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Trans Myocardial laser re vascularisation (TMLR) : Patients who have severe angina and diffuse coronary artery disease with no graftable vessels are at limes subjected to TMLR. In this procedure target areas of myocardium are marked based on pre-operative studies. On a beating heart with special laser equipment, laser channels are created one cm npa1.1 on selected areas of niyocnrdium of left vcntriclc. 10-12. such channels arc created on the anterior anti lateral walls of LV as required. These should be away from major coronary artery branches. At times there may be one or two graftable vessels and large areas of myocardium that cannot be revascularised. A hybrid procedure is done for these cases. TMLR is done first and after haemostasis patient is heparinised and grafting is done either on or off bypass. This procedure has been described ant1 popularized from Escorts hospital india by Dr. Naresh Trehan.
Q. Nutrition Management Goals for oesophagitis? The objectives of nutritional care include the following: 1. Prevention of irritation of the inflamed oesophageal mucosa (in
function of topoisomerace?
What part do (a) nitrifying, (b) nitrogen-fixing and (c) denitrifying bacteria play in the nitrogen cycle? a) Nitrifying bacteria in the soil change ammonia and other nitrogeno
What is Mucic Acid Test and its principle? This is a specific test for galactose and is given by galactose as well as lactose, which is made up of galactose and glucose. Pr
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Unlike bilaterally symmetrical animals, radially symmetrical animals are almost never able to move themselves from place to place. Why might it have been so difficult for radially
Some plants and animals originate food contain toxic substances. Some pulses and legumes contain a number of toxic substances such as protease inhibitors, lathyrogens, and flavism
Determine the significance of Siphuncle. A cord of tissue that passes between different chambers of a Nautilid shell. Siphuncle regulates the amount of air or fluid in chambers
If a lipid bilayer does not form in a test tube of phospholipids in a liquid solvent and instead the heads join together in a circular pattern, the most likely explanation is: a
Significance of Mitosis 1. Reproduction ; William Bateson 1906 wrote, Whenever I observe a dividing cell under the microscope , I feel as if the original act of c
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