Fazel Shafie, Tang Gilbert H L, Angoulvant Denis, Cimini Massimo, Weisel Richard D, Li Ren-Ke, Yau Terrence M
Division of Cardiovascular Surgery, Toronto General Hospital, University Health Network, University of Toronto, Toronto, Ontario, Canada.
Ann Thorac Surg. 2005 Jun;79(6):S2238-47. doi: 10.1016/j.athoracsur.2005.02.085.
Cellular therapy for acute myocardial infarction and ischemic cardiomyopathy has entered clinical trials across the globe. Early promising results have now provided the justification for larger randomized and blinded trials to address the efficacy of cellular therapy. A variety of fresh or cultured autologous cells have been delivered by catheter-guided endocardial, catheter-guided intracoronary, catheter-guided transvenous, and direct epicardial routes. This review will summarize the clinical data and highlight salient basic science data that support the ongoing efforts to identify the optimal cellular therapy both for acute myocardial infarction and chronic ischemic cardiomyopathy patients.
用于急性心肌梗死和缺血性心肌病的细胞疗法已在全球范围内进入临床试验阶段。早期取得的令人鼓舞的结果为开展更大规模的随机双盲试验以验证细胞疗法的疗效提供了依据。多种新鲜或培养的自体细胞已通过导管引导的心内膜、导管引导的冠状动脉内、导管引导的经静脉以及直接的心外膜途径进行输送。本综述将总结临床数据,并重点介绍显著的基础科学数据,这些数据支持了当前为确定针对急性心肌梗死和慢性缺血性心肌病患者的最佳细胞疗法所做的努力。