Abstract | OBJECTIVE: METHODS: RESULTS: Perioperative mortality was 12% (5/42) with no late deaths. Complications included ventricular 7.1% (3/42) and atrial 4.7% (2/42) arrhythmias, reoperation for chest-wall hemorrhage 2% (1/42), and respiratory failure requiring reintubation 2% (1/42). Intra-aortic balloon pump placement was required in 12% (5/42). The mean postoperative length of stay was 5.5+/-4.9 (1-25) days. Mean follow-up on 100% of patients is 5.4+/-3.0 (1-12) months. At 3 (n = 33) and 6 (n = 21) months follow-up the mean angina class was 1.5+/-0.1 (P < 0.002) and 1.1+/-0.1 (P < 0.001), respectively. CONCLUSIONS: Transmyocardial revascularization utilizing a holmium: yttrium-aluminum-garnet laser resulted in a significant reduction in angina class and was beneficial in patients with refractory angina untreatable by conventional methods.
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Authors | K B Allen, R D Dowling, D A Heimansohn, E Reitsma, L Didelot, C J Shaar |
Journal | European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery
(Eur J Cardiothorac Surg)
Vol. 14 Suppl 1
Pg. S100-4
(Oct 1998)
ISSN: 1010-7940 [Print] Germany |
PMID | 9814802
(Publication Type: Journal Article)
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Topics |
- Angina Pectoris
(surgery)
- Angina, Unstable
(surgery)
- Female
- Follow-Up Studies
- Humans
- Laser Therapy
- Male
- Middle Aged
- Myocardial Revascularization
(methods)
- Postoperative Complications
(epidemiology)
- Time Factors
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