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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.
Getting ready to grow bacteria Secure two or three dozen shallow glass dishes. The glass coasters used to stay bed castors from marring floors will do. Cut 5 cm squares of wind
Restricted Lung Diseases Restricted lung disease are classified into the following: Parenchymal inflammation. This can be due to infection e.g. pneumonia acute bronchi
Q. What is an evolutionary tree? Is there a precise evolutionary tree known by science that explains the emergence and origin of every type of living being? Evolutionary tree i
We have no antibodies against any blood group when we are born still we say that some blood groups are incompatible for us.why?
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High blood pressure makes your heart work harder and, over time, can damage blood vessels throughout your body. If the blood vessels in your kidneys are damaged, they may stop remo
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