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用于经皮心脏活检和细胞治疗的多功能针的研发。技术说明。

Development of a Multifunctional Needle for Percutaneous Heart Biopsy and Cell Therapy. A Technical Note.

作者信息

Soubihe Nathan Valle, Albuquerque Agnes Afrodite S, Arcêncio Livia, Thomazini José Antonio, Schmidt Andre, Evora Paulo Roberto B

机构信息

Department of Surgery and Anatomy, Faculdade de Medicina de Ribeirão Preto da Universidade de São Paulo (FMRP-USP), Ribeirão Preto, SP, Brazil.

Department of Internal Medicine, Faculdade de Medicina de Ribeirao Preto da Universidade de São Paulo (FMRP-USP), Ribeirão Preto, SP, Brazil.

出版信息

Braz J Cardiovasc Surg. 2016 Nov-Dec;31(6):465-467. doi: 10.5935/1678-9741.20160092.

DOI:10.5935/1678-9741.20160092
PMID:28076626
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5407138/
Abstract

Validation of transendocardial injection as a method for delivering therapeutic agents to the diseased heart is increasing. Puncture heart biopsies should re-emerge as a possible alternative method to allow access to the myocardium and implantable biomaterial for cell therapy. Therefore, this work aims to present a percutaneous puncture device for biopsy and intramyocardial biomaterial injection, standardize the technique and attest to the safety of the method. The adaptation consists of creating myocardial microlesions that allow for better fixation of stem cells. The objective of this technical note covers only the development of the needle and the histological quality of the biopsies. It has not been used in humans yet.

摘要

经心内膜注射作为一种向患病心脏输送治疗剂的方法,其验证正在增加。穿刺心脏活检应重新成为一种可能的替代方法,以便能够进入心肌并植入用于细胞治疗的生物材料。因此,这项工作旨在展示一种用于活检和心肌内生物材料注射的经皮穿刺装置,规范该技术并证明该方法的安全性。这种改进包括制造心肌微损伤,以更好地固定干细胞。本技术说明的目标仅涵盖针的开发和活检的组织学质量。该装置尚未在人体中使用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6b5a/5407138/dd1f4a629078/rbccv-31-06-0465-g05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6b5a/5407138/0ecca4223eaf/rbccv-31-06-0465-g04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6b5a/5407138/dd1f4a629078/rbccv-31-06-0465-g05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6b5a/5407138/0ecca4223eaf/rbccv-31-06-0465-g04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6b5a/5407138/dd1f4a629078/rbccv-31-06-0465-g05.jpg

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本文引用的文献

1
Presentation of a needle for direct or percutaneous myocardium stem cells injection.
Rev Bras Cir Cardiovasc. 2013 Jul-Sep;28(3):405-7. doi: 10.5935/1678-9741.20130062.
2
Percutaneous methods of vector delivery in preclinical models.经皮载体传递方法在临床前模型中的应用。
Gene Ther. 2012 Jun;19(6):637-41. doi: 10.1038/gt.2012.14. Epub 2012 Mar 15.
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Percutaneous intramyocardial stem cell injection in patients with acute myocardial infarction: first-in-man study.急性心肌梗死患者经皮心肌内干细胞注射:首例人体研究。
Heart. 2009 Jul;95(14):1145-52. doi: 10.1136/hrt.2008.155077. Epub 2009 Mar 30.
4
[Cell therapy plus transmyocardial laser revascularization: a proposed alternative procedure for refractory angina].[细胞治疗联合经心肌激光血运重建术:一种针对难治性心绞痛的替代手术方案]
Rev Bras Cir Cardiovasc. 2008 Jan-Mar;23(1):46-52. doi: 10.1590/s0102-76382008000100009.