Transmyocardial holmium laser revascularization: feasibility of a thoracoscopic approach

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Transmyocardial holmium laser revascularization: feasibility of a thoracoscopic approach.

OBJECTIVE Creation of transmyocardial channels from the epicardium to the left ventricular cavity with the use of a laser is a modern approach in the treatment of patients with chronic ischemic heart disease unsuitable for coronary angioplasty or bypass grafting. We present the results of transmyocardial laser revascularization (TMLR) with a holmium laser as sole therapy in 22 patients operated...

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Transmyocardial laser revascularization.

Low-powered lasers were first used in the early 1980s to produce transventricular channels as an adjunct to coronary artery bypass graft surgery (CABG). Early results were encouraging, but because of the combined procedure, could not be attributed directly to use of the laser [1]. High-powered lasers were introduced into clinical practice in 1990 [2]. These lasers are powerful enough to create ...

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Transmyocardial laser revascularization. Personal experience.

BACKGROUND Indirect revascularization is a therapeutic approach in case of severe angina not suitable for percutaneous or surgical revascularization. Transmyocardial revascularization (TMR) is one of the techniques used for indirect revascularization and it allows to create transmyocardial channels by a laser energy bundle delivered on left ventricular epicardial surface. Benefits of the proced...

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Transmyocardial laser revascularization: a qualitative systematic review.

OBJECTIVE To evaluate the status of transmyocardial laser revascularization (TMLR) from an evidence-based perspective to help hospitals make resource management decisions. STUDY DESIGN Qualitative systematic review of the clinical literature. METHODS We searched the reference databases MEDLINE, BIOSIS, EMBASE, SciSearch, and Current Contents to identify all articles related to TMLR publishe...

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Transmyocardial revascularization utilizing a holmium:YAG laser.

OBJECTIVE To evaluate the efficacy of transmyocardial revascularization performed on patients with refractory class IV or unstable angina with a holmium:yttrium-aluminum-garnet laser. METHODS Transmyocardial revascularization with a holmium:yttrium-aluminum-garnet laser was performed in 42 patients with refractory angina who were not candidates for percutaneous transluminal coronary angioplas...

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ژورنال

عنوان ژورنال: European Journal of Cardio-Thoracic Surgery

سال: 1998

ISSN: 1010-7940

DOI: 10.1016/s1010-7940(98)00115-8