Transmyokardiální laserová revaskularizace.

Translated title of the contribution: Transmyocardial laser revascularization

M. Urban, J. Pirk, O. Szárszoi, J. Vodicková, I. Netuka

Research output: Contribution to journalArticle

Abstract

AIM OF THE STUDY: The study looked at our results with transmyocardial laser revascularization. We also tried to ascertain the role of TMLR in current cardiothoracic surgical practice. METHODS: Twenty patients underwent TMLR at IKEM Praha in a period from 1999 to 2007. Patients were categorized into two separate groups. The first included patients who had TMLR as a single procedure. Second group comprised patients who underwent combined TMLR and direct bypass revascularization. Outcome measures were reduction of angina, improvements in exercise tolerance and left ventricular systolic function. RESULTS: Improvement in CCS classification of two and more classes has been achieved in almost half the patients who underwent TMLR combined with CABG, but only in 20% of patients after isolated TMLR. There was no change in left ventricular systolic function either in group of patients after TMLR or in group with hybrid procedure. There was also no change detected in myocardial perfusion in thallium scintigraphy studies. CONCLUSION: The study confirmed that TMLR has minimal perioperative complication rate and is safe. On the other hand our results failed to demonstrate any significant improvement in quality of life following TMLR. In our opinion TMLR should be reserved for symptomatic patients in CCS IV class when all other conventional treatment options have been exhausted.

Original languageCzech
Pages (from-to)489-492
Number of pages4
JournalRozhledy v chirurgii : měsíčník Československé chirurgické společnosti
Volume88
Issue number9
StatePublished - Sep 2009

Fingerprint

Transmyocardial Laser Revascularization
Left Ventricular Function
Exercise Tolerance
Thallium
Radionuclide Imaging
Perfusion
Quality of Life
Outcome Assessment (Health Care)

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Transmyokardiální laserová revaskularizace. / Urban, M.; Pirk, J.; Szárszoi, O.; Vodicková, J.; Netuka, I.

In: Rozhledy v chirurgii : měsíčník Československé chirurgické společnosti, Vol. 88, No. 9, 09.2009, p. 489-492.

Research output: Contribution to journalArticle

Urban, M, Pirk, J, Szárszoi, O, Vodicková, J & Netuka, I 2009, 'Transmyokardiální laserová revaskularizace.', Rozhledy v chirurgii : měsíčník Československé chirurgické společnosti, vol. 88, no. 9, pp. 489-492.
Urban, M. ; Pirk, J. ; Szárszoi, O. ; Vodicková, J. ; Netuka, I. / Transmyokardiální laserová revaskularizace. In: Rozhledy v chirurgii : měsíčník Československé chirurgické společnosti. 2009 ; Vol. 88, No. 9. pp. 489-492.
@article{85e4eea4ceb64befb581bb6374a11ff4,
title = "Transmyokardi{\'a}ln{\'i} laserov{\'a} revaskularizace.",
abstract = "AIM OF THE STUDY: The study looked at our results with transmyocardial laser revascularization. We also tried to ascertain the role of TMLR in current cardiothoracic surgical practice. METHODS: Twenty patients underwent TMLR at IKEM Praha in a period from 1999 to 2007. Patients were categorized into two separate groups. The first included patients who had TMLR as a single procedure. Second group comprised patients who underwent combined TMLR and direct bypass revascularization. Outcome measures were reduction of angina, improvements in exercise tolerance and left ventricular systolic function. RESULTS: Improvement in CCS classification of two and more classes has been achieved in almost half the patients who underwent TMLR combined with CABG, but only in 20{\%} of patients after isolated TMLR. There was no change in left ventricular systolic function either in group of patients after TMLR or in group with hybrid procedure. There was also no change detected in myocardial perfusion in thallium scintigraphy studies. CONCLUSION: The study confirmed that TMLR has minimal perioperative complication rate and is safe. On the other hand our results failed to demonstrate any significant improvement in quality of life following TMLR. In our opinion TMLR should be reserved for symptomatic patients in CCS IV class when all other conventional treatment options have been exhausted.",
author = "M. Urban and J. Pirk and O. Sz{\'a}rszoi and J. Vodickov{\'a} and I. Netuka",
year = "2009",
month = "9",
language = "Czech",
volume = "88",
pages = "489--492",
journal = "Rozhledy v Chirurgii",
issn = "0035-9351",
publisher = "Czech Medical Association J.E. Purkyne",
number = "9",

}

TY - JOUR

T1 - Transmyokardiální laserová revaskularizace.

AU - Urban, M.

AU - Pirk, J.

AU - Szárszoi, O.

AU - Vodicková, J.

AU - Netuka, I.

PY - 2009/9

Y1 - 2009/9

N2 - AIM OF THE STUDY: The study looked at our results with transmyocardial laser revascularization. We also tried to ascertain the role of TMLR in current cardiothoracic surgical practice. METHODS: Twenty patients underwent TMLR at IKEM Praha in a period from 1999 to 2007. Patients were categorized into two separate groups. The first included patients who had TMLR as a single procedure. Second group comprised patients who underwent combined TMLR and direct bypass revascularization. Outcome measures were reduction of angina, improvements in exercise tolerance and left ventricular systolic function. RESULTS: Improvement in CCS classification of two and more classes has been achieved in almost half the patients who underwent TMLR combined with CABG, but only in 20% of patients after isolated TMLR. There was no change in left ventricular systolic function either in group of patients after TMLR or in group with hybrid procedure. There was also no change detected in myocardial perfusion in thallium scintigraphy studies. CONCLUSION: The study confirmed that TMLR has minimal perioperative complication rate and is safe. On the other hand our results failed to demonstrate any significant improvement in quality of life following TMLR. In our opinion TMLR should be reserved for symptomatic patients in CCS IV class when all other conventional treatment options have been exhausted.

AB - AIM OF THE STUDY: The study looked at our results with transmyocardial laser revascularization. We also tried to ascertain the role of TMLR in current cardiothoracic surgical practice. METHODS: Twenty patients underwent TMLR at IKEM Praha in a period from 1999 to 2007. Patients were categorized into two separate groups. The first included patients who had TMLR as a single procedure. Second group comprised patients who underwent combined TMLR and direct bypass revascularization. Outcome measures were reduction of angina, improvements in exercise tolerance and left ventricular systolic function. RESULTS: Improvement in CCS classification of two and more classes has been achieved in almost half the patients who underwent TMLR combined with CABG, but only in 20% of patients after isolated TMLR. There was no change in left ventricular systolic function either in group of patients after TMLR or in group with hybrid procedure. There was also no change detected in myocardial perfusion in thallium scintigraphy studies. CONCLUSION: The study confirmed that TMLR has minimal perioperative complication rate and is safe. On the other hand our results failed to demonstrate any significant improvement in quality of life following TMLR. In our opinion TMLR should be reserved for symptomatic patients in CCS IV class when all other conventional treatment options have been exhausted.

UR - http://www.scopus.com/inward/record.url?scp=75649132287&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=75649132287&partnerID=8YFLogxK

M3 - Article

C2 - 20052924

AN - SCOPUS:75649132287

VL - 88

SP - 489

EP - 492

JO - Rozhledy v Chirurgii

JF - Rozhledy v Chirurgii

SN - 0035-9351

IS - 9

ER -