Transmyocardial Laser Revascularization (TMR) (cont.)

What Types of Tests Will I Need to Determine If I Am a Candidate?

Your doctor will first evaluate your medical condition and review your medical history. Tests required before TMR include:

  • Cardiac catheterization , to visualize your coronary arteries and see if any blockages are present.
  • Other tests to determine blood flow to your heart muscle and the pumping ability of your heart, such as:

    • Echocardiogram
    • PET (Positron Emission Tomography) study (a newer test that can evaluate the function of the heart.)
    • Dobutamine Echocardiography
    • Cardiac MRI

After reviewing your medical condition and history, along with your test results, your doctor will decide if you are a candidate for the TMR procedure. If you are eligible, the doctor will discuss the benefits and risks.

Does TMR Work?

In a study - published by The New England Journal of Medicine (1999), 72% of patients who had TMR experienced an improvement in angina symptoms after 12 months, compared to only 13% patients who were receiving medications for the treatment of their angina symptoms. The study concluded that TMR patients had:

  • Relief of chest pain
  • Improved quality of life
  • Improved blood flow to the heart
  • Decreased hospital admissions

Research is currently underway to evaluate TMR patients for symptom relief and long-term outcomes.

Is TMR Covered by Insurance?

TMR is covered by most insurance companies. Ask your insurance company if you have coverage for this procedure.

How Long Is the Hospital Stay?

The hospital stay is about four to seven days. The length of stay depends on your overall health and rate of recovery. Your doctor and surgeon will evaluate you after the surgery and determine when you should return home.