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Ann Thorac Surg 2002;74:956-970
© 2002 The Society of Thoracic Surgeons

Review

35 years of experimental research in transmyocardial revascularization: what have we learned?

Menno Huikeshoven, MS*a,b, Johan F. Beek, MD, PhDa, Jos A.P. van der Sloot, MDb, Raymond Tukkie, MD, PhDb, Jan van der Meulen, MDc, Martin J.C. van Gemert, PhDa

a Laser Center, University of Amsterdam, Amsterdam, The Netherlands
b Department of Cardiology, Academic Medical Center, University of Amsterdam, Amsterdam, The Netherlands
c Department of Cardiothoracic Surgery, Academic Medical Center, University of Amsterdam, Amsterdam, The Netherlands

* Address reprint requests to Mr Huikeshoven, Laser Center, Academic Medical Center, University of Amsterdam, Meibergdreef 9, 1105 AZ Amsterdam, The Netherlands
e-mail: m.huikeshoven{at}amc.uva.nl

In the past 35 years many experimental studies have been performed to investigate the revascularization potential of transmyocardial revascularization and the possible working mechanisms underlying the observed clinical improvement in angina pectoris after this treatment. In this review of the experimental literature, the various methods that have been used to create transmyocardial channels and the most supported hypotheses on the working mechanism (channel patency, angiogenesis and myocardial denervation) are discussed and evaluated.




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