Autologous peripheral blood stem cell transplantation for the treatment of lower extremity arterial occlusive disease / 中华心血管病杂志
Chinese Journal of Cardiology
; (12): 345-348, 2006.
Article
in Zh
| WPRIM
| ID: wpr-295319
Responsible library:
WPRO
ABSTRACT
<p><b>OBJECTIVE</b>To evaluate the safety and feasibility of autologous peripheral blood mononuclear cells (PBMNCs) implantation after granulocyte-colony stimulating factor (G-CSF)-induced mobilization in patients with lower extremity arterial occlusive disease (AOD).</p><p><b>METHODS</b>A total of 12 patients with AOD were enrolled in this study. Following administration of rhG-CSF (150 microg/d) for 5 days, PBMNCs were harvested and injected intramuscularly in the diseased extremities (3 x 10(9) per limb).</p><p><b>RESULTS</b>One patient received left leg amputation due to uncontrolled ulcer 15 days post PBMNCs transplantation and the symptoms and signs were improved significantly in 9 patients and the symptoms and signs remained unchanged in another 2 aged patients (> 70 years). Doppler ultrasonography measurement showed that peak systolic velocity in diseased extremities was significantly increased post transplantation [(44.55 +/- 4.13) cm/s vs. (21.32 +/- 0.63) cm/s, P < 0.01]. Contrast lower limb angiogram showed increased collateral vessels post transplantation. One aged patient (80 years) who did not respond to autologous PBMNCs received heterologous PBMNCs transplantation (PBMNCs was harvested from a young relative of him) 3 months post autologous PBMNCs transplantation and observed for another 3 months and all observed parameters improved significantly.</p><p><b>CONCLUSION</b>Implantation of autologous PBMNCs collected after G-CSF administration might offer a simple, safe, and effective therapy for the AOD patients.</p>
Full text:
1
Index:
WPRIM
Main subject:
Arterial Occlusive Diseases
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General Surgery
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Therapeutics
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Transplantation, Autologous
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Granulocyte Colony-Stimulating Factor
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Ultrasonography, Doppler
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Lower Extremity
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Peripheral Blood Stem Cell Transplantation
Limits:
Aged
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Aged80
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Humans
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Male
Language:
Zh
Journal:
Chinese Journal of Cardiology
Year:
2006
Type:
Article