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transmyocardial revascularization

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transmyocardial revascularization
Laser heart surgery Cardiovascular surgery A technique used for Pts with incapacitating heart disease, in which 15 to 30 1-mm in diameter holes are 'drilled' by laser into the myocardium, in an operation that takes 60–90 mins; indications for TMR are similar to those for repeat CABGs–ie, severe heart disease Pros No need for heart-lung machine; lower costs–CABG is $15,000 to $20,000, recuperation is shorter Mortality ±8% Outcome 1 yr post-surgery, 90% of Pts have improved to NYHA class 1 to 2 angina Cf CABG.


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