Percutaneous transmyocardial revascularization.
Transmyocardial revascularization (TMR) is a potential therapy for patients with severe angina pectoris and coronary anatomy deemed unsuitable for traditional revascularization techniques. Investigations of TMR are reviewed with emphasis on studies relevant to the development of a percutaneous, catheter-based transmyocardial revascularization procedure (PMR). The results of the preliminary animal studies and description of the PMR procedure are discussed. The recently initiated human PMR protocol is summarized and possible future investigative directions are outlined.
Kim
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Division of Cardiovascular Medicine, Stanford University School of Medicine, California 94305, USA.
Oesterle
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D000818:Animals; D002245:Carbon Dioxide; D006328:Cardiac Catheterization / Q000295:instrumentation; D003327:Coronary Disease / Q000601:surgery*; D006695:Holmium; D006801:Humans; D053685:Laser Therapy / Q000295:instrumentation / Q000379:methods*; D009204:Myocardial Revascularization / Q000295:instrumentation* / Q000379:methods*
D002245:Carbon Dioxide; D006695:Holmium