NICE interventional procedure guidance
Issued: May 2009
IPG301

Transmyocardial laser revascularisation for refractory angina pectoris

This is an extract from the guidance. The complete guidance is available at guidance.nice.org.uk/ipg301

1 Guidance

1.1 Current evidence on transmyocardial laser revascularisation (TMLR) for refractory angina pectoris shows no efficacy, based on objective measurements of myocardial function and survival. Current evidence on safety suggests that the procedure may pose unacceptable risks. Therefore, this procedure should not be used.