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Trans-myocardial Laser Revascularization (TMR) in the Management of Intractable Angina

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  In the scientific field of cardiovascular medicine, innovative techniques constantly emerge to address the complex needs of patients with heart conditions. One such advancement is Trans-myocardial Laser Revascularization (TMR), a procedure designed to alleviate intractable angina, a debilitating condition characterized by severe chest pain that is refractory or non responsive to medical therapy in patients not suitable for conventional coronary artery bypass graft(CABG) and that sometimes can also be used as an adjunct to Coronary Bypass surgery as a way to complement surgical treatment in specific clinical settings. To understand the significance of TMR, it's essential to grasp its fundamental principles and its role in managing intractable angina.  History and Development of TMR  TMR has a rich history that dates back to the late 90’s and early 00’s. Its inception can be traced to the pioneering work of cardiovascular surgeons striving to find alternative treatments f...