Center of Cardiovascular Surgery and Interventional Cardiology
at the N.I. Pirogov Clinic of High Medical Technologies of St. Petersburg State University
Center of Cardiovascular Surgery and Interventional Cardiology
at the N.I. Pirogov Clinic of High Medical Technologies of St. Petersburg State University
Heart Diagnostics · Saint Petersburg
from 57 600 ₽
Available under CHI and federal quotas.
Paid diagnostics allow you to get examined without waiting and determine the treatment strategy faster.
A video showing how coronarography is performed — from preparation to results
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.
20-40
minutes
local
anesthesia
1 day
of monitoring
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
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.
Based on the results, the physician determines the further treatment strategy — depending on the degree of arterial damage:
Drug Therapy
For minor changes, conservative treatment is prescribed — medications to normalize blood flow and prevent complications.
Artery Stenting
For significant narrowings, endovascular intervention is performed: a stent is placed in the narrowed segment to restore patency.
Learn more about coronary artery stentingCoronary Artery Bypass Grafting
For multiple or extensive lesions, surgical treatment may be recommended — creating bypass routes for blood flow.
Learn more about coronary artery bypass graftingCoronarography
Includes 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.
Ruslan Kappushev
Cardiovascular Surgeon
Appointment: от 5 000 ₽
Alexey Vasilev
Cardiovascular Surgeon
Appointment: от 3 500 ₽
Andrey Sorokin
Cardiovascular Surgeon
Appointment: от 3 500 ₽
Anton Shevelev
Doctor of X-ray endovascular diagnostics and treatment
Appointment: от 3 500 ₽
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.