A 50 -year-old male with Type 2 DM and Ischaemic Heart Disease was browsing the Internet! He asks your opinion on Laser Transmyocardial Revascularisation. Which of the following statements regarding this technique is true?
- This Procedure Avoids the need for Major Surgery
- It can Damages the Endocardium
- It can involve the Destruction of Coronary Stenoses
- This technique is used severe proximal CAD
- It can stimulate Collateral Vessel Formation
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ANSWER IS 2
ReplyDeleteTransmyocardial Revascularization - This is the procedure in which Holes are punched from epicardial surface with the help of LASER during an Open heart surgery. The holes are made in the hibernating or Ischemic muscles of left ventricle. Artificial channels are formed in the ventricular muscles with the help of this process. This helps in forming new coronary vessels. This process is effective in distal diseases like Diabetes Mellitus while Angioplasty and CABG is more effective in Proximal diseases.
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