Myocardial revascularisation by laser

被引：7

作者：

Owen, AR

Stables, RH

机构：

[1] Royal Brompton Hosp, Clin Trials & Evaluat Unit, London SW3 6NP, England

[2] Royal Brompton Hosp, Dept Invas Cardiol, London SW3 6NP, England

来源：

INTERNATIONAL JOURNAL OF CARDIOLOGY | 2000年 / 72卷 / 03期

关键词：

angina; laser revascularisation; TMR; PMR;

D O I：

10.1016/S0167-5273(99)00199-0

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Myocardial revascularisation by laser is an emerging treatment for refractory angina in patients with coronary artery disease that is not amenable to conventional revascularisation. With the original technique, laser energy was applied to epicardial surface of the heart through a lateral thoracotomy; so-called transmyocardial laser revascularisation (TMR). It is now possible, using catheter-based percutaneous myocardial revascularisation (PMR) to deliver laser energy to the myocardium via the endocardial surface. In this article we discuss the possible mechanism of action of laser revascularisation, and summarise the results of recent randomised controlled trials of TMR, PMR systems are described, and the growing evidence for their efficacy is reviewed. (C) 2000 Elsevier Science Ireland Ltd, All rights reserved.

引用

收藏

页码：215 / 220

页数：6

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