With the growing age of the population, the proportion of elderly patients with diffuse coronary artery disease and severe comorbidities is increasing. The characteristics of these patients render them unsuitable for currently recognized revascularization procedures (CABG, PTCA). Therefore, there is an urgent need for new treatment modalities which could alleviate their symptoms and increase blood flow to the ischemic myocardium, while being less invasive for their fragile condition. The aim of this book is to provide an anatomical and physiological background as well as a complete review of the alternative methods of revascularization which are under development, namely transmyocardial laser revascularization, therapeutic angiogenesis and neurostimulation.
|Publisher:||Springer Berlin Heidelberg|
|Edition description:||Softcover reprint of the original 1st ed. 2001|
|Product dimensions:||6.10(w) x 9.25(h) x 0.02(d)|
Table of Contents1 Historical Background.- 2 Microvascular Anatomy of the Heart.- 3 The Vineberg Procedure: A Forgotten Operation?.- 4 Myocardial Acupuncture: The Immediate Forerunner of Transmyocardial Laser Revascularization.- 5 Laser Physics.- 6 Laser Interaction with Tissue.- 7 Transmyocardial Laser Revascularization: Patient Selection, Operative Technique, and Perioperative Care.- 8 The Pioneering Era of Transmyocardial Laser Revascularization.- 9 Laser Channel Morphology.- 10 Pathophysiology of Transmyocardial Laser Revascularization.- 11 Clinical Results of Transmyocardial Laser Revascularization.- 12 Transmyocardial Laser Revascularization and Left Ventricular Function.- 13 Adverse Effects of Transmyocardial Laser Revascularization.- 14 Alternatives Forms of Transmyocardial Laser Revascularization.- 15 Angiogenesis: Pathophysiology.- 16 Therapeutic Angiogenesis: The Basis.- 17 Therapeutic Angiogenesis: Results.- 18 Combined Therapy: Transmyocardial Laser Revascularization and Therapeutic Angiogenesis.- 19 Neurostimulation.- Conclusions.- References.- Abbreviations.