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- 內容介紹
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Myocardial Laser RevascularizationEdited by: Charles Bridges (University of Pennsylvania School of Medicine, USA), Keith Horvath (National Heart, Lung and Blood Institute, Bethesda, MD, USA) and Ray Chu-Jeng Chiu (Montreal General Hospital, Montreal, Canada)
Pub Date: Oct 2006
ISBN: 1405122102
Description
Finally, there is a dependable guide to transmyocardial laser revasculariztion (TMR). In this groundbreaking volume, clinicians who pioneered the use of this innovative treatment share their insights on the indications, results, mechanisms, and limitations of the technique.
Under the careful editorial guidance of Drs. Bridges, Horvath, and Chiu, contributing authors explain:
the evolution, science, rationale, and limitations for TMR
how to select suitable candidates
anesthetic considerations and the role of transesophageal echo
TMR as a sole or combination therapy
Whether you are already practicing TMR or contemplating its addition to your therapeutic armamentarium, this concise reference will answer all your questions about this important new procedure.
TopTable of Contents
1 Scientific and historic precedents
2 Laser-tissue interaction
3 The biology of laser-tissue interactions: in vivo comparisons and consequences
4 Histopathologic effects of transmyocardial laser revascularization on myocardium: assessment of channel patency
5 Animal models of acute and chronic coronary ischemia: effects of TMR
on perfusion and left ventricular function
6 Selection criteria for sole therapy and adjunctive therapy in combination
with coronary artery bypass graft surgery
7 Results of prospective randomized trials
8 Combination therapy with coronary artery bypass grafting
9 Operative techniques of transmyocardial laser revascularization
10 The open channel hypothesis for transmyocardial revascularization: a re-examination
11 Mechanisms of TMR: angiogenesis
12 Myocardial sinusoids and non-compaction: embryology and relevance to the adult coronary circulation
13 Remodeling of the intrinsic cardiac nervous system following chronic
transmyocardial laser therapy
Index
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