Transmyocardial laser revascularization: Clinical experience with twelve-month follow-up

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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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Early experience with transmyocardial laser revascularization.

Conventional treatment of coronary artery disease consists of either Coronary Artery Bypass Grafting (CABG), medical therapy or percutaneous transluminal coronary angioplasty (PTCA) or a combination. However, certain group of patients do not even qualify for CABG. Transmyocardial Laser Revascularization (TMR) is a unique new surgical modality specially for that sub group of patient population w...

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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 Revascularization Transmyocardial Revascularization With CO2 Laser in Patients With Refractory Angina Pectoris Clinical Results from The Norwegian Randomized Trial

RESULTS Transmyocardial laser revascularization resulted in significant relief in angina symptoms after three and 12 months compared to baseline. Time to chest pain during exercise increased from baseline by 78 s after three months (p 5 NS) and 66 s (p , 0.01) after 12 months in the TMR group, whereas total exercise time and MVO2 were unchanged. No significant changes were observed in the MT gr...

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Percutaneous laser revascularization does not equal transmyocardial laser revascularization.

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ژورنال

عنوان ژورنال: The Journal of Thoracic and Cardiovascular Surgery

سال: 1996

ISSN: 0022-5223

DOI: 10.1016/s0022-5223(96)70339-2