Heart Diagnostics · Saint Petersburg
Coronarography
An accurate method of diagnosing the condition of the coronary arteries of the heart for the detection and treatment of diseases.
Free under CHI and federal quotas
when indicated and with a referral
What Is Coronarography
Coronary angiography is a minimally invasive method of X-ray imaging of the coronary arteries of the heart using a radiopaque contrast agent.
It still remains the «gold standard» in the diagnosis of coronary heart disease (CHD): today it is the only existing examination method that shows the exact structure of the heart vessels.
Coronary angiography is used to exclude or confirm this diagnosis and then choose a treatment method. In some cases — for patients over 45 before major surgery, or with a positive stress test (stress echocardiography) — the coronary vessels are examined to prevent possible complications such as myocardial infarction.
Procedure Safety
Coronarography is a minimally invasive procedure performed under local anesthesia, typically lasting 20–40 minutes. The patient remains conscious and under constant medical supervision. The procedure is carried out in a specialized X-ray operating room at Pirogov Clinic in Saint Petersburg.
- minutes
- 20-40
- anesthesia
- local
- of monitoring
- 1 day
When Is Coronarography Indicated
- Chest discomfort during exertion or at rest
- Suspected ischemic heart disease (IHD)
- Preparation for cardiac surgery
- Changes on echocardiography or stress test results
- Previous myocardial infarction — to assess arterial condition
How Coronarography Is Performed
The procedure takes place in the X-ray operating room. First an intravenous catheter is placed and vital functions are monitored: continuous electrocardiography, blood pressure, respiratory rate and blood oxygen saturation. During the procedure the surgeon may ask you to perform simple actions.
Coronary angiography uses transradial access — through the radial artery of the forearm — or transfemoral access — through the common femoral artery below the groin. To reduce pain, local and intravenous anesthesia is used under the supervision of an anesthesiologist.
Local Anesthesia
The patient remains conscious. The puncture site is numbed with a local anesthetic.
Catheter Insertion
A thin flexible catheter is inserted through the wrist or femoral artery and advanced to the coronary arteries.
Contrast Agent
A contrast agent is injected through the catheter to fill the coronary vessels.
Vessel Imaging
A specialized device captures X-ray images of the arteries in multiple projections.
Results Assessment
The physician analyzes the coronary artery anatomy and determines the further treatment plan.
Procedure Video
What Coronarography Results Reveal
Based on the results, the physician determines the further treatment strategy — depending on the degree of arterial damage:
- Drug TherapyFor minor changes, conservative treatment is prescribed — medications to normalize blood flow and prevent complications.
- Artery StentingFor significant narrowings, endovascular intervention is performed: a stent is placed in the narrowed segment to restore patency.Learn more
- Coronary Artery Bypass GraftingFor multiple or extensive lesions, surgical treatment may be recommended — creating bypass routes for blood flow.Learn more
Blood Flow Assessment: FFR
When indicated, the clinic uses a modern method of blood flow assessment — FFR (fractional flow reserve). It measures the pressure difference across a narrowed (stenosed) coronary artery to determine the likelihood of ischemia of the heart muscle — the myocardium.
Coronarography Cost in Saint Petersburg
- CoronarographyIncludes all consumables and monitoring
- 57,600 ₽
- Additional studies (FFR, OCT)Based on clinical indications
- 97,600 ₽
Coronarography may be performed free of charge under CHI and federal quotas. Please consult a specialist.
Doctors Performing Coronarography at Pirogov Clinic
Free under CHI and federal quotas
Available under CHI and federal quotas. Paid diagnostics allow you to get examined without waiting and determine the treatment strategy faster.
Frequently Asked Questions
The procedure is performed under local anesthesia — the puncture itself may feel like mild pressure. A brief sensation of warmth may occur when the contrast agent is injected. General anesthesia is not required, and pain is generally not experienced.
The procedure itself takes 20–40 minutes. Afterward, the patient is monitored for several hours to check the puncture site and overall condition.
In most cases, coronarography is performed on a same-day basis — without extended hospitalization. The patient arrives in the morning and may be discharged in the evening. In some cases, inpatient monitoring may be required based on clinical indications.
The physician communicates preliminary results immediately after the procedure. A written report describing the coronary artery status and treatment recommendations is issued on the same day or the next day.
Yes. At Pirogov Clinic in Saint Petersburg, coronarography is available free of charge under CHI and federal quotas with the appropriate referral. Paid diagnostics allow you to be examined at a convenient time without waiting.
Conditions it treats
- Aortic StenosisNarrowing of the aortic valve, disrupting blood flow and leading to heart failure and risk of severe complications.Learn more
- AtherosclerosisNarrowing of arteries due to cholesterol plaques, leading to impaired blood flow and risk of heart attack, stroke, or gangrene.Learn more
- Heart DefectsDamage to the heart valves, causing heart failure and requiring surgical treatment.Learn more
- Ischemic Heart DiseaseNarrowing of the heart vessels, causing angina, heart attack, or death.Learn more
- Ischemic CardiomyopathyImpaired blood supply to the heart, causing its enlargement and heart failure.Learn more
Related procedures and diagnostics
- Coronary artery stentingMinimally invasive surgery that restores blood flow in the arteries of the heart, preventing heart attacks and other complications.Learn more
- Coronary artery bypass graftingRestores blood flow to the heart, bypassing narrowed arteries, improving the condition of coronary heart disease.Learn more
- Computed TomographyCT of the heart and vessels, CT angiography of the aorta and coronary arteries: detailed cross-sectional images for precise diagnosis and surgical planning.Learn more
Patient reviews
Patients tell about their treatment at our center — reviews that mention “Coronarography”: 23 reviews. The latest are below.
I first came to the clinic to see a cardiologist because of heart pain and shortness of breath. I underwent stress echocardiography and coronary angiography, and based on the results, CABG surgery was indicated. The surgery was performed on March 19, 2026, and I recovered quickly afterward. The operation was performed with high quality. During the preoperative examination, it was also discovered that I had a problem with my carotid artery. When I was discharged, I was immediately given a referral for the next operation. I was hospitalized again on June 19, and on June 22 I underwent carotid artery surgery. The operation was successful, and by the evening I was already in the ward. Now I feel wonderful. I would like to say a big thank you to Alexey Alexandrovich Filippov. He participated in both of my operations, changed my dressings, and helped me recover. I will recommend this specialist to everyone. Excellent clinic, very polite and kind staff.
Anonymous
Review of the doctorAlexey FilippovCardiac SurgeonI suffered a heart attack in 2000 without realizing it at the time, and then in 2025 I had another heart attack. In February 2025, an echocardiogram showed a serious reduction in ejection fraction and scar changes in the myocardium. I was hospitalized in a cardiology department, where a stent was placed, but I did not feel better, and the ejection fraction remained just as low. I was helped only at the Pirogov Clinic on Fontanka. I was hospitalized on June 9, 2026. An echocardiogram and coronary angiography were performed, and the results were discouraging — the damage was serious. Still, the decision was made to perform surgery. On June 11, I underwent surgery. The next day, I was transferred from the ICU to the ward, and recovery went quickly. Alexey Alexandrovich Filippov was always nearby. He explained everything clearly, answered all my questions, visited me, and changed my dressings. Many thanks to Alexey Alexandrovich for the excellent surgery, care, and attention. I will recommend this doctor to everyone. What I liked: The location, the attitude of all clinic staff, and the care.
Anonymous
Review of the doctorAlexey FilippovCardiac SurgeonI was admitted to the Pirogov Clinic with diagnoses of ischemic heart disease, angina, and very high cardiovascular risk, for planned CABG surgery. My case was complex and carried high surgical risks. Despite this, cardiac surgeon Ruslan Yusufovich Kappushev agreed to perform the operation after thorough evaluation. He also performed coronary angiography and explained all the risks and details. The surgery went well without complications. During my stay, he was very attentive, frequently checked on my recovery, gave advice, and supported me both practically and emotionally. I am very grateful to him for taking on my case. He is a true professional and a wonderful person. What I liked: Professionalism and genuine care for patients.
Anonymous
Review of the doctorRuslan KappushevEndovascular SurgeonMy pulse disappeared. I was admitted to a cardiology department and from there referred to the Pirogov Clinic. A coronary angiography was performed, which showed severe damage to the coronary arteries. That is how I came under the care of Gleb Irlamovich, a wonderful surgeon who operated on me. The surgery was performed completely and successfully. I feel excellent now. Thank you very much for saving my life! I wish you health and well-being, both professionally and in your family. Special thanks as well to Alexey Alexandrovich Filippov, his assistant, and to my attending physician Vasily Vasilyevich Balakhonov.
Anonymous
Review of the doctorGleb KimCardiac SurgeonIn 2024, my husband was examined for shortness of breath at a clinic in Vologda. Based on the results, he was assigned disability group II. In 2025 he had an appointment with a doctor who recommended that he undergo coronary angiography in St. Petersburg under the compulsory medical insurance program. This procedure was performed by the excellent doctor Gleb Irlamovich Kim, who later became my husband’s attending physician during valve replacement surgery. My husband notes his attentiveness, responsibility, kindness, and competence. Thank you very much, doctor! We hope that everything will gradually improve and that my husband’s health will get better.
Anonymous
Vologda City ·
Review of the doctorGleb KimCardiac SurgeonHow to get care at the Center
- See a cardiologistConsultation and tests at the Outpatient Cardiology Department on Stachek Square.Learn more
- Free under CHI and quotasStep-by-step guide: which documents you need and how to get treatment free of charge.Learn more
- Online expert opinionAn online talk with a cardiologist about your documents — for patients from other cities.Learn more
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