Evidence map›Paper›PMID 23394895›Full record

Trial reportInternational journal of cardiology2013

Algisyl-LVR™ with coronary artery bypass grafting reduces left ventricular wall stress and improves function in the failing human heart.

Lik Chuan Lee, Samuel T Wall, Doron Klepach, Liang Ge, Zhihong Zhang, Randall J Lee, Andy Hinson, Joseph H Gorman, Robert C Gorman, Julius M Guccione

Open access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in International journal of cardiology, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 56 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
56citing papers in PubMed, 1 pooled it
9.6field-weighted citation impact, top 2% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

56 citing papers in PubMed, 1 synthesis or guideline pooled it, 104 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Review
  4. Article
  5. Review
  6. Review
  7. [Advances in hydrogel drug delivery systems for myocardial infarction treatment].Zhejiang da xue xue bao. Yi xue ban = Journal of Zhejiang University. Medical sciences · 2025
    Review
  8. Article
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  10. Article
  11. Review
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  13. Article
  14. Article
  15. Comparison of two ellipsoidal models for the estimation of left ventricular end-systolic stress in patients with significant coronary artery disease.Journal of research in medical sciences : the official journal of Isfahan University of Medical Sciences · 2023
    Article
  16. Autologous Skin Fibroblast-Based PLGA Nanoparticles for Treating Multiorgan Fibrosis.Advanced science (Weinheim, Baden-Wurttemberg, Germany) · 2022
    Article
  17. Progress in Bioengineering Strategies for Heart Regenerative Medicine.International journal of molecular sciences · 2022
    Review
  18. Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 3 institutions in 2 countries.

Lik Chuan LeeDepartment of Surgery, University of California, San Francisco, CA, USA; Department of Bioengineering, University of California, San Francisco, CA, USA.
Samuel T Wall
Doron Klepach
Liang Ge
Zhihong Zhang
Randall J Lee
Andy Hinson
Joseph H Gorman
Robert C Gorman
Julius M Guccione
University of California, San Francisco · USUniversity of Pennsylvania · USSimula Research Laboratory · NO

Funding

Surgery to Prevent Post Infarction Ventricular RemodelingR01HL063954 · NHLBI · UNIVERSITY OF PENNSYLVANIA · PI GORMAN, ROBERT C · 2001 to 2018
$9.8M
VIRTUAL TOOLS FOR CARDIAC VENTRICULAR REMODELING SURGERYR01HL077921 · NHLBI · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI GUCCIONE, JULIUS MATTEO · 2006 to 2015
$3.4M
Minimally Invasive Ventricular Polymeric Injection for Treatment of Heart FailureR01HL118627 · NHLBI · NORTHERN CALIFORNIA INSTITUTE/RES/EDU · PI GUCCIONE, JULIUS MATTEO, KASSAB, GHASSAN S · 2013 to 2016
$3.0M
Simulation of Coronary Artery Bypass Graft and Surgical Ventricular RestorationR01HL086400 · NHLBI · NORTHERN CALIFORNIA INSTITUTE/RES/EDU · PI GUCCIONE, JULIUS MATTEO · 2009 to 2010
$1.6M
NHLBI NIH HHS R01 HL063954NHLBI NIH HHS R01 HL077921NHLBI NIH HHS R01 HL086400NHLBI NIH HHS R01 HL118627NHLBI NIH HHS R01-HL-63954NHLBI NIH HHS R01-HL-77921NHLBI NIH HHS R01-HL-86400
6 · The paper itself

Abstract

backgroundLeft ventricular (LV) wall stress reduction is a cornerstone in treating heart failure. Large animal models and computer simulations indicate that adding non-contractile material to the damaged LV wall can potentially reduce myofiber stress. We sought to quantify the effects of a novel implantable hydrogel (Algisyl-LVR™) treatment in combination with coronary artery bypass grafting (i.e. Algisyl-LVR™+CABG) on both LV function and wall stress in heart failure patients. METHODS AND

resultsMagnetic resonance images obtained before treatment (n=3), and at 3 months (n=3) and 6 months (n=2) afterwards were used to reconstruct the LV geometry. Cardiac function was quantified using end-diastolic volume (EDV), end-systolic volume (ESV), regional wall thickness, sphericity index and regional myofiber stress computed using validated mathematical modeling. The LV became more ellipsoidal after treatment, and both EDV and ESV decreased substantially 3 months after treatment in all patients; EDV decreased from 264 ± 91 ml to 146 ± 86 ml and ESV decreased from 184 ± 85 ml to 86 ± 76 ml. Ejection fraction increased from 32 ± 8% to 47 ± 18% during that period. Volumetric-averaged wall thickness increased in all patients, from 1.06 ± 0.21 cm (baseline) to 1.3 ± 0.26 cm (3 months). These changes were accompanied by about a 35% decrease in myofiber stress at end-of-diastole and at end-of-systole. Post-treatment myofiber stress became more uniform in the LV.

conclusionsThese results support the novel concept that Algisyl-LVR™+CABG treatment leads to decreased myofiber stress, restored LV geometry and improved function.

Indexed as

AdultAgedAlginatesBiocompatible MaterialsCoronary Artery BypassDental Impression MaterialsFemaleFollow-Up StudiesGlucuronic AcidHeart FailureHeart VentriclesHexuronic AcidsHumansImage Processing, Computer-AssistedMagnetic Resonance Imaging, CineMaleAlginatesBiocompatible MaterialsDental Impression MaterialsGlucuronic AcidHexuronic AcidsCongestive heart failureCoronary artery bypass graftingDilated cardiomyopathyLeft ventricular wall stressMagnetic resonance imagingMathematical modeling

Identifiers

PMID23394895
PMCPMC3748222
OpenAlexW1997566507

What OpenQuestion holds

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LicenceTDM
Read underepoch 390

Registered trials

None linked

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.