Dear Jon,
Transmyocardial Revascularization Surgery, or TMR, represents a novel attempt to supply the
ischemicHepatic ischemia
Ischemic colitis
Stroke
Transient ischemic attack
Transient ischemic attack (tia)(oxygen-deprived) heart muscle with life-sustaining blood. Patients who are candidates for this new technique typically have coronary artery disease that is too advanced to allow for the more traditional bypass grafting to be done. In TMR, a chest incision is performed and a laser is utilized to place very small channels though the heart muscle, theoretically allowing better blood flow in that area. Patients seem to have less ischemia following the procedure, possibly as a result of new blood vessel growth following the procedure.
You may have been reading about catheter-based transmyocardial revascularization… a procedure which is under development. Again, either of these procedures should only be performed by physicians who are experts in the treatment of severe, end-stage coronary artery disease.
If you are seeking a second opinion or further evaluation, an appointment with one of our cardiologists can be arranged by calling the Cleveland Clinic at (216) CCF-CARE. Information provided in the Heart Forum is intended for general medical informational purposes only. Actual diagnosis and treatment of any particular medical condition can only be made by your family physician(s).