Transmyocardial laser revascularization

Transmyocardial laser revascularization (TMR) is a procedure that is in a state of transition. The purpose of this article is to review the historical aspects of TMR. Important nursing aspects of the thoracotomy and percutaneous approaches are detailed. Outcomes related to the surgical procedure are also discussed. Although the exact mechanism of TMR is unknown, the procedure offers an improvement in the quality of life, reduction in antianginal medications, increased exercise tolerance, and a possibility of prolonged life.