Transmyocardial laser revascularization combined with coronary artery bypass grafting: A multicenter, blinded, prospective, randomized, controlled trial

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Presentation transcript:

Transmyocardial laser revascularization combined with coronary artery bypass grafting: A multicenter, blinded, prospective, randomized, controlled trial Keith B. Allen, MDa, Robert D. Dowling, MDb, Anthony J. DelRossi, MDc, Fidel Realyvasques, MDd, Edward A. Lefrak, MDe, Thomas A. Pfeffer, MDf, Tommy L. Fudge, MDg, Mark Mostovych, MDh, Douglas Schuch, MDi, Szabolc Szentpetery, MDj, Carl J. Shaar, PhDa The Journal of Thoracic and Cardiovascular Surgery Volume 119, Issue 3, Pages 540-549 (March 2000) DOI: 10.1016/S0022-5223(00)70134-6 Copyright © 2000 Mosby, Inc. Terms and Conditions

Fig. 1 One-year Kaplan-Meier intent-to-treat survival estimates. The Journal of Thoracic and Cardiovascular Surgery 2000 119, 540-549DOI: (10.1016/S0022-5223(00)70134-6) Copyright © 2000 Mosby, Inc. Terms and Conditions

Fig. 2 Mean angina class at baseline (2.8 vs 2.9, P = .5) was similar between patients undergoing CABG/TMR and those undergoing CABG alone. Three months after the surgery, both groups experienced a similar significant reduction in angina class (0.4 vs 0.4, P = 1.0). At 12 months of follow-up, angina class remained significantly improved and was similar between groups (0.5 vs 0.6, P = .2). The Journal of Thoracic and Cardiovascular Surgery 2000 119, 540-549DOI: (10.1016/S0022-5223(00)70134-6) Copyright © 2000 Mosby, Inc. Terms and Conditions

Fig. 3 Ventriculography done immediately after percutaneous myocardial revascularization demonstrating blood flow in laser channels (arrows) created in the anterior distribution. (Reprinted with permission from Perin EC, Dohmann HJF, Dorhmann HFR, Mattos ND, Carvalho LA. Laser channels after percutaneous transmyocardial revascularization. Circulation 1999;99:2218.) The Journal of Thoracic and Cardiovascular Surgery 2000 119, 540-549DOI: (10.1016/S0022-5223(00)70134-6) Copyright © 2000 Mosby, Inc. Terms and Conditions