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




                             Improvement in MI episodes   and QOL in patients with   Improvement in end-systolic  strain in the segments with a  transmural infarct along with  peak-systolic strain rate along   No change in LVEF or  improvement in exercise time or  peak oxygen consumption (2–3   Reduction in death, MI, need  for revascularization, recurrence  of MI, and/or rehospitalization  for health failure. Increase in  left ventricular contractility of   Improvement in NYHA score






                      Findings  angina.    with systolic BP.  weeks to 3 years).  infarcted segments.



                     Follow-  Up   6   4        36        24         6          12          6           36





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


                      Outcome  Yes     Yes      No        Yes        Yes        Yes         Yes         No



                      Condition  IHD   IHD      IHD       IHD        IHD        IHD         IHD         IHD




                     Delivery   Method  IC  IC   IC       IC         IC         IC          IC          IC




                    Type   of   Stem   Cell  BM   MSC   + BM   MNC  BM   MNC  BM   MNC  BM   MNC  BM   MSC  BM   MNC  BM   MNC  BM   MNC

                     Number of   SCs  7.5 million   MSC [Pas   1–2] and   MNC each  304 million   68 million  Not   disclosed  12–13   million  [Pas 0]  248 million  100 million  68 million




                 Table 2 con't. MSC therapy studies treating cardiac failure.
                     BMA   (mL)  30–50  Not   disclosed  50  Not   disclosed  20–40  100    80–100      50




                    No. of   Patients in   Treatment   Group  10  33  50  100  16  19       30          50


                     Type of   Study  Case series  RCT  RCT  RCT     RCT        RCT         RCT         RCT



                      Year    2009     2009     2009      2009       2010       2010        2010        2010




                      Author  Lasala et al   (72)  Herbots   et al, Eur   Heart J 2009;   30:662-670  Beitnes et al,   Heart 2009;   95:1983-1989  Assmus et al,   Circulation:   Heart Failure   2010; 3:89-96  Yang et al,   Cardiovascular   therapeutics   2010;   28:380-385  Piepoli et   al, European   Journal   of Heart   Failure 2010;   12:172-180  Traverse   et al, Am   Heart J 2010;   160:428-434  Beitnes et   al, Eur J   Echocardiogr   2011;   12:98-106



               www.painphysicianjournal.com                                                              S403
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