One-year follow-up of transcoronary sinus administration of autologous bone marrow in patients with chronic refractory angina

Autores
Vicario, Jose; Campo, Cesar; Piva, Julio; Faccio, Fernando; Gerardo, Luis; Becker, Carlos; Ortega, Hugo Hector; Pierini, Angel; Lofeudo, Carlos; Novero, Rafael; Baliño, Nestor Perez; Monti, Adrian; Benech, Rodolfo; Dallo, Matias; Pfeiffer, Hernan
Año de publicación
2005
Idioma
inglés
Tipo de recurso
artículo
Estado
versión publicada
Descripción
Purpose: Based on our preclinic studies with autologous unfractionated bone marrow (AUBM) via coronary sinus with transitory occlusion, a clinic study in patients with chronic refractory angina was designed. The objectives were to evaluate tolerance of the procedure, safety, and feasibility with 1 year follow-up. Methods and materials: Clinical study with inclusion and exclusion criteria defined by an Independent Clinical Committee was carried out. Fifteen patients underwent transcoronary sinus administration with a 15-min occlusion of freshly aspirated and filtered AUBM (60–120 ml). Feasibility was evaluated with Seattle Angina Questionnaire (SAQ), Canadian Cardiovascular Society (CCS) angina classification, perfusion dipyridamole, and coronary angiography. Results: There were no changes in the tolerance parameters. There were no deaths or myocardial infarction during the follow-up. Three patients were readmitted into the hospital. During the follow-up, one patient was diagnosed with cancer of the lung. Improvement of 30% in the quality of life was evaluated by SAQ. The CCS angina classification showed that the mean angina class was 3.0F0.53 at baseline, which improved to 1.6F0.63 at 1 year ( Pb.001). Perfusion imaging (core lab) showed improvement in 12 of 15 patients, with a mean improvement of 40.9% at rest (22 vs. 13) ( Pb.01) and 45.3% at stress (26.5 vs. 14.5) ( Pb.05). Coronary angiography showed more collateral vessels in 10 of 15 patients. Conclusions: We can conclude that AUBM via coronary sinus is feasible in patients with chronic refractory angina after 1 year follow-up, and it appears to be safe. Based on our preclinic studies with autologous unfractionated bone marrow (AUBM) via coronary sinus with transitory occlusion, a clinic study in patients with chronic refractory angina was designed. The objectives were to evaluate tolerance of the procedure, safety, and feasibility with 1 year follow-up. Methods and materials: Clinical study with inclusion and exclusion criteria defined by an Independent Clinical Committee was carried out. Fifteen patients underwent transcoronary sinus administration with a 15-min occlusion of freshly aspirated and filtered AUBM (60–120 ml). Feasibility was evaluated with Seattle Angina Questionnaire (SAQ), Canadian Cardiovascular Society (CCS) angina classification, perfusion dipyridamole, and coronary angiography. Results: There were no changes in the tolerance parameters. There were no deaths or myocardial infarction during the follow-up. Three patients were readmitted into the hospital. During the follow-up, one patient was diagnosed with cancer of the lung. Improvement of 30% in the quality of life was evaluated by SAQ. The CCS angina classification showed that the mean angina class was 3.0F0.53 at baseline, which improved to 1.6F0.63 at 1 year ( Pb.001). Perfusion imaging (core lab) showed improvement in 12 of 15 patients, with a mean improvement of 40.9% at rest (22 vs. 13) ( Pb.01) and 45.3% at stress (26.5 vs. 14.5) ( Pb.05). Coronary angiography showed more collateral vessels in 10 of 15 patients. Conclusions: We can conclude that AUBM via coronary sinus is feasible in patients with chronic refractory angina after 1 year follow-up, and it appears to be safe.
Fil: Vicario, Jose. Hospital Iturraspe; Argentina
Fil: Campo, Cesar. Hospital Iturraspe; Argentina
Fil: Piva, Julio. Hospital Iturraspe; Argentina
Fil: Faccio, Fernando. Hospital San Gerónimo; Argentina
Fil: Gerardo, Luis. Hospital Garay; Argentina
Fil: Becker, Carlos. Hospital San Gerónimo; Argentina
Fil: Ortega, Hugo Hector. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - Santa Fe. Instituto de Ciencias Veterinarias del Litoral. Universidad Nacional del Litoral. Facultad de Ciencias Veterinarias. Instituto de Ciencias Veterinarias del Litoral; Argentina
Fil: Pierini, Angel. Hospital Iturraspe; Argentina
Fil: Lofeudo, Carlos. Hospital Garay; Argentina
Fil: Novero, Rafael. Hospital Garay; Argentina
Fil: Baliño, Nestor Perez. Hospital Santa Fe; Argentina
Fil: Monti, Adrian. Hospital Garay; Argentina
Fil: Benech, Rodolfo. Hospital Iturraspe; Argentina
Fil: Dallo, Matias. Hospital Garay; Argentina
Fil: Pfeiffer, Hernan. Hospital Iturraspe; Argentina
Nivel de accesibilidad
acceso abierto
Condiciones de uso
https://creativecommons.org/licenses/by-nc-sa/2.5/ar/
Repositorio
CONICET Digital (CONICET)
Institución
Consejo Nacional de Investigaciones Científicas y Técnicas
OAI Identificador
oai:ri.conicet.gov.ar:11336/102845

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network_name_str CONICET Digital (CONICET)
spelling One-year follow-up of transcoronary sinus administration of autologous bone marrow in patients with chronic refractory anginaVicario, JoseCampo, CesarPiva, JulioFaccio, FernandoGerardo, LuisBecker, CarlosOrtega, Hugo HectorPierini, AngelLofeudo, CarlosNovero, RafaelBaliño, Nestor PerezMonti, AdrianBenech, RodolfoDallo, MatiasPfeiffer, Hernanhttps://purl.org/becyt/ford/4.3https://purl.org/becyt/ford/4Purpose: Based on our preclinic studies with autologous unfractionated bone marrow (AUBM) via coronary sinus with transitory occlusion, a clinic study in patients with chronic refractory angina was designed. The objectives were to evaluate tolerance of the procedure, safety, and feasibility with 1 year follow-up. Methods and materials: Clinical study with inclusion and exclusion criteria defined by an Independent Clinical Committee was carried out. Fifteen patients underwent transcoronary sinus administration with a 15-min occlusion of freshly aspirated and filtered AUBM (60–120 ml). Feasibility was evaluated with Seattle Angina Questionnaire (SAQ), Canadian Cardiovascular Society (CCS) angina classification, perfusion dipyridamole, and coronary angiography. Results: There were no changes in the tolerance parameters. There were no deaths or myocardial infarction during the follow-up. Three patients were readmitted into the hospital. During the follow-up, one patient was diagnosed with cancer of the lung. Improvement of 30% in the quality of life was evaluated by SAQ. The CCS angina classification showed that the mean angina class was 3.0F0.53 at baseline, which improved to 1.6F0.63 at 1 year ( Pb.001). Perfusion imaging (core lab) showed improvement in 12 of 15 patients, with a mean improvement of 40.9% at rest (22 vs. 13) ( Pb.01) and 45.3% at stress (26.5 vs. 14.5) ( Pb.05). Coronary angiography showed more collateral vessels in 10 of 15 patients. Conclusions: We can conclude that AUBM via coronary sinus is feasible in patients with chronic refractory angina after 1 year follow-up, and it appears to be safe. Based on our preclinic studies with autologous unfractionated bone marrow (AUBM) via coronary sinus with transitory occlusion, a clinic study in patients with chronic refractory angina was designed. The objectives were to evaluate tolerance of the procedure, safety, and feasibility with 1 year follow-up. Methods and materials: Clinical study with inclusion and exclusion criteria defined by an Independent Clinical Committee was carried out. Fifteen patients underwent transcoronary sinus administration with a 15-min occlusion of freshly aspirated and filtered AUBM (60–120 ml). Feasibility was evaluated with Seattle Angina Questionnaire (SAQ), Canadian Cardiovascular Society (CCS) angina classification, perfusion dipyridamole, and coronary angiography. Results: There were no changes in the tolerance parameters. There were no deaths or myocardial infarction during the follow-up. Three patients were readmitted into the hospital. During the follow-up, one patient was diagnosed with cancer of the lung. Improvement of 30% in the quality of life was evaluated by SAQ. The CCS angina classification showed that the mean angina class was 3.0F0.53 at baseline, which improved to 1.6F0.63 at 1 year ( Pb.001). Perfusion imaging (core lab) showed improvement in 12 of 15 patients, with a mean improvement of 40.9% at rest (22 vs. 13) ( Pb.01) and 45.3% at stress (26.5 vs. 14.5) ( Pb.05). Coronary angiography showed more collateral vessels in 10 of 15 patients. Conclusions: We can conclude that AUBM via coronary sinus is feasible in patients with chronic refractory angina after 1 year follow-up, and it appears to be safe.Fil: Vicario, Jose. Hospital Iturraspe; ArgentinaFil: Campo, Cesar. Hospital Iturraspe; ArgentinaFil: Piva, Julio. Hospital Iturraspe; ArgentinaFil: Faccio, Fernando. Hospital San Gerónimo; ArgentinaFil: Gerardo, Luis. Hospital Garay; ArgentinaFil: Becker, Carlos. Hospital San Gerónimo; ArgentinaFil: Ortega, Hugo Hector. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - Santa Fe. Instituto de Ciencias Veterinarias del Litoral. Universidad Nacional del Litoral. Facultad de Ciencias Veterinarias. Instituto de Ciencias Veterinarias del Litoral; ArgentinaFil: Pierini, Angel. Hospital Iturraspe; ArgentinaFil: Lofeudo, Carlos. Hospital Garay; ArgentinaFil: Novero, Rafael. Hospital Garay; ArgentinaFil: Baliño, Nestor Perez. Hospital Santa Fe; ArgentinaFil: Monti, Adrian. Hospital Garay; ArgentinaFil: Benech, Rodolfo. Hospital Iturraspe; ArgentinaFil: Dallo, Matias. Hospital Garay; ArgentinaFil: Pfeiffer, Hernan. Hospital Iturraspe; ArgentinaElsevier2005-07info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionhttp://purl.org/coar/resource_type/c_6501info:ar-repo/semantics/articuloapplication/pdfapplication/pdfhttp://hdl.handle.net/11336/102845Vicario, Jose; Campo, Cesar; Piva, Julio; Faccio, Fernando; Gerardo, Luis; et al.; One-year follow-up of transcoronary sinus administration of autologous bone marrow in patients with chronic refractory angina; Elsevier; Cardiovascular Revascularization Medicine; 6; 3; 7-2005; 99-1071553-8389CONICET DigitalCONICETenginfo:eu-repo/semantics/altIdentifier/doi/10.1016/j.carrev.2005.08.002info:eu-repo/semantics/openAccesshttps://creativecommons.org/licenses/by-nc-sa/2.5/ar/reponame:CONICET Digital (CONICET)instname:Consejo Nacional de Investigaciones Científicas y Técnicas2025-09-17T11:46:48Zoai:ri.conicet.gov.ar:11336/102845instacron:CONICETInstitucionalhttp://ri.conicet.gov.ar/Organismo científico-tecnológicoNo correspondehttp://ri.conicet.gov.ar/oai/requestdasensio@conicet.gov.ar; lcarlino@conicet.gov.arArgentinaNo correspondeNo correspondeNo correspondeopendoar:34982025-09-17 11:46:48.865CONICET Digital (CONICET) - Consejo Nacional de Investigaciones Científicas y Técnicasfalse
dc.title.none.fl_str_mv One-year follow-up of transcoronary sinus administration of autologous bone marrow in patients with chronic refractory angina
title One-year follow-up of transcoronary sinus administration of autologous bone marrow in patients with chronic refractory angina
spellingShingle One-year follow-up of transcoronary sinus administration of autologous bone marrow in patients with chronic refractory angina
Vicario, Jose
title_short One-year follow-up of transcoronary sinus administration of autologous bone marrow in patients with chronic refractory angina
title_full One-year follow-up of transcoronary sinus administration of autologous bone marrow in patients with chronic refractory angina
title_fullStr One-year follow-up of transcoronary sinus administration of autologous bone marrow in patients with chronic refractory angina
title_full_unstemmed One-year follow-up of transcoronary sinus administration of autologous bone marrow in patients with chronic refractory angina
title_sort One-year follow-up of transcoronary sinus administration of autologous bone marrow in patients with chronic refractory angina
dc.creator.none.fl_str_mv Vicario, Jose
Campo, Cesar
Piva, Julio
Faccio, Fernando
Gerardo, Luis
Becker, Carlos
Ortega, Hugo Hector
Pierini, Angel
Lofeudo, Carlos
Novero, Rafael
Baliño, Nestor Perez
Monti, Adrian
Benech, Rodolfo
Dallo, Matias
Pfeiffer, Hernan
author Vicario, Jose
author_facet Vicario, Jose
Campo, Cesar
Piva, Julio
Faccio, Fernando
Gerardo, Luis
Becker, Carlos
Ortega, Hugo Hector
Pierini, Angel
Lofeudo, Carlos
Novero, Rafael
Baliño, Nestor Perez
Monti, Adrian
Benech, Rodolfo
Dallo, Matias
Pfeiffer, Hernan
author_role author
author2 Campo, Cesar
Piva, Julio
Faccio, Fernando
Gerardo, Luis
Becker, Carlos
Ortega, Hugo Hector
Pierini, Angel
Lofeudo, Carlos
Novero, Rafael
Baliño, Nestor Perez
Monti, Adrian
Benech, Rodolfo
Dallo, Matias
Pfeiffer, Hernan
author2_role author
author
author
author
author
author
author
author
author
author
author
author
author
author
purl_subject.fl_str_mv https://purl.org/becyt/ford/4.3
https://purl.org/becyt/ford/4
dc.description.none.fl_txt_mv Purpose: Based on our preclinic studies with autologous unfractionated bone marrow (AUBM) via coronary sinus with transitory occlusion, a clinic study in patients with chronic refractory angina was designed. The objectives were to evaluate tolerance of the procedure, safety, and feasibility with 1 year follow-up. Methods and materials: Clinical study with inclusion and exclusion criteria defined by an Independent Clinical Committee was carried out. Fifteen patients underwent transcoronary sinus administration with a 15-min occlusion of freshly aspirated and filtered AUBM (60–120 ml). Feasibility was evaluated with Seattle Angina Questionnaire (SAQ), Canadian Cardiovascular Society (CCS) angina classification, perfusion dipyridamole, and coronary angiography. Results: There were no changes in the tolerance parameters. There were no deaths or myocardial infarction during the follow-up. Three patients were readmitted into the hospital. During the follow-up, one patient was diagnosed with cancer of the lung. Improvement of 30% in the quality of life was evaluated by SAQ. The CCS angina classification showed that the mean angina class was 3.0F0.53 at baseline, which improved to 1.6F0.63 at 1 year ( Pb.001). Perfusion imaging (core lab) showed improvement in 12 of 15 patients, with a mean improvement of 40.9% at rest (22 vs. 13) ( Pb.01) and 45.3% at stress (26.5 vs. 14.5) ( Pb.05). Coronary angiography showed more collateral vessels in 10 of 15 patients. Conclusions: We can conclude that AUBM via coronary sinus is feasible in patients with chronic refractory angina after 1 year follow-up, and it appears to be safe. Based on our preclinic studies with autologous unfractionated bone marrow (AUBM) via coronary sinus with transitory occlusion, a clinic study in patients with chronic refractory angina was designed. The objectives were to evaluate tolerance of the procedure, safety, and feasibility with 1 year follow-up. Methods and materials: Clinical study with inclusion and exclusion criteria defined by an Independent Clinical Committee was carried out. Fifteen patients underwent transcoronary sinus administration with a 15-min occlusion of freshly aspirated and filtered AUBM (60–120 ml). Feasibility was evaluated with Seattle Angina Questionnaire (SAQ), Canadian Cardiovascular Society (CCS) angina classification, perfusion dipyridamole, and coronary angiography. Results: There were no changes in the tolerance parameters. There were no deaths or myocardial infarction during the follow-up. Three patients were readmitted into the hospital. During the follow-up, one patient was diagnosed with cancer of the lung. Improvement of 30% in the quality of life was evaluated by SAQ. The CCS angina classification showed that the mean angina class was 3.0F0.53 at baseline, which improved to 1.6F0.63 at 1 year ( Pb.001). Perfusion imaging (core lab) showed improvement in 12 of 15 patients, with a mean improvement of 40.9% at rest (22 vs. 13) ( Pb.01) and 45.3% at stress (26.5 vs. 14.5) ( Pb.05). Coronary angiography showed more collateral vessels in 10 of 15 patients. Conclusions: We can conclude that AUBM via coronary sinus is feasible in patients with chronic refractory angina after 1 year follow-up, and it appears to be safe.
Fil: Vicario, Jose. Hospital Iturraspe; Argentina
Fil: Campo, Cesar. Hospital Iturraspe; Argentina
Fil: Piva, Julio. Hospital Iturraspe; Argentina
Fil: Faccio, Fernando. Hospital San Gerónimo; Argentina
Fil: Gerardo, Luis. Hospital Garay; Argentina
Fil: Becker, Carlos. Hospital San Gerónimo; Argentina
Fil: Ortega, Hugo Hector. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - Santa Fe. Instituto de Ciencias Veterinarias del Litoral. Universidad Nacional del Litoral. Facultad de Ciencias Veterinarias. Instituto de Ciencias Veterinarias del Litoral; Argentina
Fil: Pierini, Angel. Hospital Iturraspe; Argentina
Fil: Lofeudo, Carlos. Hospital Garay; Argentina
Fil: Novero, Rafael. Hospital Garay; Argentina
Fil: Baliño, Nestor Perez. Hospital Santa Fe; Argentina
Fil: Monti, Adrian. Hospital Garay; Argentina
Fil: Benech, Rodolfo. Hospital Iturraspe; Argentina
Fil: Dallo, Matias. Hospital Garay; Argentina
Fil: Pfeiffer, Hernan. Hospital Iturraspe; Argentina
description Purpose: Based on our preclinic studies with autologous unfractionated bone marrow (AUBM) via coronary sinus with transitory occlusion, a clinic study in patients with chronic refractory angina was designed. The objectives were to evaluate tolerance of the procedure, safety, and feasibility with 1 year follow-up. Methods and materials: Clinical study with inclusion and exclusion criteria defined by an Independent Clinical Committee was carried out. Fifteen patients underwent transcoronary sinus administration with a 15-min occlusion of freshly aspirated and filtered AUBM (60–120 ml). Feasibility was evaluated with Seattle Angina Questionnaire (SAQ), Canadian Cardiovascular Society (CCS) angina classification, perfusion dipyridamole, and coronary angiography. Results: There were no changes in the tolerance parameters. There were no deaths or myocardial infarction during the follow-up. Three patients were readmitted into the hospital. During the follow-up, one patient was diagnosed with cancer of the lung. Improvement of 30% in the quality of life was evaluated by SAQ. The CCS angina classification showed that the mean angina class was 3.0F0.53 at baseline, which improved to 1.6F0.63 at 1 year ( Pb.001). Perfusion imaging (core lab) showed improvement in 12 of 15 patients, with a mean improvement of 40.9% at rest (22 vs. 13) ( Pb.01) and 45.3% at stress (26.5 vs. 14.5) ( Pb.05). Coronary angiography showed more collateral vessels in 10 of 15 patients. Conclusions: We can conclude that AUBM via coronary sinus is feasible in patients with chronic refractory angina after 1 year follow-up, and it appears to be safe. Based on our preclinic studies with autologous unfractionated bone marrow (AUBM) via coronary sinus with transitory occlusion, a clinic study in patients with chronic refractory angina was designed. The objectives were to evaluate tolerance of the procedure, safety, and feasibility with 1 year follow-up. Methods and materials: Clinical study with inclusion and exclusion criteria defined by an Independent Clinical Committee was carried out. Fifteen patients underwent transcoronary sinus administration with a 15-min occlusion of freshly aspirated and filtered AUBM (60–120 ml). Feasibility was evaluated with Seattle Angina Questionnaire (SAQ), Canadian Cardiovascular Society (CCS) angina classification, perfusion dipyridamole, and coronary angiography. Results: There were no changes in the tolerance parameters. There were no deaths or myocardial infarction during the follow-up. Three patients were readmitted into the hospital. During the follow-up, one patient was diagnosed with cancer of the lung. Improvement of 30% in the quality of life was evaluated by SAQ. The CCS angina classification showed that the mean angina class was 3.0F0.53 at baseline, which improved to 1.6F0.63 at 1 year ( Pb.001). Perfusion imaging (core lab) showed improvement in 12 of 15 patients, with a mean improvement of 40.9% at rest (22 vs. 13) ( Pb.01) and 45.3% at stress (26.5 vs. 14.5) ( Pb.05). Coronary angiography showed more collateral vessels in 10 of 15 patients. Conclusions: We can conclude that AUBM via coronary sinus is feasible in patients with chronic refractory angina after 1 year follow-up, and it appears to be safe.
publishDate 2005
dc.date.none.fl_str_mv 2005-07
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
http://purl.org/coar/resource_type/c_6501
info:ar-repo/semantics/articulo
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv http://hdl.handle.net/11336/102845
Vicario, Jose; Campo, Cesar; Piva, Julio; Faccio, Fernando; Gerardo, Luis; et al.; One-year follow-up of transcoronary sinus administration of autologous bone marrow in patients with chronic refractory angina; Elsevier; Cardiovascular Revascularization Medicine; 6; 3; 7-2005; 99-107
1553-8389
CONICET Digital
CONICET
url http://hdl.handle.net/11336/102845
identifier_str_mv Vicario, Jose; Campo, Cesar; Piva, Julio; Faccio, Fernando; Gerardo, Luis; et al.; One-year follow-up of transcoronary sinus administration of autologous bone marrow in patients with chronic refractory angina; Elsevier; Cardiovascular Revascularization Medicine; 6; 3; 7-2005; 99-107
1553-8389
CONICET Digital
CONICET
dc.language.none.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv info:eu-repo/semantics/altIdentifier/doi/10.1016/j.carrev.2005.08.002
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https://creativecommons.org/licenses/by-nc-sa/2.5/ar/
eu_rights_str_mv openAccess
rights_invalid_str_mv https://creativecommons.org/licenses/by-nc-sa/2.5/ar/
dc.format.none.fl_str_mv application/pdf
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dc.publisher.none.fl_str_mv Elsevier
publisher.none.fl_str_mv Elsevier
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repository.name.fl_str_mv CONICET Digital (CONICET) - Consejo Nacional de Investigaciones Científicas y Técnicas
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