TMLR With and Without Additional Single Grafting: Differences in Postoperative Outcome?

摘要: In the past few years transmyocardial laser revascularisation (TMLR) has been introduced into clinical practice as a new operative technique. It constitutes therapeutic concept for those patients who suffer angina despite maximal anti-ischaemic medication and are not suitable conventional interventional procedures like coronary artery bypass grafting (CABG) or percutaneous transluminal angioplasty (PTCA) due to severe diffuse disease (CAD). TMLR accepted procedure myocardial because postoperative results reveal an improvement of symptoms perfusion [3, 5, 6, 9, 16]. However, is still subject controversy, since exact mechanism action unequivocally clarified date. The basic principles treatment techniques achieve improved delineated by Beck [1] Vineberg [25], well Massimo Boffi [13] later Sen et al. [22]. Alligator hearts serve anatomic model because, all amphibians, they possess complete interventricular septum, therefore parallel human heart can be drawn. On other hand, in alligators left ventricular - large extent supplied directly channels originating from ventricle [11]. Following further development therapy, first trials with 800-watt carbon dioxide were conducted Mirhoseini co-workers [17]. this series investigations 16 had regard their at follow-up 6 after operation.