Transcoronary stem cell transfer and evolution of infarct-related artery atherosclerosis: evaluation with conventional and novel imaging techniques including Quantitative Virtual Histology (qVH).

atherosclerosis progenitor cells stem cells transcoronary administration

Journal

Postepy w kardiologii interwencyjnej = Advances in interventional cardiology
ISSN: 1734-9338
Titre abrégé: Postepy Kardiol Interwencyjnej
Pays: Poland
ID NLM: 101272671

Informations de publication

Date de publication:
Dec 2022
Historique:
received: 06 05 2022
accepted: 21 10 2022
entrez: 27 3 2023
pubmed: 28 3 2023
medline: 28 3 2023
Statut: ppublish

Résumé

It has been suggested that infarct-related artery (IRA) atherosclerosis progression after stem cell transcoronary administration might represent a stem-cell mediated adverse effect. To evaluate, using conventional (quantitative coronary angiography, QCA, intravascular ultrasound - IVUS) and novel (quantitative virtual histology - qVH) tools, evolution of IRA atherosclerosis following transcoronary stem cell transfer. QCA, IVUS, VH-IVUS and qVH were performed in 22 consecutive patients (4 women) aged 59 years (data provided as median) undergoing a distal-to-stent infusion of 2.21 × 10 18.2% subjects showed absence of distal-to-stent angiographic/IVUS atherosclerotic lesion(s) at baseline and no new lesion(s) at 12-months. In the remaining cohort, there were 28 lesions by QCA (32 by IVUS) at baseline and no new lesion(s) at follow-up. Three fibroatheromas evolved (2 to calcified fibroatheroma and 1 to a fibrocalcific lesion); other plaques maintained their stable (low-risk) phenotypes. Diameter stenosis of QCA-identified lesions was 29.5 vs. 26.5% ( This study, using a range of classic and novel imaging techniques, indicates lack of any stimulatory effect of transcoronary stem cell transfer on coronary atherosclerosis. Whether, and to what extent, a moderate reduction in plaque burden and stenosis severity at 12-months results from optimized pharmacotherapy and/or stem cell transfer requires further elucidation.

Identifiants

pubmed: 36967840
doi: 10.5114/aic.2023.125609
pii: 50264
pmc: PMC10031661
doi:

Banques de données

ClinicalTrials.gov
['NCT00316381']

Types de publication

Journal Article

Langues

eng

Pagination

483-495

Informations de copyright

Copyright: © 2023 Termedia Sp. z o. o.

Déclaration de conflit d'intérêts

The authors declare no conflict of interest.

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Auteurs

Wladyslaw Dabrowski (W)

Department of Interventional Cardiology, Jagiellonian University Institute of Cardiology, Krakow, Poland.
John Paul II Hospital, Krakow, Poland.

Lukasz Tekieli (L)

Department of Interventional Cardiology, Jagiellonian University Institute of Cardiology, Krakow, Poland.
John Paul II Hospital, Krakow, Poland.
Department of Cardiac and Vascular Diseases, Jagiellonian University, Institute of Cardiology, John Paul II Hospital, Krakow, Poland.

Adam Mazurek (A)

John Paul II Hospital, Krakow, Poland.
Department of Cardiac and Vascular Diseases, Jagiellonian University, Institute of Cardiology, John Paul II Hospital, Krakow, Poland.

Magdalena Lanocha (M)

St. Adalbert's Hospital, Poznan, Poland.

R Pawel Banys (RP)

Department of Radiology, John Paul II Hospital, Krakow, Poland.

Krzysztof Zmudka (K)

Department of Interventional Cardiology, Jagiellonian University Institute of Cardiology, Krakow, Poland.
John Paul II Hospital, Krakow, Poland.

Marcin Majka (M)

Jagiellonian University Department of Transplantation, Krakow, Poland.

Wojciech Wojakowski (W)

Division of Cardiology and Structural Heart Diseases, Medical University of Silesia, Katowice, Poland.

Michal Tendera (M)

Division of Cardiology and Structural Heart Diseases, Medical University of Silesia, Katowice, Poland.

Piotr Musialek (P)

John Paul II Hospital, Krakow, Poland.
Department of Cardiac and Vascular Diseases, Jagiellonian University, Institute of Cardiology, John Paul II Hospital, Krakow, Poland.

Classifications MeSH