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Research ArticleCLINICAL INVESTIGATIONS

Effect of Progenitor Cells on Myocardial Perfusion and Metabolism in Patients After Recanalization of a Chronically Occluded Coronary Artery

Kai Kendziorra, Henryk Barthel, Sandra Erbs, Frank Emmrich, Rainer Hambrecht, Gerhard Schuler, Osama Sabri and Regine Kluge
Journal of Nuclear Medicine April 2008, 49 (4) 557-563; DOI: https://doi.org/10.2967/jnumed.107.046706
Kai Kendziorra
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Henryk Barthel
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Sandra Erbs
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Frank Emmrich
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Rainer Hambrecht
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Gerhard Schuler
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Osama Sabri
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Regine Kluge
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    FIGURE 1. 

    99mTc-Tetrofosmin SPECT and 18F-FDG PET studies (bull's-eye view and representative vertical long-axis and short-axis slices) of patient after recanalization of totally occluded left anterior descending coronary artery (baseline) and 3 mo after administration of CPCs (follow-up). Arrows indicate area with reduced 99mTc-tetrofosmin and enhanced 18F-FDG uptake corresponding to perfusion–metabolism mismatch in anterolateral area at baseline (arrows) and disappearance of this finding at follow-up.

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    FIGURE 2. 

    99mTc-Tetrofosmin SPECT and 18F-FDG PET studies (bull's-eye view and representative vertical long-axis and short-axis slices) of patient after recanalization of totally occluded right coronary artery (baseline) and 3 mo after administration of cell-free serum (follow-up). Arrows indicate area with reduced 99mTc-tetrofosmin and enhanced 18F-FDG uptake corresponding to perfusion–metabolism mismatch in posteroseptal area at baseline. In this area, slight deterioration in perfusion occurs at follow-up.

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    FIGURE 3. 

    Three-month follow-up of segments classified as normal (A) or having perfusion–metabolism (p/m) mismatch (B) within area of total coronary occlusion (target area) at 8 ± 1 d after recanalization. For both situations, group differences were significant (P < 0.05, χ2 test).

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    FIGURE 4. 

    Change in number of segments classified as scar, perfusion–metabolism (p/m) mismatch, or normal in each patient from baseline to follow-up, for CPC group (A) and placebo group (B). Each patient is represented by 1 line. In most CPC patients, normal segments increase and segments with perfusion–metabolism mismatch decrease. Table 1 provides the statistics.

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    TABLE 1

    Mean Number of Segments Within Target Area

    Placebo groupCPC group
    Segment typeBaselineFollow-upPBaselineFollow-upP
    Normal3.7 (0.9)3.0 (0.8)NS3.4 (0.5)5.2 (0.9)0.015
    Mismatch2.7 (0.6)3.6 (0.6)NS3.0 (0.5)1.7 (0.6)0.048
    Scar1.0 (0.4)0.8 (0.5)NS1.8 (0.5)1.3 (0.6)NS
    • NS = not statistically significant.

    • Significance testing between baseline and follow-up was done on per-patient base by Wilcoxon rank test. Data in parentheses are SE of mean.

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Journal of Nuclear Medicine: 49 (4)
Journal of Nuclear Medicine
Vol. 49, Issue 4
April 2008
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Effect of Progenitor Cells on Myocardial Perfusion and Metabolism in Patients After Recanalization of a Chronically Occluded Coronary Artery
Kai Kendziorra, Henryk Barthel, Sandra Erbs, Frank Emmrich, Rainer Hambrecht, Gerhard Schuler, Osama Sabri, Regine Kluge
Journal of Nuclear Medicine Apr 2008, 49 (4) 557-563; DOI: 10.2967/jnumed.107.046706

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Effect of Progenitor Cells on Myocardial Perfusion and Metabolism in Patients After Recanalization of a Chronically Occluded Coronary Artery
Kai Kendziorra, Henryk Barthel, Sandra Erbs, Frank Emmrich, Rainer Hambrecht, Gerhard Schuler, Osama Sabri, Regine Kluge
Journal of Nuclear Medicine Apr 2008, 49 (4) 557-563; DOI: 10.2967/jnumed.107.046706
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