TMLR Management of Coronary Artery Diseases

TMLR is becoming a very popular indirect method of revascularization which will probably become yet another accepted technique for treating coronary artery disease. The articles included in this publication have all been written by experts and not only describe the technique itself but also give the first comprehensive survey on the pathological, physiological, laser technological and surgical basis necessary to understand this approach. Physicians who treat patients with coronary artery disease will find this volume most useful in their work.

I Pathology and Physiology of Myocardial Ischaemia.- 1 Pathologic-Anatomical Aspects of Chronic Myocardial Ischaemia.- 2 Hibernating Myocardium: A Review.- 3 Indicators of a Dualistic Organization of Heart Muscle Structure and Function.- 4 Methods of Nuclear Medicine to Verify Vitality and Efficacy of TMLR.- II Treatment Strategies for Coronary Heart Disease.- 5 Medical Treatment in the Case of Severe Coronary Artery Disease.- 6 Potential and Limitations of PTCA in Severe Coronary Artery Disease.- 7 Possibilities and Limits of Cardiac Surgery in Patients with Severe Coronary Artery Disease.- 8 Borderline Indications for Heart Transplantation and Alternative Measures.- III Laser Techniques.- 9 The History of Transmyocardial Revascularization.- 10 Transmyocardial Laser Revascularisation: A Matter of the Right Wavelength?.- 11 Basic Science Consideration in TMR - In Vitro and In Vivo Studies.- 12 Working Mechanism of Pulsed CO2, Holmium and Excimer Laser Systems with Regard to Transmyocardial Revascularisation (TMR): In Vivo Implications.- 13 Transmyocardial Laser Revascularisation: Are New Approaches with New Lasers Possible?.- IV Clinical Experience with TMLR.- 14 Transmyocardial Laserrevascularisation with the CO2-Laser.- 15 Transmyocardial Laser Revascularisation in the Treatment of Severe Diffuse Coronary Artery Disease.- 16 Transmyocardial Laser Revascularisation in Edinburgh.- 17 Transmyocardial Laser Revascularisation.- 18 Transmyocordial Laser Revascularisation: Clinical Observations Concerning the Use of an Excimer Laser System.- 19 Transmyocardial Laser Revascularisation with a Holmium :YAG Laser: Initial Clinical Experience.- V Imaging Techniques.- 20 Assessment of Myocardial Perfusion and Metabolism: Promises and Limitations.- 21 Intraoperative Perfusion Measurements in MIDCAB and TMLR Surgery by Thermal Imaging: A New Clinical Software.- VI Experimental Finding.- 22 TMLR With and Without Additional Single Grafting: Differences in Postoperative Outcome?.- 23 Transmyocardial Laser Revascularisation (TMLR): Experimental Studies on Acute Regional Ischaemia.