Intracoronary Bone Marrow Cell Transfer After Myocardial Infarction

Author:

Meyer Gerd P.1,Wollert Kai C.1,Lotz Joachim1,Steffens Jan1,Lippolt Peter1,Fichtner Stephanie1,Hecker Hartmut1,Schaefer Arnd1,Arseniev Lubomir1,Hertenstein Bernd1,Ganser Arnold1,Drexler Helmut1

Affiliation:

1. From the Departments of Cardiology and Angiology (G.P.M., K.C.W., J.S., P.L., S.F., A.S., H.D.), Diagnostic Radiology (J.L.), Biometrics (H.H.), and Hematology and Oncology (L.A., B.H., A.G.), Hannover Medical School, Hannover, Germany.

Abstract

Background— Intracoronary transfer of autologous bone marrow cells (BMCs) may enhance recovery of left ventricular (LV) function in patients after acute myocardial infarction (AMI). However, clinical studies addressing the effects of BMCs after AMI have covered only limited time frames ranging from 3 to 6 months. The critical question of whether BMC transfer can have a sustained impact on LV function remains unanswered. Methods and Results– After percutaneous coronary intervention with stent implantation (PCI) of the infarct-related artery, 60 patients were randomized 1:1 to a control group with optimal postinfarction therapy and a BMC transfer group that also received an intracoronary BMC infusion 4.8±1.3 days after PCI. Cardiac MRI was performed 3.5±1.5 days, 6±1 months, and 18±6 months after PCI. BMC transfer was not associated with adverse clinical events. In the control group, mean global LV ejection fraction increased by 0.7 and 3.1 percentage points after 6 and 18 months, respectively. LV ejection fraction in the BMC transfer group increased by 6.7 and 5.9 percentage points. The difference in LVEF improvement between groups was significant after 6 months but not after 18 months ( P =0.27). The speed of LV ejection fraction recovery over the course of 18 months was significantly higher in the BMC transfer group ( P =0.001). Conclusions– In this study, a single dose of intracoronary BMCs did not provide long-term benefit on LV systolic function after AMI compared with a randomized control group; however, the study suggests an acceleration of LV ejection fraction recovery after AMI by BMC therapy.

Publisher

Ovid Technologies (Wolters Kluwer Health)

Subject

Physiology (medical),Cardiology and Cardiovascular Medicine

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