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Intravascular Mesenchymal Stem Cells to Treat Organ Failure and Possible Application in COVID-19



                            Improvement in infarct region  and wall motion, decrease in  perfusion defect, increase in  systolic pressure/end-systolic   volume, but no change in  velocity of circumferential fiber   Decrease in functional defect,  increase in wall movement  velocity, perfusion defect  improved, increase in systolic  pressure/end-systolic volume.  Improvement in overall LVEF.   Increased regional LVEF and systolic wall motion in the  border zone but not infarcted  zone







                       Findings        shortening.                         months.  NYHA.    PCI.



                      Follow-  Up   3        3         6         4       6      12       6         3 and 6





                      LVEF   Impact  Not assessed  Yes   - improvement  Yes   - improvement  Not assessed  Yes   - improvement  Yes   - improvement  Yes   - improvement  No


                       Outcome   Yes         Yes       Yes       Yes     Yes    Yes      Yes       Yes



                       Condition  IHD        IHD       IHD       IHD     IHD    IHD      IHD       DCM




                      Delivery   Method  IC  IC        IC        IC      IC     IC       IC        IC




                    Type   of   Stem   Cell  BM   MNC  BM   MNC  BM   MNC  BM   MSC  [Pas 0]  BM   MNC  BM   MNC  BM   MNC  BM   MSC

                      Number of   SCs  28 million  UNK  2.4 billion  1–2 million  UNK  UNK  40 million  UNK





                      BMA   (mL)  40         UNK       128       15      UNK    UNK      40        UNK
                 Table 2. MSC therapy studies treating cardiac failure.


                    No. of   Patients in   Treatment   Group  10  34  30  11  9  22      12        12



                      Type of   Study  PCT  RCT with   placebo   RCT  PCT  PCT   PCT     RCT       RCT



                       Year      2002        2004      2004      2005    2005   2006     2006      2006




                       Author  Strauer et al,   Circulation   2002;   106:1913-1918  Chen et al,   Chin Med J   (Engl) 2004;   117:1443-1448  Wollert et al,   Circulation   2004;   364:141-148  Katritsis et   al, Catheter   Cardiovasc   Interv 2005;   65:321-329  Ruan et al,   Chinese Med J   2005; 118:1906  Chen et al,   J Invasive   Cardiol 2006;   18:552-556  Ge et al,   Heart 2006;   92:1764-1767  Wang et al,   Zhonghua xin   xue guan bing   za zhi 2006;   34:107-110


               www.painphysicianjournal.com                                                              S401
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