CLINICAL STUDIES Transmyocardial Revascularization A Prospective, Multicenter, Randomized Trial of Percutaneous Transmyocardial Laser Revascularization in Patients With Nonrecanalizable Chronic Total Occlusions
نویسندگان
چکیده
Gregg W. Stone, MD, FACC,* Paul S. Teirstein, MD, FACC,† Ronald Rubenstein, MD, FACC,‡ Dwayne Schmidt, MD, FACC,§ Patrick L. Whitlow, MD, FACC, Edward J. Kosinski, MD, FACC,¶ Gregory Mishkel, MD, FACC,# John A. Power, MD, FACC** New York, New York; La Jolla, California; Neptune, New Jersey; Oklahoma City, Oklahoma; Cleveland, Ohio; Bridgeport, Connecticut; Springfield, Illinois; and Lawrenceville, Pennsylvania
منابع مشابه
Percutaneous laser revascularization in patients with chronic total occlusions.
As clinical investigators of the percutaneous myocardial revascularization (PMR) device, we read with interest “A Prospective, Multicenter, Randomized Trial of Percutaneous Transmyocardial Laser Revascularization in Patients With Nonrecanalizable Chronic Total Occlusions” (PMR-CTO trial) by Stone and colleagues (1). Based upon the lack of available follow-up data and objective evidence, we do n...
متن کاملMyocardial laser revascularization.
Some patients with severe angina have coronary artery disease which is unsuitable for conventional forms of revascularization — coronary angioplasty/ stenting or coronary artery bypass surgery. These patients have usually undergone previous revascularization procedures and have disease which is diffuse and affects the distal part of the coronary circulation. Transmyocardial laser revascularizat...
متن کاملTransmyocardial revascularization with CO2 laser in patients with refractory angina pectoris. Clinical results from the Norwegian randomized trial.
OBJECTIVES The purpose of the study was to evaluate clinical effects, exercise performance and effect on maximal oxygen consumption (MVO2) of transmyocardial revascularization with CO2-laser (TMR) in patients with refractory angina pectoris. BACKGROUND Transmyocardial laser revascularization is a new method to treat patients with refractory angina pectoris not eligible for conventional revasc...
متن کاملMechanism of TMR; the debate continues.
Clinical experience with transmyocardial laser revascularization has increased significantly over the last few years. Since several transmyocardial laser revascularization studies reported an apparent effect on the relief of angina and the FDA approved reimbursement of transmyocardial laser revascularization procedures in the USA, thousands of patients have been treated worldwide with different...
متن کاملTransmyocardial Revascularization Transmyocardial Revascularization With CO2 Laser in Patients With Refractory Angina Pectoris Clinical Results from The Norwegian Randomized Trial
RESULTS Transmyocardial laser revascularization resulted in significant relief in angina symptoms after three and 12 months compared to baseline. Time to chest pain during exercise increased from baseline by 78 s after three months (p 5 NS) and 66 s (p , 0.01) after 12 months in the TMR group, whereas total exercise time and MVO2 were unchanged. No significant changes were observed in the MT gr...
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تاریخ انتشار 2016