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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 Chinese | WPRIM (Western Pacific) | 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>
Subject(s)
Full text: Available Database: WPRIM (Western Pacific) Main subject: Arterial Occlusive Diseases / General Surgery / Therapeutics / Transplantation, Autologous / Granulocyte Colony-Stimulating Factor / Ultrasonography, Doppler / Lower Extremity / Peripheral Blood Stem Cell Transplantation Limits: Aged / Aged, 80 and over / Humans / Male Language: Chinese Journal: Chinese Journal of Cardiology Year: 2006 Document type: Article
Full text: Available Database: WPRIM (Western Pacific) Main subject: Arterial Occlusive Diseases / General Surgery / Therapeutics / Transplantation, Autologous / Granulocyte Colony-Stimulating Factor / Ultrasonography, Doppler / Lower Extremity / Peripheral Blood Stem Cell Transplantation Limits: Aged / Aged, 80 and over / Humans / Male Language: Chinese Journal: Chinese Journal of Cardiology Year: 2006 Document type: Article
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