Evidence map›Paper›PMID 36824456›Full record

ArticleFrontiers in cardiovascular medicine2023

Additional improvement in regional myocardial ischemia after intracardiac injection of bone marrow cells during CABG surgery.

Luís Henrique Wolff Gowdak, Isolmar Tadeu Schettert, Carlos Eduardo Rochitte, Leonardo P de Carvalho, Marcelo Luiz Campos Vieira, Luís Alberto Oliveira Dallan, Sérgio Almeida de Oliveira, Luiz Antonio Machado César, José Oscar Reis Brito, Luiz César Guarita-Souza and 2 more

Registry-linked trialAbstract read
In one paragraph

Article in Frontiers in cardiovascular medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01727063 (A Multicenter, Randomized, Double-Blind, Placebo-Controlled Study of the Efficacy of Intramyocardial Injection of Autologous Bone-Marrow Cells in Patients With Severe, Chronic Ischemic Heart Disease Undergoing Coronary Bypass Surgery), which is not on this map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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.

NCT01727063 phase3completednot on this map

A Multicenter, Randomized, Double-Blind, Placebo-Controlled Study of the Efficacy of Intramyocardial Injection of Autologous Bone-Marrow Cells in Patients With Severe, Chronic Ischemic Heart Disease Undergoing Coronary Bypass Surgery

TypeinterventionalSponsorMinistry of Health, BrazilRan2006 to 2018Enrolled143ConditionsChronic Ischemic Heart Disease, Coronary Artery Disease, Angina PectorisArmsCell Therapy
3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
  3. Review
  4. Review
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

12 authors.

Luís Henrique Wolff GowdakLaboratory of Genetics and Molecular Cardiology, Heart Institute (InCor-HCFMUSP), University of São Paulo Medical School, São Paulo, Brazil.
Isolmar Tadeu SchettertLaboratory of Genetics and Molecular Cardiology, Heart Institute (InCor-HCFMUSP), University of São Paulo Medical School, São Paulo, Brazil.
Carlos Eduardo RochitteLaboratory of Genetics and Molecular Cardiology, Heart Institute (InCor-HCFMUSP), University of São Paulo Medical School, São Paulo, Brazil.
Leonardo P de CarvalhoLaboratory of Genetics and Molecular Cardiology, Heart Institute (InCor-HCFMUSP), University of São Paulo Medical School, São Paulo, Brazil.
Marcelo Luiz Campos VieiraLaboratory of Genetics and Molecular Cardiology, Heart Institute (InCor-HCFMUSP), University of São Paulo Medical School, São Paulo, Brazil.
Luís Alberto Oliveira DallanLaboratory of Genetics and Molecular Cardiology, Heart Institute (InCor-HCFMUSP), University of São Paulo Medical School, São Paulo, Brazil.
Sérgio Almeida de OliveiraLaboratory of Genetics and Molecular Cardiology, Heart Institute (InCor-HCFMUSP), University of São Paulo Medical School, São Paulo, Brazil.
Luiz Antonio Machado CésarLaboratory of Genetics and Molecular Cardiology, Heart Institute (InCor-HCFMUSP), University of São Paulo Medical School, São Paulo, Brazil.
José Oscar Reis BritoDepartment of Cardiovascular Surgery, National Institute of Cardiology, Rio de Janeiro, Brazil.
Luiz César Guarita-SouzaDepartment of Cardiovascular Surgery, Pontifical Catholic University of Paraná, Curitiba, Brazil.
Antonio Carlos Campos de CarvalhoCell Technology Center, National Institute of Cardiology, Rio de Janeiro, Brazil.
Jose Eduardo KriegerLaboratory of Genetics and Molecular Cardiology, Heart Institute (InCor-HCFMUSP), University of São Paulo Medical School, São Paulo, Brazil.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Post-procedure residual ischemia is associated with worse prognosis in patients with coronary artery diasease (CAD). Objective: We evaluated whether autologous bone marrow-derived cells (BMC) contribute to additional reduction in regional stress-induced myocardial ischemia (SIMI) in patients undergoing incomplete coronary artery bypass graft surgery (CABG). Methods: In a double-blind, randomized, placebo-controlled trial, we enrolled 143 patients (82% men, 58 ± 11 years) with stable CAD and not candidates for complete CABG. They received 100 million BMC ( Results: The reduction in global SIMI after CABG was comparable ( Conclusion: We provided evidence that BMC leads to additional reduction in regional SIMI in chronic ischemic patients when injected in segments not subjected to direct surgical revascularization. This adjuvant therapy deserves further assessment in patients with advanced CAD especially in those with microcirculation dysfunction. Clinical trial registration: https://clinicaltrials.gov/, identifier NCT01727063.

Indexed as

bone marrow cellscardiovascular magnetic resonancecoronary artery bypass graft surgery (CABG)coronary artery diseasemyocardial ischemiastress induced myocardial ischemia

Identifiers

PMID36824456
PMCPMC9941147

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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.