Concierge interventional cardiology · London
Private invasive coronary angiogram in London, by a consultant interventional cardiologist.
The definitive test for coronary artery disease — with same-day PCI where indicated, all by a BCIS-accredited interventional cardiologist.
Why patients choose us
- 01
BCIS interventional cardiologists
Every angiogram is performed by a BCIS-registered consultant interventional cardiologist.
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Same-day PCI capability
If a critical stenosis is found, a stent can be placed in the same procedure where clinically appropriate.
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Independent, and free
We are paid by no clinic, so the recommendation is impartial and costs you nothing.
Indicative pricing
What a private invasive angiogram and PCI cost in London.
Indicative ranges across our partner cath labs. Send the details and we quote firm figures across two or three options.
In short
A diagnostic angiogram in our network: £2,500–£5,000; add same-session PCI from £8,000, reported same day.
| Procedure | Indicative range | Typical duration | Report turnaround |
|---|---|---|---|
| Diagnostic coronary angiogram | £2,500–£5,000 | Half-day | Same-day |
| Angiogram + FFR/iFR | £3,000–£6,000 | Half-day | Same-day |
| Angiogram + PCI (single vessel) | £8,000–£16,000 | Half-day | Same-day |
| Angiogram + multi-vessel PCI | £12,000–£25,000 | Full-day | 2–3 days |
| Radial-approach diagnostic angiogram | £2,700–£5,200 | Half-day | Same-day |
| Repeat / post-CABG angiogram | £3,000–£6,500 | Half-day | Same-day |
Prices vary by cath lab, whether FFR/iFR or IVUS/OCT is used, the number of vessels treated, stent count, and whether overnight admission is required. We come back with a firm quote within one working day.
The problem
When non-invasive tests can’t settle it, the cath lab does.
Invasive coronary angiography is the definitive anatomical test for coronary disease — and the only one that offers same-session treatment with a stent. Choosing the right operator and cath lab matters. We do it properly.
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CTCA or invasive angiogram?
We’ll tell you honestly which answers your question — and when a catheter is genuinely the next step.
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Worried about the risks?
Radial access, modern kit and experienced BCIS operators keep serious complications well under 1 percent.
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Need a stent in the same session?
On a PCI-capable pathway, a critical stenosis can be treated during the diagnostic procedure.
The journey
From enquiry to report — what happens, in order.
One interventional cardiologist from first message to signed report — often within days.
Phase 1 · Before your procedure
Concierge, off-stage for you
Phase 2 · On the day
Half-day at the cath lab
Phase 3 · After
Concierge, back on
- 01
Before
You tell us what is going on
A short, confidential form. Chest-pain history, prior imaging (CTCA, stress test), risk factors, insurer if you have one.
- 02
Before
We come back with a recommendation
Within one working day: whether invasive angiography is the right next step, which cath lab, indicative price. If a non-invasive test would answer the question, we say so.
- 03
Before
We arrange the appointment
Kidney function, anticoagulation and metformin planning handled in advance. Insurer pre-authorisation arranged.
- 04
On the day
Arrival and prep
Fasting, IV access, ECG and access-site prep (usually the right wrist). Local anaesthetic - you stay awake, mild sedation if needed.
- 05
On the day
In the cath lab
A fine catheter is passed through the radial (or femoral) artery to the coronary ostia. Contrast is injected under X-ray to map every vessel; FFR/iFR or IVUS/OCT added where indicated.
- 06
On the day
Recovery and same-day discharge
A wrist band compresses the radial artery for 1-2 hours. Most patients go home the same afternoon; overnight stay only if PCI performed or clinically indicated.
- 07
After
Report and next steps
Interventional cardiologist report same day with images. Any medical therapy, PCI or CABG referral discussed and routed to your GP or cardiologist.
Typical end-to-end: 3–7 days. Multi-vessel PCI report: 2–3 days.
What it shows
When invasive angiography is genuinely the right test.
Invasive angiography earns its place when non-invasive tests are inconclusive, ischaemia is confirmed, or revascularisation is on the table.
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Confirmed ischaemia
Ischaemia demonstrated on stress imaging (MPI, stress echo, stress CMR) needing anatomical confirmation and treatment planning.
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Atypical chest pain, non-invasive inconclusive
When CTCA, stress tests and troponin have not settled the question, direct angiography answers it.
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Post-MI assessment
Full coronary mapping after a myocardial infarction to guide revascularisation and secondary prevention.
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Valve disease planning
Coronary anatomy before TAVI or open valve surgery to identify concurrent disease needing treatment.
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Pre-op cardiac clearance
High-risk non-cardiac surgery where coronary disease is suspected and needs anatomical definition.
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Inconclusive CTCA
When CTCA is limited by calcium, motion or borderline lesions, invasive angiography resolves it.
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Revascularisation planning
Deciding between medical therapy, PCI and CABG - often with FFR/iFR and IVUS/OCT for lesion assessment.
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Red flag - STEMI is a 999 call
A STEMI needs primary PCI within 120 minutes via the NHS pathway. Do not attempt to arrange privately - call 999.
Procedure types
Not all invasive coronary procedures are the same.
What each option on your referral is actually for.
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Diagnostic radial angiogram
Standard access via the right wrist - lower bleeding risk, faster recovery, most patients home the same day.
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Diagnostic femoral angiogram
Groin access when radial is not feasible (small vessels, prior CABG grafts, complex anatomy).
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Angiogram + FFR / iFR
A pressure wire measures the physiological significance of a stenosis to decide whether it needs treating.
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Angiogram + IVUS / OCT
Intravascular ultrasound or optical coherence tomography for detailed plaque and stent-sizing information.
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Angiogram + single-vessel PCI
Same-session stenting of one significant lesion where clinically appropriate.
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Angiogram + multi-vessel PCI
Staged or complete revascularisation across multiple vessels with modern DES.
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Post-CABG graft study
Assessment of native coronaries and bypass grafts after previous cardiac surgery.
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Pre-TAVI coronary angiogram
Coronary mapping before transcatheter aortic valve implantation.
Our vetted London network
A small panel of cath labs, we picked them.
Interventional cardiology partners across central and greater London. Not listed publicly — introductions are made privately, once we understand your case.
Selection criteria
How we choose every cath lab in our network.
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BCIS-registered consultant interventional cardiologists
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Fully equipped modern cardiac catheterisation lab
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Same-day PCI capability with modern drug-eluting stents
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24/7 emergency support and on-site cardiac surgical cover where required
Safety and eligibility
Risks, access site, contrast and the small print.
Invasive angiography is a safe, routine procedure in experienced hands — and one to take seriously. The pre-procedure planning matters more than most people expect.
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Small but real complication risk
Serious complications are uncommon (major bleed, stroke, MI, contrast nephropathy, vascular injury) but not zero. Your interventional cardiologist quantifies your individual risk before consent.
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Usually radial artery access
The right wrist is the default - lower bleeding, faster mobilisation, same-day discharge. Femoral access is used only when radial is not feasible.
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Overnight stay sometimes
A pure diagnostic angiogram is normally day-case. Overnight admission is planned when PCI is performed, if femoral access is used, or when comorbidities require it.
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Contrast requires kidney check
Iodinated contrast is used throughout. A recent eGFR is mandatory; hydration protocols are used, and doses are minimised in chronic kidney disease.
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Metformin held around procedure
Metformin is typically held on the day of the procedure and for 48 hours after, restarted once renal function is confirmed stable.
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Anticoagulation planned individually
DOACs, warfarin and antiplatelets are managed case-by-case with your cardiologist - stopping too much and too little both carry risk.
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Driving restriction 24 hrs
No driving for 24 hours after a diagnostic angiogram; longer if PCI is performed or DVLA rules apply to your occupation.
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Pregnancy - CT/CMR preferred first
Invasive angiography uses ionising radiation and iodinated contrast. In pregnancy, non-invasive imaging is preferred wherever possible.
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Non-invasive tests first if possible
CTCA, stress imaging and functional testing answer many questions without a catheter. We only recommend invasive angiography when it is genuinely the right next step.
Reading your report
An angiogram report looks technical. It isn’t.
However detailed it looks, an invasive coronary angiogram report keeps to the same four parts.
A quiet reminder
The report is written for your doctor, not for you — and that is normal.
If you would like us to talk you through it before your follow-up, just ask.
- 01 Header
Your details and the indication
Your details, the clinical question (chest pain, post-MI, pre-op, pre-TAVI), and the operator performing the procedure.
- 02 Technique
Access route and contrast
Access site (radial or femoral), sheath size, catheters used, contrast type and volume, radiation dose and any medications given during the case.
- 03 Findings
Each vessel - stenosis and flow
Left main, LAD, circumflex and RCA described individually with stenosis percentage, TIMI flow grade, collaterals, and any FFR/iFR, IVUS or OCT data.
- 04 Impression
The conclusion - read this first
The bottom line: no obstructive disease, treat medically, proceed to PCI, or refer for CABG. Your specialist puts it in the context of your symptoms and comorbidities.
Recognised by major UK insurers
Cover depends on your policy and cath lab; we confirm with your insurer before booking.
Frequently asked
Everything we get asked about invasive coronary angiography.
Quick answers on risks, access, cost, recovery and same-day PCI.
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What is the difference between an invasive angiogram and a CT coronary angiogram?
A CT coronary angiogram (CTCA) is a non-invasive scan using an IV contrast injection - excellent at ruling out disease and grading mild-moderate stenosis. An invasive angiogram threads a catheter through the wrist or groin into the coronary ostia to inject contrast directly, giving the definitive picture and - crucially - the option to treat with a stent in the same procedure. Invasive angiography is used when non-invasive tests are inconclusive, when ischaemia is confirmed, or when revascularisation is likely.
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What are the risks of an invasive coronary angiogram?
Serious complications are uncommon in experienced hands but real: bleeding at the access site, contrast reaction, kidney injury, arrhythmia, stroke or MI (all under 1 percent for a diagnostic case). Radial access has the lowest bleeding risk. Your interventional cardiologist will quantify your personal risk in the consent conversation.
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Radial (wrist) or femoral (groin) - which is better?
Radial access is the modern default: lower bleeding risk, faster recovery, same-day discharge, and better patient comfort. Femoral access is reserved for cases where radial is not feasible - small radial vessels, prior CABG with graft study needed, or complex PCI requiring larger sheaths.
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How much does a private invasive coronary angiogram cost in London?
A diagnostic angiogram is typically £2,500-£5,000 in our network. Adding FFR/iFR makes it £3,000-£6,000. If a stent is placed in the same procedure, single-vessel PCI is £8,000-£16,000 and multi-vessel PCI £12,000-£25,000. We confirm firm figures within one working day.
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Can I have an angiogram if I might be pregnant?
Invasive angiography uses ionising radiation and iodinated contrast, so pregnancy is a strong reason to defer - or to use non-invasive alternatives (echo, stress MRI). Tell us and we will discuss what is safest for you and the baby.
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What happens if I have a contrast reaction?
Cath labs are set up for it: previous reactions are documented at consent, premedication is used where appropriate, and the team can treat a reaction immediately if one occurs. Serious anaphylaxis is rare.
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Can I drive home after the procedure?
No. There is a 24-hour driving restriction after a diagnostic angiogram, longer if PCI is performed. Arrange a lift home or a taxi; overnight stay is planned when appropriate.
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How long is the recovery?
For a radial diagnostic angiogram, most people are fully back to normal in 24-48 hours - the wrist band is on for 1-2 hours, and there is a small bruise. Femoral access needs 4-6 hours of bed rest and slower mobilisation. PCI recovery depends on complexity.
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Can a stent be placed in the same procedure?
Yes, where clinically appropriate. If a significant stenosis is confirmed - often with FFR/iFR - the interventional cardiologist can proceed to PCI in the same session, subject to your prior consent and the case complexity.
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When should I see a GP urgently instead?
New crushing chest pain, breathlessness at rest, collapse, or symptoms suggesting a heart attack are a 999 call, not a private booking. Private invasive angiography is for planned investigation of known or strongly suspected coronary disease - not for acute emergencies.
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