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Ann Thorac Surg 2006;82:771-772
© 2006 The Society of Thoracic Surgeons

Correspondence

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Johan F. Beek, MD, PhD, Jos A.P. van der Sloot, MD, PhD, Martin J.C. van Gemert, PhD

Laser Center and Department of Intensive Care Medicine, Academic Medical Center, University of Amsterdam, PO Box 22700, Rm K01-225-2, Amsterdam, 1100DE the Netherlands

(Email: j.f.beek@amc.uva.nl).

The first 20% of the full text of this article appears below.

To the Editor:

We thank Dr Horvath [1] for his interest in our work [2]. His comments allow us to address some apparent misunderstandings that seem to persist in the field of transmyocardial laser revascularization (TMLR).

First, experimental and clinical evidence shows that excimer, holmium:yttrium–aluminum–garnet, and CO2 lasers, with widely varying wavelengths from 0.308 to 10.6 micrometers, can create transmyocardial channels with a comparable zone of thermal damage, as well as anginal relief in selected patients. Comparable myocardial damage can also be created by radiofrequency systems, for example, implying that it is likely that also non-laser . . . [Full Text of this Article]


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