Mechanisms and results of transmyocardial laser revascularization.
Transmyocardial laser revascularization (TMR) is a technique that has been performed on over 10,000 patients around the world. Most of the patients were not suffering from heart failure. TMR is principally used for the treatment of angina, but in patients with significant reversible ischemia that is not amenable to conventional therapy, TMR may also improve myocardial function. The results of using TMR as a treatment for angina show a dramatic improvement in symptoms and quality of life. This paper reviews the current status of TMR techniques, mechanisms and results.
Horvath
Keith A
KA
Northwestern University, Chicago, IL 60611, USA. khorvath@nmh.org
D000368:Aged; D000787:Angina Pectoris / Q000601:surgery*; D001026:Coronary Artery Bypass; D003327:Coronary Disease / Q000601:surgery*; D005260:Female; D006333:Heart Failure / Q000601:surgery; D006352:Heart Ventricles / Q000601:surgery*; D006801:Humans; D053685:Laser Therapy / Q000295:instrumentation*; D008297:Male; D008875:Middle Aged; D009204:Myocardial Revascularization / Q000295:instrumentation*; D011788:Quality of Life; D016032:Randomized Controlled Trials as Topic; D013525:Surgical Instruments; D016896:Treatment Outcome