title: [Interventional, intramyocardial stem cell therapy in ischemic cardiomyopathy: update 2010].
abstract: BACKGROUND
  The intracoronary application of autologous bone marrow cells has proven hitherto to be safe but not sufficiently effective in patients with ischemic cardiomyopathy. The interventional application of cells injected directly into the myocardium represents one possible approach to improve effectiveness.
  
  
  METHODS
  The NOGA method is based on the CARTO technique, which has been evaluated extensively for safety and feasibility in patients with heart failure. In a first step, an electrically and anatomically exact map of the left ventricle is obtained. Guided by this three-dimensional map direct injection of the cells into the ischemic area can be easily performed.
  
  
  METHODS
  Since its introduction in 2002 many studies have proven the safety, feasibility and effectiveness of NOGA-guided regenerative therapy to the left ventricle. While several studies also suggest effectiveness regarding various parameters of left ventricular function, no larger multicenter study is available to date. Such studies with also clinical endpoints are currently ongoing.
  
  
  CONCLUSIONS
  The currently available data support, but do not yet prove, the hypothesis that intramyocardial stem cell therapy using NOGA-guided injection into the myocardium is safe and feasible in both acute and chronic ischemic cardiomyopathy. Ongoing trials will reveal whether this approach will become the standard form for applying cell therapy to the heart.
authors.affiliation: Klinik für Kardiologie, Asklepios Klinik St. Georg, Lohmühlenstrasse 5, Hamburg, Germany. docbergmann@mac.com
authors.forename: M W
authors.initials: MW
authors.lastname: Bergmann
authors.forename: K
authors.initials: K
authors.lastname: Jaquet
authors.forename: C
authors.initials: C
authors.lastname: Schneider
authors.forename: K
authors.initials: K
authors.lastname: Krause
authors.forename: A
authors.initials: A
authors.lastname: Ujeyl
authors.forename: K-H
authors.initials: KH
authors.lastname: Kuck
mesh_terms: D016026:Bone Marrow Transplantation / Q000379:methods*; D005240:Feasibility Studies; D005500:Follow-Up Studies; D048091:Guided Tissue Regeneration; D006333:Heart Failure / Q000503:physiopathology / Q000628:therapy*; D006801:Humans; D007273:Injections, Intramuscular; D009203:Myocardial Infarction / Q000503:physiopathology / Q000628:therapy*; D017202:Myocardial Ischemia / Q000503:physiopathology / Q000628:therapy*; D018487:Ventricular Dysfunction, Left / Q000503:physiopathology / Q000628:therapy; D016277:Ventricular Function, Left / Q000502:physiology
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