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Angiogenesis three months after clinical transmyocardial laser revascularization using an excimer laser

✍ Scribed by Jos A.P. van der Sloot; Menno Huikeshoven; Allard C. van der Wal; Raymond Tukkie; Martin J.C. van Gemert; Jan van der Meulen; Johan F. Beek


Publisher
John Wiley and Sons
Year
2001
Tongue
English
Weight
287 KB
Volume
29
Category
Article
ISSN
0196-8092

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✦ Synopsis


Abstract

Background and Objective

We present for the first time histologic findings 3 months after clinical transmyocardial laser revascularization using a XeCl excimer laser.

Study Design/Materials and Methods

Histology was performed on a patient who died from a noncardiac cause 3 months post‐excimer TMLR.

Results

In the treated myocardium, no patent channels were found but scars were seen with a linear distribution and in continuity with circumscribed small fibrotic endocardial and epicardial scars. The scars were highly vascularized by new vessels, ranging from small capillaries to large thin walled, and sometimes branching ectatic vessels. Sprouting of vessels into the adjacent myocardium was also observed.

Conclusion

These results suggest that angiogenesis might play a role in the clinical improvement after TMLR. Lasers Surg. Med. 29:369–373, 2001. © 2001 Wiley‐Liss, Inc.