Dr Bashir: How you asses the efficacy of this procedure? Any angiographic studies showing a change in coronary flows or occluded distal coronary pressure.
Carlos, Usually we can go by symptoms of angina relief to assess the efficacy of TMR. One can obtain nuclear imaging to assess areas of ischemia if deemed necessary but it is not part of our practice.
Mohammed: Thanks for your answer, but there is not a physiological evidence that the operation has improved coronary flow.
Symptoms are not reliable in judging if the operation improved physiological parameters.Vineberg implants,internal mamary ligation,etc.
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