[Surgical intramyocardial stem cell therapy for chronic ischemic heart failure]
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Updated: Jun 11, 2026

Delayed Intramyocardial Delivery of Stem Cells after Ischemia Reperfusion Injury in a Murine Model
Published on: September 3, 2020
Alexander Kaminski1, Peter Donndorf, Christian Klopsch
1Klinik für Herzchirurgie, Universität Rostock, Schillingallee 35, Rostock,Germany. alexander.kaminski@med.uni-rostock.de
Insights
Bone marrow stem cell therapy combined with bypass surgery is safe for chronic ischemic heart disease. This regenerative medicine approach shows a 7.2% increase in left ventricular ejection fraction (LVEF).
Area of Science:
- Regenerative Medicine
- Cardiovascular Surgery
- Stem Cell Therapy
Context:
- Chronic ischemic heart disease patients worldwide are treated with bone marrow stem cells in clinical and therapeutic trials.
- Combining stem cell therapy with revascularization procedures like bypass surgery ensures high patient safety.
- No cardiac complications have been reported following intramyocardial injection of bone marrow-derived stem cells during coronary artery bypass graft (CABG) surgery.
Purpose:
- To assess the safety and efficacy of bone marrow stem cell therapy in patients with chronic ischemic heart disease.
- To evaluate the functional benefits of combining stem cell therapy with coronary artery bypass graft surgery.
Summary:
- Bone marrow stem cell therapy, when administered during CABG surgery, has demonstrated a significant functional advantage.
- Patients receiving this combined therapy experienced a 7.2% increase in left ventricular ejection fraction (LVEF) compared to control groups.
- The intramyocardial injection of bone marrow-derived stem cells during CABG surgery has shown a high safety profile.
Impact:
- Surgical bone marrow stem cell therapy offers a promising functional improvement for chronic ischemic heart disease patients.
- Further evidence-based assessment through randomized placebo-controlled trials, such as the PERFECT trial, is recommended.
- This approach represents a potential advancement in cardiac regenerative medicine, improving patient outcomes.
Abstract:
Chronic ischemic heart disease patients are already being treated worldwide with bone marrow stem cells both in the context of clinical studies and in therapy trials. By combining this therapy with established revascularization procedures such as bypass surgery, a high level of patient safety can be achieved. To date, no stem cell-related cardiac complications following intramyocardial injection of bone marrow-derived stem cells during CABG (coronary artery bypass graft) surgery have been reported. The functional advantage conferred by surgical bone marrow stem cell therapy is a 7.2% increase in LVEF (left ventricular ejection fraction) compared to controls. Randomized placebo-controlled trials, like the German trial PERFECT, are needed to obtain a more evidence-based assessment of this therapy.
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