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Transmyocardial revascularization |
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| Authors: | A. Sachinopoulou J. F. Beek R. Tukkie D. W. Meijer P. F. Gründeman B. A. J. M. De Mol J. Bannenberg R. M. Verdaasdonk M. J. C. Van Gemert |
| Affiliation: | (1) Laser Centre, Academic Medical Centre, Meibergdreef 9, 1105 AZ Amsterdam, The Netherlands;(2) Department of Cardiology, Academic Medical Centre, Amsterdam, The Netherlands;(3) Department of Surgical Research, Academic Medical Centre, Amsterdam, The Netherlands;(4) Department of Experimental Cardiology, Academic Medical Centre, Amsterdam, The Netherlands;(5) Department of Cardio Surgery, Academic Medical Centre, Amsterdam, The Netherlands;(6) Laser Centre, Academic Hospital Utrecht, The Netherlands |
| Abstract: | Transmyocardial revascularization (TMR) is a puncture technique proposed as a solution for patients with coronary artery disease who cannot be efficiently treated with the standard revascularization procedures such as bypass surgery or percutaneous transluminal coronary angioplasty (PTCA). The studies presented in this review have investigated the use of lasers to revascularize ischaemic myocardium. Needle puncture methods are also briefly described. The results from experimental studies are not conclusive but the encouraging clinical reports raise further questions about the mechanism of angina relief. |
| Keywords: | Transmyocardial revascularization Lasers Coronary artery disease Ischaemia Tissue hibernation |
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