Repeated Intracoronary Infusion of Peripheral Blood Stem Cells With G-CSF in Patients With Refractory Ischemic Heart Failure : A Pilot Study
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概要
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Background: Recent investigations have suggested the clinical efficacy of granulocyte colony-stimulating factor (G-CSF) infusion alone or in combination with a single dose delivery of peripheral blood stem cells (PBSC) infusion in patients with myocardial infarction (MI) and congestive heart failure (HF). The current study tested the feasibility and effect of repeated intracoronary infusions PBSC and the mobilization of G-CSF in patients with refractory HF after MI. Methods and Results: Patients with recent large MI and a lower left ventricular ejection fraction (LVEF) were enrolled into one of the following 3 groups: Group R (n=15) received repeated intracoronary infusion of PBSC and one-dose of G-CSF; Group S (n=15) received a single infusion of PBSC and a G-CSF dose; and Group C (n=15) received neither PBSC nor a G-CSF dose. Cardiac performance was evaluated by echocardiography and single photon-emission computed tomography (SPECT). All the patients underwent 12-month follow-up. LVEF in Group R (47.00±4.90%) was significantly higher than that in Group S (44.40±3.87%, P<0.01) and Group C (40.80±3.41%, P<0.01). Similarly, the improvement of myocardial perfusion assessed by SPECT in Group R was more than that in Group S (P=0.012) and Group C (P<0.01). Neither death nor new MI occurred. Conclusions: Repeated intracoronary infusions of PBSC plus mobilization of G-CSF might be an optional effective strategy for treating patients with refractory HF after recent large MI. (Circ J 2011; 75: 955-963)
- 2011-03-25
著者
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Xie Yong
Department Of Applied Chemistry Graduate School Of Engineering Osaka University
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Sun Lei
Department Of Chemistry Rutgers The State University Of New Jersey
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Xie Yong
Department Of Cardiology Northern People's Hospital Medical College Of Yangzhou University
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Gu Xiang
Department Of Cardiology Northern People's Hospital Medical College Of Yangzhou University
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Gu Jian
Department Of Cardiology Northern People's Hospital Medical College Of Yangzhou University
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HE Shenghu
Department of Cardiology, Northern People's Hospital, Medical College of Yangzhou University
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XU Rixin
Department of Cardiology, Northern People's Hospital, Medical College of Yangzhou University
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DUAN Junfei
Department of Cardiology, Northern People's Hospital, Medical College of Yangzhou University
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ZHAO Jianye
Department of Cardiology, Northern People's Hospital, Medical College of Yangzhou University
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HANG Fei
Department of Cardiology, Northern People's Hospital, Medical College of Yangzhou University
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XU Houtian
Department of Cardiology, Northern People's Hospital, Medical College of Yangzhou University
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LI Minghui
Department of Cardiology, Northern People's Hospital, Medical College of Yangzhou University
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CAO Kejiang
Department of Cardiology, Jiangsu Institute of Cardiovascular Diseases, Jiangsu Provincial People's
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GENG Yongjian
Center for Cardiovascular Biology & Atherosclerosis Research, Department of Internal Medicine, Schoo
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Geng Yongjian
Center For Cardiovascular Biology & Atherosclerosis Research Department Of Internal Medicine Sch
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Xu Rixin
Department Of Cardiology Northern People's Hospital Medical College Of Yangzhou University
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Li Minghui
Department Of Cardiology Northern People's Hospital Medical College Of Yangzhou University
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Xu Houtian
Department Of Cardiology Northern People's Hospital Medical College Of Yangzhou University
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Duan Junfei
Department Of Cardiology Northern People's Hospital Medical College Of Yangzhou University
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Hang Fei
Department Of Cardiology Northern People's Hospital Medical College Of Yangzhou University
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Sun Lei
Department Of Cardiology Northern People's Hospital Medical College Of Yangzhou University
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Zhao Jianye
Department Of Cardiology Northern People's Hospital Medical College Of Yangzhou University
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Cao Kejiang
Department Of Cardiology Jiangsu Institute Of Cardiovascular Diseases Jiangsu Provincial People&apos
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He Shenghu
Department Of Cardiology Northern People's Hospital Medical College Of Yangzhou University
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