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Transcoronary Transplantation of Progenitor Cells after Myocardial Infarction

Assmus, Birgit, Honold, Jörg, Schächinger, Volker, Britten, Martina B., Fischer-Rasokat, Ulrich, Lehmann, Ralf, Teupe, Claudius, Pistorius, Katrin, Martin, Hans, Abolmaali, Nasreddin D., Tonn, Torsten, Dimmeler, Stefanie, Zeiher, Andreas M.·2006·New England Journal of Medicine

Abstract

BACKGROUND: Pilot studies suggest that intracoronary transplantation of progenitor cells derived from bone marrow (BMC) or circulating blood (CPC) may improve left ventricular function after acute myocardial infarction. The effects of cell transplantation in patients with healed myocardial infarction are unknown. METHODS: After an initial pilot trial involving 17 patients, we randomly assigned, in a controlled crossover study, 75 patients with stable ischemic heart disease who had had a myocardial infarction at least 3 months previously to receive either no cell infusion (23 patients) or infusion of CPC (24 patients) or BMC (28 patients) into the patent coronary artery supplying the most dyskinetic left ventricular area. The patients in the control group were subsequently randomly assigned to receive CPC or BMC, and the patients who initially received BMC or CPC crossed over to receive CPC or BMC, respectively, at 3 months' follow-up. RESULTS: The absolute change in left ventricular ejection fraction was significantly greater among patients receiving BMC (+2.9 percentage points) than among those receiving CPC (-0.4 percentage point, P=0.003) or no infusion (-1.2 percentage points, P<0.001). The increase in global cardiac function was related to significantly enhanced regional contractility in the area targeted by intracoronary infusion of BMC. The crossover phase of the study revealed that intracoronary infusion of BMC was associated with a significant increase in global and regional left ventricular function, regardless of whether patients crossed over from control to BMC or from CPC to BMC. CONCLUSIONS: Intracoronary infusion of progenitor cells is safe and feasible in patients with healed myocardial infarction. Transplantation of BMC is associated with moderate but significant improvement in the left ventricular ejection fraction after 3 months.

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Metadata

Authors
Assmus, B., Honold, J., Schächinger, V., Britten, M. B., Fischer-Rasokat, U., Lehmann, R., Teupe, C., Pistorius, K., Martin, H., Abolmaali, N. D., Tonn, T., Dimmeler, S., & Zeiher, A. M.
Venue
New England Journal of Medicine
Published
2006-09-21
Volume
355
Issue
12
Pages
1222-1232
ISSN
  • 0028-4793 (ISSN-L)
  • 1533-4406
OpenAlex
W2123163588
Cited by
1,040
References
22
FWCI
59.59
Type
journal article
Language
en
Open access
closed

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CoChat. (2026). Citation check: Transcoronary Transplantation of Progenitor Cells after Myocardial Infarction. https://app.cochat.ai/papers/10.1056/nejmoa051779
The paper
Assmus, B., Honold, J., Schächinger, V., Britten, M. B., Fischer-Rasokat, U., Lehmann, R., Teupe, C., Pistorius, K., Martin, H., Abolmaali, N. D., Tonn, T., Dimmeler, S., & Zeiher, A. M. (2006). Transcoronary Transplantation of Progenitor Cells after Myocardial Infarction. New England Journal of Medicine. https://doi.org/10.1056/nejmoa051779

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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).

Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.