":422,"name":"Hospital HM Nou Delfos","city":"Barcelona","rating":4.6,"reviews_count":5,"accreditations":["European Foundation for Quality Management","Certification according to DIN EN ISO 9001 by TÜV NORD CERT"],"rank":4,"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":3,"languages":{"status":"missing","reason":"not_collected"}},"cities":[{"id":346,"slug":"madrid","name":"Madrid","clinics_count":1,"price_from":11000,"profile":{"city_type":"Capital and largest city of Spain","access":["Madrid Barajas Airport (MAD), 13 km from Puerta del Sol"],"sources":["https://en.wikipedia.org/wiki/Madrid","https://en.wikipedia.org/wiki/Madrid–Barajas_Airport"],"checked_at":"2026-11-03","status":"ok"}},{"id":98,"slug":"barcelona","name":"Barcelona","clinics_count":1,"price_from":14400,"profile":{"city_type":"Mediterranean coastal city in Spain","access":["Barcelona Airport (BCN), 15 km southwest of city center"],"sources":["https://en.wikipedia.org/wiki/Barcelona","https://en.wikipedia.org/wiki/Barcelona–El_Prat_Airport"],"checked_at":"2026-11-03","status":"ok"}},{"id":441,"slug":"alicante","name":"Alicante","clinics_count":{"status":"missing","reason":"not_collected"},"price_from":8500,"profile":{"city_type":"Mediterranean port city in Spain","access":["Alicante Airport (ALC), 9 km from the city"],"sources":["https://en.wikipedia.org/wiki/Alicante","https://en.wikipedia.org/wiki/Alicante%E2%80%93Elche_Airport"],"checked_at":"2026-11-03","status":"ok"}}],"offers":{"active":1,"active_with_related":1,"hospital_nights_median":2,"days_in_country_median":{"status":"missing","reason":"fewer than 10 offers with hotel days"},"top_offers":[{"id":"63e289a42b883a47cd0eaa82","clinic_id":78,"clinic_listed":true,"price":14423,"nights":2,"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":["General anesthesia","Preoperative tests","Follow-up examination","Hospitalization"],"excluded":["Transfer is not included"],"other_services":"If you have coronary artery narrowing, angina, an abnormal stress test or have been advised to consider coronary stenting, We recommend an assessment with Dr. Juli Carballo at Centro Médico Teknon in Barcelona. 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Why Centro Médico Teknon Teknon’s Interventional Cardiology and Haemodynamics Unit treats coronary disease using catheter-based techniques including balloon angioplasty, conventional and drug-eluting stents, and rotational atherectomy for selected calcified lesions. The Heart Institute has three haemodynamic laboratories and a hybrid operating theatre for advanced cardiovascular procedures. 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Why Centro Médico Teknon Teknon’s Interventional Cardiology and Haemodynamics Unit treats coronary disease using catheter-based techniques including balloon angioplasty, conventional and drug-eluting stents, and rotational atherectomy for selected calcified lesions. The Heart Institute has three haemodynamic laboratories and a hybrid operating theatre for advanced cardiovascular procedures. 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Longer after acute myocardial infarction."}},"treatment_conditions":["day_case","inpatient"],"rehabilitation_days":{"min":2,"max":7,"unit":"days","qualifier":"Ordinary functional recovery after elective uncomplicated radial-access PCI; longer after myocardial infarction."},"fly_home_after_days":{"min":2,"max":4,"unit":"days","qualifier":"Elective uncomplicated radial-access PCI; cardiologist clearance after access-site check. Longer after myocardial infarction or complications."},"back_to_work_days":{"min":2,"max":7,"unit":"days","qualifier":"Elective single-vessel radial PCI with desk work; longer after emergency PCI for heart attack or heavy physical work."},"exercise_resume_weeks":{"min":1,"max":4,"unit":"weeks","qualifier":"Gradual return to moderate activity after elective uncomplicated PCI per cardiologist; cardiac rehabilitation advised, especially after myocardial infarction."},"final_result_months":{"min":0,"max":1,"unit":"months","qualifier":"Symptom relief is usually immediate to within days; vessel healing over the stent continues for months."},"result_longevity":"Stents are permanent; long-term benefit depends on risk-factor control and adherence to medication, as restenosis or new disease can develop over time.","main_risks":["Bleeding or hematoma at access site","Vascular access complications (pseudoaneurysm, radial artery occlusion)","Contrast-related kidney injury or allergic 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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":"2026-11-12","http_status":200}},{"id":"C2","text":"Check that you have been able to ask the 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":"2026-11-12","http_status":200}},{"id":"C3","text":"Check that you are satisfied with the facilities and standards where treatment will be given","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":"2026-11-12","http_status":200}},{"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":"Advice coming from a sales team member, not a clinician, 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":"2026-11-12","http_status":200}},{"id":"F2","text":"No written contract from the clinic is offered to the patient","scope":"treatment_abroad","source":{"url":"https://travelhealthpro.org.uk/factsheets/travelling-for-treatment-medical-tourism","host":"travelhealthpro.org.uk","quote":"A written contract from the clinic or hospital should be provided","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"F3","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}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"warning_signs":{"status":"ok","items":[{"id":"W1","text":"Chest pain not relieved by rest or medication","urgency":"emergency","general":false,"source":{"url":"https://my.clevelandclinic.org/departments/heart/patient-education/recovery-care/interventional-procedures/after-your-interventional-procedure","host":"my.clevelandclinic.org","quote":"Chest pain or discomfort (angina-like) that lasts for 5 minutes and does not go away after you rest or take medication.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"W2","text":"Coldness or numbness in the arm or leg","urgency":"contact_clinic","general":false,"source":{"url":"https://my.clevelandclinic.org/departments/heart/patient-education/recovery-care/interventional-procedures/after-your-interventional-procedure","host":"my.clevelandclinic.org","quote":"Feelings of coldness, numbness, tingling or excessive swelling on the leg or arm of the catheter insertion site.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"W3","text":"Lump at the wrist or groin puncture 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overseas procedure","document":"x-rays and scans","source":{"url":"https://travelhealthpro.org.uk/factsheets/travelling-for-treatment-medical-tourism","host":"travelhealthpro.org.uk","quote":"Travellers should ensure they have copies of all overseas medical records, including x-rays and scans, before departure.","tier":"tier1_medical","fetched_at":"2026-11-12","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":"Ask for copies of all prescriptions before you leave","document":"prescription copies","source":{"url":"https://travelhealthpro.org.uk/news/699/travelling-abroad-for-treatment","host":"travelhealthpro.org.uk","quote":"Remember to ask for copies of all your treatment records, including prescriptions, scans and x-rays before you leave.","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":["local"],"back_to_work_days":{"min":2,"max":7,"unit":"days","qualifier":"Elective single-vessel radial PCI with desk work; longer after emergency PCI for heart attack or heavy physical work."},"complication_rate_pct":{"min":2,"max":8,"unit":"percent","qualifier":"Any in-hospital complication, mostly minor access-site bleeding or hematoma; major events such as death, stroke or MI under 1-2%."},"contraindications":["Cannot tolerate dual antiplatelet therapy (relative)","Unsuitable anatomy: very small or diffusely diseased vessels (relative)","Severe contrast allergy not manageable with premedication (relative)","Severe renal impairment (relative; needs kidney protection)","Uncorrected coagulopathy or active bleeding","Left main or complex multivessel disease favoring bypass 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Longer after myocardial infarction or complications."},"follow_up_visits":[{"purpose":"wound_check","requirement":"routine","after":{"min":5,"max":10,"unit":"days","qualifier":"Access site check, often by phone or clinic."}},{"purpose":"assessment","requirement":"routine","after":{"min":30,"max":42,"unit":"days","qualifier":"Cardiology review of symptoms, medications and risk factors."}},{"purpose":"assessment","requirement":"conditional","after":{"min":150,"max":210,"unit":"days","qualifier":"Review around 6 months; timing varies with clinical status."}}],"indications":["Stable angina not controlled by medication with significant coronary stenosis","Acute coronary syndrome (unstable angina, NSTEMI)","ST-elevation myocardial infarction (primary PCI)","Significant narrowing with documented ischemia on testing"],"main_risks":["Bleeding or hematoma at access site","Vascular access complications (pseudoaneurysm, radial artery occlusion)","Contrast-related kidney injury or allergic reaction","Stent thrombosis","In-stent restenosis","Coronary dissection or perforation","Periprocedural myocardial infarction or arrhythmia","Stroke (rare)","Bleeding related to antiplatelet therapy","Radiation exposure"],"pain":"Minimal; local anesthetic at the access site, with possible transient chest discomfort during balloon inflation and mild access-site soreness afterward.","preparation":["Cardiology assessment, ECG and coronary angiography or imaging review","Blood tests including kidney function and blood count","Fasting for several hours before the procedure","Care team reviews medications and allergies, including contrast","Start of antiplatelet therapy as directed by the cardiologist","Informed consent and arrangement of transport home"],"recovery_timeline":[{"phase":"Same day","description":"Monitoring after the procedure, access site compression and observation; most patients walk within hours.","restrictions":["Avoid strain on the access limb","Do not drive"]},{"phase":"Days 1-7","description":"Return to light daily activity; mild bruising at access site.","restrictions":["Avoid heavy lifting with the access arm or leg","Avoid strenuous exertion"]},{"phase":"Weeks 1-4","description":"Gradual return to normal activity and exercise; continued antiplatelet therapy and risk-factor control.","restrictions":["Avoid intense exercise until cleared by cardiologist","Do not stop antiplatelet drugs without medical advice"]}],"rehabilitation_days":{"min":2,"max":7,"unit":"days","qualifier":"Ordinary functional recovery after elective uncomplicated radial-access PCI; longer after myocardial infarction."},"result_longevity":"Stents are permanent; long-term benefit depends on risk-factor control and adherence to medication, as restenosis or new disease can develop over time.","revision_rate_pct":{"min":3,"max":10,"unit":"percent","qualifier":"Repeat revascularization of the treated lesion within 1-5 years, mainly for in-stent restenosis with drug-eluting stents."},"scars":"No surgical scar; only a tiny puncture mark at the radial or femoral access site.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"One PCI session for the typical elective single-lesion case; staged PCI may be used for multivessel disease."},"stages":[{"code":"pci_stent_placement","label":"Percutaneous coronary intervention with stent placement","after":{"min":0,"max":0,"unit":"days","qualifier":"Performed on day of procedure."}}],"qualifier":"Single-session procedure in the typical uncomplicated case."},"success":{"metric":"Procedural success (stent deployed, residual stenosis under 30%, no major event)","value":95,"unit":"percent","horizon":"In hospital, at procedure end","population":"Adults with elective single-lesion PCI using drug-eluting stent","evidence_status":"proven"},"techniques":[{"name":"Drug-eluting stent via radial access","suits_whom":"Most patients; current standard for most lesions","recovery":"Quick mobilization, often same-day discharge for elective cases"},{"name":"Femoral access PCI","suits_whom":"Patients with unsuitable radial arteries or complex cases needing large catheters","recovery":"Longer bed rest and higher access-site bleeding risk"},{"name":"Bare-metal stent","suits_whom":"Selected patients who cannot take prolonged dual antiplatelet therapy","recovery":"Similar recovery with shorter antiplatelet course but higher restenosis risk"}],"treatment_conditions":["day_case","inpatient"],"treatment_duration_hours":{"min":0.5,"max":1.5,"unit":"hours","qualifier":"Single-lesion elective PCI procedure time; more with multiple lesions or complex anatomy."},"initial_assessment_documents":["Coronary angiography report and images","Latest ECG","Echocardiogram report","Stress test report (if available)","List of blood thinners and antiplatelets","Recent cardiology discharge summary"],"travel_trips":{"min":1,"max":1,"one_trip_possible":true,"qualifier":"Single-session stenting; about 2-4 days abroad for tests, procedure and wait before flying. Follow-up checks are 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":"2026-11-12","http_status":200}},{"id":"C2","text":"Check that you have been able to ask the 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":"2026-11-12","http_status":200}},{"id":"C3","text":"Check that you are satisfied with the facilities and standards where treatment will be given","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":"2026-11-12","http_status":200}},{"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":"Advice coming from a sales team member, not a clinician, 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":"2026-11-12","http_status":200}},{"id":"F2","text":"No written contract from the clinic is offered to the patient","scope":"treatment_abroad","source":{"url":"https://travelhealthpro.org.uk/factsheets/travelling-for-treatment-medical-tourism","host":"travelhealthpro.org.uk","quote":"A written contract from the clinic or hospital should be provided","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"F3","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}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"warning_signs":{"status":"ok","items":[{"id":"W1","text":"Chest pain not relieved by rest or medication","urgency":"emergency","general":false,"source":{"url":"https://my.clevelandclinic.org/departments/heart/patient-education/recovery-care/interventional-procedures/after-your-interventional-procedure","host":"my.clevelandclinic.org","quote":"Chest pain or discomfort (angina-like) that lasts for 5 minutes and does not go away after you rest or take medication.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"W2","text":"Coldness or numbness in the arm or leg","urgency":"contact_clinic","general":false,"source":{"url":"https://my.clevelandclinic.org/departments/heart/patient-education/recovery-care/interventional-procedures/after-your-interventional-procedure","host":"my.clevelandclinic.org","quote":"Feelings of coldness, numbness, tingling or excessive swelling on the leg or arm of the catheter insertion site.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"W3","text":"Lump at the wrist or groin puncture site","urgency":"contact_clinic","general":false,"source":{"url":"https://my.clevelandclinic.org/departments/heart/patient-education/recovery-care/interventional-procedures/after-your-interventional-procedure","host":"my.clevelandclinic.org","quote":"Golf ball-sized at the groin or grape-sized at the wrist.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"W4","text":"Bleeding from puncture site that does not stop","urgency":"emergency","general":false,"source":{"url":"https://my.clevelandclinic.org/departments/heart/patient-education/recovery-care/interventional-procedures/after-your-interventional-procedure","host":"my.clevelandclinic.org","quote":"Bleeding from the catheter insertion site that doesn’t stop after 20 minutes.","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":"Gives the home doctor the imaging from the overseas procedure","document":"x-rays and scans","source":{"url":"https://travelhealthpro.org.uk/factsheets/travelling-for-treatment-medical-tourism","host":"travelhealthpro.org.uk","quote":"Travellers should ensure they have copies of all overseas medical records, including x-rays and scans, before departure.","tier":"tier1_medical","fetched_at":"2026-11-12","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":"Ask for copies of all prescriptions before you leave","document":"prescription copies","source":{"url":"https://travelhealthpro.org.uk/news/699/travelling-abroad-for-treatment","host":"travelhealthpro.org.uk","quote":"Remember to ask for copies of all your treatment records, including prescriptions, scans and x-rays before you leave.","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 severe narrowing in several coronary arteries","name":"Coronary artery bypass surgery","source":{"url":"https://www.nhlbi.nih.gov/health/coronary-heart-disease/treatment","host":"nhlbi.nih.gov","quote":"Surgeons typically use CABG to treat people who have severe coronary artery disease in multiple coronary arteries.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200},"operation_id":null},{"id":"A2","text":"Your chest pain may be controlled with medicines","name":"Medicines for coronary heart disease","source":{"url":"https://www.nhlbi.nih.gov/health/coronary-heart-disease/treatment","host":"nhlbi.nih.gov","quote":"Some medicines can reduce or prevent chest pain and manage health conditions that can worsen coronary heart disease.","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":"drug-eluting-stent","name":"Drug-eluting stent via radial access","how_it_works":{"text":"A stent releases medicine to help prevent the artery narrowing again","source":{"url":"https://www.nhs.uk/conditions/coronary-heart-disease/treatment/","host":"nhs.uk","quote":"Drug-eluting stents can also be used.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},"recovery_daily":{"event":"back_to_daily_activities","min":2,"max":2,"unit":"days","label":"2 days","source":{"url":"https://my.clevelandclinic.org/departments/heart/patient-education/recovery-care/interventional-procedures/after-your-cardiac-catheterization","host":"my.clevelandclinic.org","quote":"Gradually increase your activities until you reach your normal activity level within two days after the procedure.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}}},{"id":"femoral-access-pci","name":"Femoral access PCI","how_it_works":{"text":"Treatment is done through an artery in the groin","source":{"url":"https://my.clevelandclinic.org/departments/heart/patient-education/recovery-care/interventional-procedures/after-your-cardiac-catheterization","host":"my.clevelandclinic.org","quote":"Procedures may be performed in the femoral artery in the groin.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},"recovery_daily":{"event":"back_to_daily_activities","min":1,"max":1,"unit":"weeks","label":"1 week","source":{"url":"https://my.clevelandclinic.org/departments/heart/patient-education/recovery-care/interventional-procedures/after-your-cardiac-catheterization","host":"my.clevelandclinic.org","quote":"Gradually increase your activities until you reach your normal activity level within one week after the procedure.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}}},{"id":"bare-metal-stent","name":"Bare-metal stent","how_it_works":{"text":"A metal scaffold is compressed on the outside of a balloon","source":{"url":"https://www.aafp.org/pubs/afp/issues/2009/1201/p1245.html","host":"aafp.org","quote":"These stents are metal scaffolds of various designs that are compressed on the outside of the balloon catheter.","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":"drug-eluting-stent","name":"Drug-eluting stent via radial access","how_it_works":{"id":"H1","text":"A stent releases medicine to help prevent the artery narrowing again","source":{"url":"https://www.nhs.uk/conditions/coronary-heart-disease/treatment/","host":"nhs.uk","quote":"Drug-eluting stents can also be used.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},"recovery_daily":{"event":"back_to_daily_activities","min":2,"max":2,"unit":"days","label":"2 days","source":{"url":"https://my.clevelandclinic.org/departments/heart/patient-education/recovery-care/interventional-procedures/after-your-cardiac-catheterization","host":"my.clevelandclinic.org","quote":"Gradually increase your activities until you reach your normal activity level within two days after the procedure.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},"suits_whom":"Most patients; current standard for most lesions","price_from":{"status":"missing","reason":"not_collected"},"recovery":"Quick mobilization, often same-day discharge for elective cases"},{"id":"femoral-access-pci","name":"Femoral access PCI","how_it_works":{"id":"H1","text":"Treatment is done through an artery in the groin","source":{"url":"https://my.clevelandclinic.org/departments/heart/patient-education/recovery-care/interventional-procedures/after-your-cardiac-catheterization","host":"my.clevelandclinic.org","quote":"Procedures may be performed in the femoral artery in the groin.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},"recovery_daily":{"event":"back_to_daily_activities","min":1,"max":1,"unit":"weeks","label":"1 week","source":{"url":"https://my.clevelandclinic.org/departments/heart/patient-education/recovery-care/interventional-procedures/after-your-cardiac-catheterization","host":"my.clevelandclinic.org","quote":"Gradually increase your activities until you reach your normal activity level within one week after the procedure.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},"suits_whom":"Patients with unsuitable radial arteries or complex cases needing large catheters","price_from":{"status":"missing","reason":"not_collected"},"recovery":"Longer bed rest and higher access-site bleeding risk"},{"id":"bare-metal-stent","name":"Bare-metal stent","how_it_works":{"id":"H1","text":"A metal scaffold is compressed on the outside of a balloon","source":{"url":"https://www.aafp.org/pubs/afp/issues/2009/1201/p1245.html","host":"aafp.org","quote":"These stents are metal scaffolds of various designs that are compressed on the outside of the balloon catheter.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"},"suits_whom":"Selected patients who cannot take prolonged dual antiplatelet therapy","price_from":{"status":"missing","reason":"not_collected"},"recovery":"Similar recovery with shorter antiplatelet course but higher restenosis risk"}],"alternatives":{"status":"ok","items":[{"id":"A1","text":"You have severe narrowing in several coronary arteries","name":"Coronary artery bypass surgery","source":{"url":"https://www.nhlbi.nih.gov/health/coronary-heart-disease/treatment","host":"nhlbi.nih.gov","quote":"Surgeons typically use CABG to treat people who have severe coronary artery disease in multiple coronary arteries.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200},"operation_id":null},{"id":"A2","text":"Your chest pain may be controlled with medicines","name":"Medicines for coronary heart disease","source":{"url":"https://www.nhlbi.nih.gov/health/coronary-heart-disease/treatment","host":"nhlbi.nih.gov","quote":"Some medicines can reduce or prevent chest pain and manage health conditions that can worsen coronary heart disease.","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":"missing","reason":"no_official_source","checked_at":"2026-11-11","next_check_at":"2027-02-09"},"travel":{"status":"ok","items":[{"id":"V1","item":"passport_validity","audience":"uk","volatile":true,"text":"The passport must have an expiry date at least 3 months after you plan to leave the Schengen area","source":{"url":"https://www.gov.uk/foreign-travel-advice/spain/entry-requirements","host":"gov.uk","quote":"have an ‘expiry date’ at least 3 months after the day 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":"V2","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/Spain.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":"V3","item":"prescriptions","audience":"us","volatile":false,"text":"Medications that require a prescription in the United States also require a local doctor's prescription in Spain","source":{"url":"https://travel.state.gov/content/travel/en/international-travel/International-Travel-Country-Information-Pages/Spain.html","host":"travel.state.gov","quote":"Medications requiring prescriptions in the United States also require a local doctor’s prescription in Spain.","tier":"official_travel","fetched_at":"2026-11-11","http_status":403}},{"id":"V4","item":"ghic","audience":"uk","volatile":false,"text":"A GHIC or EHIC is needed to get medically necessary state healthcare in Spain","source":{"url":"https://www.gov.uk/foreign-travel-advice/spain/health","host":"gov.uk","quote":"To get medically necessary state healthcare in Spain, 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":"V5","item":"hospital_payment","audience":"all","volatile":false,"text":"Private hospitals usually require payment or proof of insurance or funds before admitting a patient","source":{"url":"https://travel.state.gov/content/travel/en/international-travel/International-Travel-Country-Information-Pages/Spain.html","host":"travel.state.gov","quote":"Private hospitals usually require payment or proof insurance or funds before admitting a patient.","tier":"official_travel","fetched_at":"2026-11-11","http_status":403}},{"id":"V6","item":"emergency_number","audience":"all","volatile":false,"text":"Dial 112 and ask for an ambulance","source":{"url":"https://www.gov.uk/foreign-travel-advice/spain/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":["austria","azerbaijan","germany","greece","india","israel","italy","kazakhstan","lithuania","poland","republic-of-korea","romania","switzerland","thailand","turkey","ukraine","united-arab-emirates"]},"often_combined_with":{"status":"missing","reason":"not_collected"},"reviews":{"avg_rating":4.69,"count":511,"scope":"clinic","rating_scale":5,"pros":{"status":"missing","reason":"not_collected"},"cons":{"status":"missing","reason":"not_collected"}},"current":{"seo_text":"<p>Coronary stenting in Spain typically costs from _op_554_price_from_ to _op_554_price_to_. Prices are influenced by the number of stents, clinic prestige, and city location. Patients save around _price_percent_discount_% compared to the US, where this procedure costs _price_compare_US_average_ on average. Standard Spanish packages usually include preoperative tests, the catheterization procedure, drug-eluting stent materials, and a two-night hospital stay.</p>\n\n<ul>\n<li><strong>Hospital location:</strong> Packages in Madrid or Barcelona often cost 15-20% more than in regional cities.</li>\n<li><strong>Clinical complexity:</strong> Cases involving multiple diseased arteries or bifurcations typically require higher medical resource allocation.</li>\n<li><strong>Clinic tier:</strong> High-end medical centers serving international patients usually charge a premium for private amenities.</li>\n<li><strong>Stent technology:</strong> Premium drug-eluting stents from major manufacturers may increase the total package price.</li>\n</ul>\n\n<p><strong>Bookimed Expert Insight:</strong> Choosing a high-volume specialist in Barcelona offers exceptional value for complex heart cases. For instance, Dr. Juli Carballo Garrido at Centro Médico Teknon performs over 1,000 annual procedures. While packages there start around $15,350, they include care at a JCI-accredited facility. This clinic is a top choice for celebrities and athletes, ensuring world-class standards at a fraction of US prices.</p>","faq":[{"q":"What medications are needed after a stent procedure?","a":"<p>Post-stent recovery requires Dual Antiplatelet Therapy (DAPT) to prevent life-threatening clots. This regimen combines low-dose aspirin with a second blood thinner like clopidogrel, ticagrelor, or prasugrel. Most patients in Spain continue DAPT for 6 to 12 months for drug-eluting stents.</p> <ul> <li><strong>Daily aspirin:</strong> Patients typically take 75–100mg of aspirin indefinitely to maintain blood flow.</li> <li><strong>Second antiplatelet:</strong> Clopidogrel or ticagrelor is taken for 6–12 months to prevent thrombosis.</li> <li><strong>Lifelong statins:</strong> High-intensity statins like rosuvastatin keep LDL cholesterol below 70 mg/dL permanently.</li> <li><strong>Heart strain management:</strong> Beta-blockers or ACE inhibitors help control heart rate and blood pressure.</li> </ul> <p><strong>Bookimed Expert Insight:</strong> While US heart procedures average _price_compare_US_average_, choosing a specialist like Dr. Juli Carballo Garrido at Centro Médico Teknon—who performs 1,000+ cardiac procedures annually—provides access to elite-level care at _op_554_price_from_. Spanish protocols strictly follow European Society of Cardiology guidelines, ensuring standard DAPT durations match those in North America.</p> <p><strong>Patient Consensus:</strong> Many patients find that beta-blockers initially cause fatigue or limit exercise capacity during recovery. Experts warn that natural supplements like nattokinase cannot safely replace prescribed antiplatelet therapy for preventing stent-related blockages.</p>"},{"q":"Will the artery stay open for the rest of my life?","a":"<p>Coronary stents are permanent implants designed to hold arteries open indefinitely. While the device remains for life, maintaining blood flow depends on managing risk factors. Success relies on medication adherence and lifestyle changes to prevent scar tissue buildup or new blockages in the treated area.</p> <ul> <li><strong>Stent integration:</strong> Natural vessel tissue grows over the stent within several months.</li> <li><strong>Preventative medication:</strong> Antiplatelet therapy and statins prevent blood clots and stabilize plaque.</li> <li><strong>Success factors:</strong> Long-term patency depends on controlling diabetes, hypertension, and cholesterol levels.</li> <li><strong>Spanish standards:</strong> JCI-accredited centers in Spain utilize advanced interventional cardiology for high-precision placement.</li> </ul> <p><strong>Bookimed Expert Insight:</strong> Spain’s top cardiac centers like Centro Médico Teknon employ surgeons who perform over 1,000 procedures annually. Our data shows that high-volume specialists often handle complex bifurcations that others might avoid. Choosing a surgeon with this specific volume is the strongest indicator of long-term procedural success and reduced re-narrowing risk.</p> <p><strong>Patient Consensus:</strong> Patients emphasize that a stent is a treatment rather than a permanent cure. Many highlight that aggressive cholesterol management and consistent medication are what truly keep the artery open years later.</p>"},{"q":"What is coronary stenting (angioplasty)?","a":"<p>Coronary stenting is a minimally invasive procedure that opens clogged heart arteries using a mesh tube called a stent. This non-surgical treatment restores blood flow to the heart muscle. It effectively treats coronary artery disease without the necessity for risky open-heart surgery.</p> <ul> <li><strong>Procedure technique:</strong> Surgeons guide a balloon catheter through the radial or femoral artery to the blockage.</li> <li><strong>Stent function:</strong> The metal mesh acts as a permanent scaffold to keep the artery wall open.</li> <li><strong>Anesthesia type:</strong> Specialists perform the 1–2 hour procedure under local anesthesia combined with light sedation.</li> <li><strong>Recovery time:</strong> Most patients stay 1–2 days in the hospital and return to activity within one week.</li> </ul> <p><strong>Bookimed Expert Insight:</strong> While basic angioplasty starts around _op_554_price_from_ in Spain, choosing high-volume centers like Centro Médico Teknon provides access to surgeons performing 1,000+ annual procedures. This level of repetition is a critical safety signal for interventional cardiology outcomes.</p> <p><strong>Patient Consensus:</strong> Patients emphasize recognizing chest tightness as a warning sign for blockages often exceeding 95%. Many report a faster recovery in Spanish private clinics where immediate access reduces cardiac stress.</p>"},{"q":"Why would a doctor recommend a stent?","a":"<p>Doctors recommend a stent to support narrowed or weak arteries and restore vital blood flow. This small mesh tube is essential for treating coronary artery disease, stopping heart attacks in progress, and reinforcing aneurysms to prevent life-threatening bursts through minimally invasive percutaneous coronary intervention.</p> <ul> <li><strong>Emergency intervention:</strong> Restores blood flow during heart attacks to prevent permanent cardiac muscle death.</li> <li><strong>Artery stabilization:</strong> Mechanically holds open vessels narrowed by plaque buildup exceeding 70 percent.</li> <li><strong>Symptom management:</strong> Relieves chronic angina, chest tightness, or burning sensations when medications fail.</li> <li><strong>Aneurysm reinforcement:</strong> Strengthens weak aortic walls to eliminate the risk of internal rupture.</li> </ul> <p><strong>Bookimed Expert Insight:</strong> While many expect a quick fix, complex cases like left anterior descending artery blockages can require 4-5 hours. Choosing a high-volume specialist is vital. For example, Dr. Juli Carballo Garrido at Centro Médico Teknon performs over 1,000 cardiac procedures annually, significantly enhancing patient safety in these delicate interventions.</p> <p><strong>Patient Consensus:</strong> Patients emphasize acting quickly on symptoms like jaw or neck pain, noting that immediate stenting during `widowmaker` events is the primary factor in survival. Many report an instant relief from chest tightness following the procedure.</p>"},{"q":"What type of stents are used in Spain?","a":"<p>Spanish cardiac centers utilize internationally recognized stents like drug-eluting stents (DES), bioresorbable vascular scaffolds (BVS), and bare-metal stents (BMS). Hospitals such as Centro Médico Teknon and Hospital Ruber Internacional use top-tier brands including Boston Scientific, Abbott, Medtronic, and Biotronik to ensure success rates near 95%.</p><ul><li><strong>Drug-eluting stents:</strong> Most common type; releases medication to prevent artery re-narrowing and restenosis.</li><li><strong>Bioresorbable scaffolds:</strong> Modern biodegradable mesh that the body naturally absorbs over time.</li><li><strong>Bare-metal stents:</strong> Uncoated metal mesh used primarily in specific cases where medication is unnecessary.</li><li><strong>Covered stents:</strong> Specialized devices used to support vessel walls in peripheral vascular procedures.</li></ul><p><strong>Bookimed Expert Insight:</strong> While many European clinics handle high volumes, Spain’s top surgeons demonstrate exceptional individual experience. Dr. Juli Carballo Garrido at Centro Médico Teknon performs over 1,000 cardiac procedures annually. This high-volume practice is a major factor in maintaining the reported 95% success rate for coronary interventions.</p><p><strong>Patient Consensus:</strong> Patients prioritize drug-eluting stents for modern care to minimize risk. They emphasize confirming powerful post-procedure antiplatelet therapy like Ticagrelor with their cardiologist for optimal recovery.</p>"},{"q":"What does recovery look like?","a":"<p>Recovery after coronary stenting in Spain involves a 2-day hospital stay with a return to normal activities within days to a week. Patients typically undergo the procedure under general anesthesia at JCI-accredited facilities in cities like Barcelona or Madrid before starting follow-up care.</p> <ul> <li><strong>Hospital duration:</strong> Most patients spend 2 days monitored in a cardiac ward following stent placement.</li> <li><strong>Activity timeline:</strong> Light daily routines usually resume within 3 to 7 days after the procedure.</li> <li><strong>Medication commitment:</strong> Long-term use of blood thinners and statins is required to keep stents open.</li> <li><strong>Follow-up care:</strong> Specialized clinics like Centro Médico Teknon include post-operative examinations in surgical packages.</li> </ul> <p><strong>Bookimed Expert Insight:</strong> Spain’s top cardiac centers leverage exceptionally high surgical volumes to ensure safety. For instance, Dr. Juli Carballo Garrido at Centro Médico Teknon performs over 1,000 cardiac procedures annually. This level of repetition deeply refines the team's ability to manage the initial 48-hour recovery window effectively.</p> <p><strong>Patient Consensus:</strong> Physical recovery is rapid, but managing the lifestyle shift is the real challenge. Many emphasize the importance of addressing post-procedure anxiety and committing to permanent habits like smoking cessation.</p>"}],"h2":[{"text":"How Much Does Coronary stenting Cost in Spain?","kind":"content"},{"text":"Your Benefits and Guarantees with Bookimed","kind":"content"},{"text":"Your personal Bookimed medical coordinator","kind":"content"},{"text":"Coronary stenting Packages in Spain — November 2026","kind":"content"},{"text":"Discover the Best Coronary stenting Clinics in Spain: 4 Verified Options and Prices","kind":"content"},{"text":"Coronary stenting Overview in Spain","kind":"content"},{"text":"Our Doctors","kind":"content"},{"text":"Video Stories from Bookimed Patients","kind":"ui"},{"text":"Reviews about Bookimed: Discover Patients' Insights","kind":"ui"},{"text":"Share this content","kind":"ui"},{"text":"Fast Facts about Coronary stenting","kind":"content"},{"text":"FAQ about Coronary stenting in Spain","kind":"content"},{"text":"Get a free consultation","kind":"ui"}]},"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":[{"field":"medical.hospital_nights","chosen":"offers","offers":2,"parsed_details":{"min":0,"max":1}}]}