TMLR Management of Coronary Artery Diseases

Herausgegeben:Klein, Michael; Schulte, H. D.; Gams, E.

• Broschiertes Buch

Produktbeschreibung

At the beginning of this century, the state of surgical technique only provided for concepts with an extracardial approach to therapy of coronary heart dis eases. Decreasing the heart activity by means of denervating the heart or thyr oidectomy, resulting in a reduction of the heart's oxygen demand, was strived at. Later, the progress of clinical surgery at the closed beating heart allowed for procedures with myocardial access. In this historical stage of indirect revascu larisation, a compensation was supposed to be stimulated operatively by pro viding an adhesion to the surrounding organs or by manipulating the larger heart veins. The simple ligation of the Arteria thoracica interna in the middle third of its course - intended to increase the perfusion of pericardial branches - is based on the fundamental ignorance or misunderstanding of the haemody namic laws. The first intervention to reach temporary popularity was the im plantation of the Arteria thoracica interna into the left ventricular myocardial wall. This so-called "Vineberg procedure" was not very risky and did show some permanent improvements with respect to the patient's complaints or even the prognosis. However, this procedure has been almost completely aban doned, despite the fact that some positive long-term courses have been docu mented. Other indirect revascularisation procedures carried out in the fifties, e. g.

Produktdetails

• Verlag: Springer / Springer Berlin Heidelberg / Springer, Berlin
• Artikelnr. des Verlages: 978-3-642-72136-6
• Softcover reprint of the original 1st ed. 1998
• Seitenzahl: 296
• Erscheinungstermin: 10. Dezember 2011
• Englisch
• Abmessung: 235mm x 155mm x 17mm
• Gewicht: 451g
• ISBN-13: 9783642721366
• ISBN-10: 3642721362
• Artikelnr.: 36120118

Inhaltsangabe

I Pathology and Physiology of Myocardial Ischaemia.- 1 Pathologic-Anatomical Aspects of Chronic Myocardial Ischaemia.- 2 Hibernating Myocardium: A Review.- 3 Indicators of a Dualistic Organization of Heart Muscle Structure and Function.- 4 Methods of Nuclear Medicine to Verify Vitality and Efficacy of TMLR.- II Treatment Strategies for Coronary Heart Disease.- 5 Medical Treatment in the Case of Severe Coronary Artery Disease.- 6 Potential and Limitations of PTCA in Severe Coronary Artery Disease.- 7 Possibilities and Limits of Cardiac Surgery in Patients with Severe Coronary Artery Disease.- 8 Borderline Indications for Heart Transplantation and Alternative Measures.- III Laser Techniques.- 9 The History of Transmyocardial Revascularization.- 10 Transmyocardial Laser Revascularisation: A Matter of the Right Wavelength?.- 11 Basic Science Consideration in TMR - In Vitro and In Vivo Studies.- 12 Working Mechanism of Pulsed CO2, Holmium and Excimer Laser Systems with Regard to Transmyocardial Revascularisation (TMR): In Vivo Implications.- 13 Transmyocardial Laser Revascularisation: Are New Approaches with New Lasers Possible?.- IV Clinical Experience with TMLR.- 14 Transmyocardial Laserrevascularisation with the CO2-Laser.- 15 Transmyocardial Laser Revascularisation in the Treatment of Severe Diffuse Coronary Artery Disease.- 16 Transmyocardial Laser Revascularisation in Edinburgh.- 17 Transmyocardial Laser Revascularisation.- 18 Transmyocordial Laser Revascularisation: Clinical Observations Concerning the Use of an Excimer Laser System.- 19 Transmyocardial Laser Revascularisation with a Holmium :YAG Laser: Initial Clinical Experience.- V Imaging Techniques.- 20 Assessment of Myocardial Perfusion and Metabolism: Promises and Limitations.- 21 Intraoperative Perfusion Measurements in MIDCAB and TMLR Surgery by Thermal Imaging: A New Clinical Software.- VI Experimental Finding.- 22 TMLR With and Without Additional Single Grafting: Differences in Postoperative Outcome?.- 23 Transmyocardial Laser Revascularisation (TMLR): Experimental Studies on Acute Regional Ischaemia.