[Transmyocardial laser revascularization].
This review describes the transmyocardial laser revascularization (TMLR) which is a method used to treat patients with end-stage coronary heart disease who have been excluded from standard invasive treatments (coronary artery by-pass grafting, percutaneous transluminal coronary angioplasty) and no longer benefit from maximum medical therapy. TMLR consists in reestablishing blood flow to the ischaemic myocardium by creating a number of laser-drilled channels which are thought to allow a direct contact between the left ventricle and the myocardial plexus. This paper also presents a review of the available evidence of the efficacy of the procedure.
D016342:Angioplasty, Laser / Q000379:methods; D003663:Decision Trees; D006801:Humans; D017202:Myocardial Ischemia / Q000601:surgery*; D009204:Myocardial Revascularization / Q000379:methods*; D016032:Randomized Controlled Trials as Topic
Przezsercowa rewaskularyzacja laserowa.