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Overview of Transmyocardial Laser Revascularization
Commonly referred to as TMR or TMLR, Transmyocardial Laser Revascularization is a process of creating channels through the wall of the left ventricle which allows oxygen rich blood to perfuse out into the ischemic areas of the myocardium.
The Heart Laser handpiece is placed on the epicardial surface of the left ventricle.
The Heart Laser is synchronized to the heartbeat and an average of 20-30 transmyocardial channels are created.
While the epicardial surface of the channel seals, clinic evidence suggest that intramycardial portion remains patent or active. It is believed that the new blood vessels form in conjunction with these channels.



Transmyocardial Laser Revascularization (TMLR)

On occasion, coronary arteries are so small or diseased that conventional bypass surgery cannot be performed. In these cases laser revascularization may be utilized. Laser revascularization is a surgical procedure that uses a laser to create a channel or “small holes” through the heart muscle to improve blood supply to the heart.

Information from large groups of patients indicate a definite benefit from these laser channels. In fact, laser channels are now created in conjunction with conventional bypass surgery when one (or more) portions of the heart cannot be bypassed with traditional bypass grafting. Laser revascularization can easily be done at the same time as other bypasses are performed.

IF YOU HAVE BEEN TOLD THAT YOU CANNOT HAVE BYPASS SURGERY BECAUSE OF ADVANCE CORONARY ARTERY DISEASE, YOU MAY BE A CANDIDATE FOR LASER CHANNEL TREATMENT OF YOUR CORONARY DISEASE. PLEASE CONTACT US FOR A SECOND OPINION.