Evidence map›Paper›PMID 22156926›Full record

ArticleAnnals of surgery2012

Infusion of CD133+ bone marrow-derived stem cells after selective portal vein embolization enhances functional hepatic reserves after extended right hepatectomy: a retrospective single-center study.

Jan Schulte am Esch, Moritz Schmelzle, Günther Fürst, Simon C Robson, Andreas Krieg, Constanze Duhme, Roy Y Tustas, Andrea Alexander, Hans M Klein, Stefan A Topp and 4 more

Registry-linked trialAbstract readComparative Study
PubMed Publisher
In one paragraph

Article in Annals of surgery, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01560845 (Autologous Bone Marrow Stem Cells Infusion Through Hepatic Artery in Open Abdominal Portal Hypertension Surgery for the Treatment of Liver Cirrhosis), which is not on this map. Cited by 32 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed, 1 pooled it
4.1field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT01560845 phase2 / phase3unknown statusnot on this map

Autologous Bone Marrow Stem Cells Infusion Through Hepatic Artery in Open Abdominal Portal Hypertension Surgery for the Treatment of Liver Cirrhosis: a Prospective, Non-randomized, Controlled Study

TypeinterventionalSponsorWenzhou Medical UniversityRan2010 to 2014Enrolled50ConditionsLiver Cirrhosis, Portal Hypertension, Hepatic Decompensation, SurgeryArmsAutologous bone marrow stem cells infusion (ABMSCi) plus abdominal portal hypertension surgery, open abdominal portal hypertension surgery
3 · Its place in the literature

Who cites it

32 citing papers in PubMed, 1 synthesis or guideline pooled it, 85 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Review
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  6. Review
  7. Review
  8. Review
  9. Platelets Boost Recruitment of CD133International journal of molecular sciences · 2020
    Article
  10. Review
  11. Article
  12. [Preconditioning of the liver].Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen · 2019
    Review
  13. Article
  14. ALPPS for Hepatocellular Carcinoma Is Associated with Decreased Liver Remnant Growth.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2018
    Article
  15. Article
  16. Review
  17. Article
  18. Article
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

14 authors at 3 institutions in 2 countries.

Jan Schulte am EschDepartment of General-, Visceral-, and Pediatric Surgery, Heinrich-Heine-University and University Hospital Düsseldorf, Germany.
Moritz Schmelzle
Günther Fürst
Simon C Robson
Andreas Krieg
Constanze Duhme
Roy Y Tustas
Andrea Alexander
Hans M Klein
Stefan A Topp
Johannes G Bode
Dieter Häussinger
Claus F Eisenberger
Wolfram Trudo Knoefel
Heinrich Heine University Düsseldorf · DEDüsseldorf University Hospital · DEHarvard University · US

Funding

Purinergic ThromboregulationR01HL094400 · NHLBI · BETH ISRAEL DEACONESS MEDICAL CENTER · PI ROBSON, SIMON C. · 2009 to 2010
$1.4M
Engineering Inhibitory Antibodies to Ectoenzymes for Cancer TreatmentR21CA164970 · NCI · BETH ISRAEL DEACONESS MEDICAL CENTER · PI ROBSON, SIMON C. · 2012 to 2013
$405k
NCI NIH HHS R21 CA164970NHLBI NIH HHS R01 HL094400
6 · The paper itself

Abstract

objectiveThis study was designed to evaluate the clinical outcome of patients undergoing portal vein embolization (PVE) and autologous CD133 bone marrow-derived stem cell (CD133+ BMSC) application before extended right hepatectomy.

backgroundWe have previously shown that portal venous infusion of CD133+ BMSCs substantially increases hepatic proliferation, when compared with PVE alone.

methods: Among 40 consecutive patients with a median follow-up of 28 months (7.4-57.2) scheduled for extended right hepatectomy, we compared a preconditioned group with PVE and CD133+ BMSC cotreatment (PVE+SC group, n = 11) and a group pretreated only with PVE (PVE group, n = 11). Functional and overall outcomes after extended right hepatectomy were evaluated. Patients without presurgical treatment served as controls (n = 18).

resultsIn preconditioned patients, mean hepatic growth of segments II/III 14 days after PVE in the PVE+SC group was significantly higher (138.66 mL ± 66.29) when compared with that of PVE group patients (62.95 mL ± 40.03; P = 0.004). There were no significant differences among all 3 groups regarding general and oncological characteristics and functional parameters on postoperative day (POD) 7. Lack of hepatic preconditioning, extrahepatic extension of resection, and postoperative complications were of negative prognostic value, using univariate analysis (P < 0.05). In multivariate analysis, freedom from postoperative major complications (P = 0.012), coagulation status on POD 7 (international normalized ratio < 1.4; P = 0.027), and presurgical expansion of the future liver remnant volume (P = 0.048) were positively associated with overall survival. Post hoc analysis revealed a better survival for the PVE+SC group (P = 0.028) compared with the PVE group (P = 0.094) and compared with controls.

conclusionPromising data from this survival analysis suggest that PVE, together with CD133+ BMSC pretreatment, could positively impact overall outcomes after extended right hepatectomy.

Indexed as

Antigens, CDBone Marrow TransplantationEmbolization, TherapeuticGlycoproteinsPeptidesPortal VeinAC133 AntigenAgedFemaleHepatectomyHumansImage Processing, Computer-AssistedLiver Function TestsLiver NeoplasmsLiver RegenerationMaleAC133 AntigenAntigens, CDGlycoproteinsPeptidesPROM1 protein, human

Identifiers

PMID22156926
OpenAlexW2322084576

What OpenQuestion holds

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Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.