[Transmyocardial laser revascularization].
The clinical experience with transmyocardial laser revascularization indicates that angina is relieved significantly, perfusion and treadmill tolerance are improved and hospital admissions are decreased. The exact mechanism for a laser revascularization linked improvement is still unknown. Transmyocardial laser revascularization should be used only in highly selected cases when conventional methods fail to improve patients symptoms. Further evaluation of the efficacy of the new indirect revascularization method in clinical (larger multicenter trials) and experimental studies to elucidate the mechanism of TMLR is warranted. Experimental long-term studies to explain the mechanism are in progress.
D006801:Humans; D053685:Laser Therapy; D009204:Myocardial Revascularization / Q000379:methods*