PMID: 9173706Mar 1, 1997Paper

Transmyocardial laser revascularization--a treatment option for coronary heart disease?

Zeitschrift für Kardiologie
H NägeleH M Stubbe

Abstract

Transmyocardial laser revascularization (TMR) is a new therapeutic principle for patients with coronary artery disease and no possibility of conventional revascularization with CABG or PTCA. The clinical value of the method is not known. Therefore we investigated all 46 patients treated with sole TMR in our center using clinical investigation, LV and coronary angiography, right heart catheterization, MIBI perfusion imaging and myocardial FDG-PET pre- and 6 months post TMR. 117 patients judged not suitable for conventional revascularization procedures were submitted for TMR. The indication for the procedure was reevaluated in every case. 52 patients (mean EF 41 +/- 16%) could be further treated by intensified anti-anginal medication, seven patients received bypass grafts, four patients had PTCA, three patients were listed for heart transplantation, and five patients had a combined CABG plus TMR. Only 46 (38% of the submitted patients, mean EF 55 +/- 15%) were accepted for sole TMR. CCS class of these patients was 3.3 +/- 0.4, mean age was 63.6 +/- 7.3 years, 70% were males. The postoperative mortality within 30 days was 5/46 (10.8%); 9/46 patients (19.5%) suffered from perioperative myocardial infarction. Other complications wer...Continue Reading

Citations

Oct 4, 2000·The Annals of Thoracic Surgery·A S BortoneL de Luca Tupputi Schinosa
May 9, 2000·The Annals of Thoracic Surgery·O TjomslandK Nordstrand
Nov 30, 1999·Journal of the American College of Cardiology·B LauerG Schuler
Mar 21, 1998·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·G LutterF Beyersdorf
Jul 1, 1999·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·G LutterF Beyersdorf

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