Gene Therapy and Novel Revascularization Approaches 1998-2001

ESC 2001 Meeting Coverage

LATE BREAKING CLINICAL TRIALS - SLIDE SETS DIRECTLY FROM THE PRESENTERS

TCTMD Slide Sets

AHA 2001 Meeting Coverage

Chimerism of the Transplanted Heart
Federico Quaini, M.D || Piero Anversa, M.D.
N Engl J Med 2002;346:5-15
http://content.nejm.org/cgi/content/short/346/1/5  
Eight male patients received cardiac transplants from female donors. In samples from these hearts, the investigators were able to detect Y chromosomes in about 10 percent of the myocytes, proving that they came from the male recipients. These results show that cells from the recipient are able to migrate into the donor heart and take up residence. Some of the Y-chromosome–positive cells were primitive and had the capacity to proliferate.
The origin of the cells that migrated from the recipient to the transplanted heart is uncertain, but this study raises the possibility that primitive cells from the recipient may migrate to the donor heart and participate in the remodeling process.

Related Perspective
Can the Heart Repair Itself?
R.S. Schwartz and G.D. Curfman
N Engl J Med  2002;346:2-4
http://content.nejm.org/cgi/content/short/346/1/2?query=TOC
 

Related Editorial
Regeneration of the Human Heart -- No Chimera?
R. Bolli
N Engl J Med  2002;346:55-56
http://content.nejm.org/cgi/content/short/346/1/55?query=TOC

More evidence suggests the heart can regenerate itself
http://www.theheart.org/index.cfm?doc_id=27645 
http://cardiology.medscape.com/46705.rhtml?srcmp=card-010402
Investigators examining female hearts that were transplanted into male recipients have discovered that cardiac cells from the male host migrate into the transplanted heart. 

Clinical outcome of a cohort of patients eligible for therapeutic angiogenesis or transmyocardial revascularization
Mukherjee D, et al.
Am Heart J 2001;142:72-4
http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&dopt=Citation&list_uids=11431659
The patients ineligible for traditional methods of revascularization had a rehospitalization rate of 128%, a 25.5% rate of myocardial infarction, and a mortality rate of 16.9%. The prognosis of many patients eligible for newer methods of revascularization on maximal medical therapy is poor.

Angiogenesis therapy: amidst the hype, the neglected potential for serious side effects
Epstein SE, et al.
Circulation 2001;104:115-9
http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&dopt=Citation&list_uids=11435348 

Images in Cardiology 
Histological Evidence of Angiogenesis 9 Months After Transmyocardial Laser Revascularization
Domkowski PW ||Lowe JE
Circulation 2001;103 469-471
http://circ.ahajournals.org/cgi/content/full/103/3/469 

Percutaneous transmyocardial laser revascularisation
Harbison J, et al.
Lancet 2001;357:638-9
http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&dopt=Citation&list_uids=11558518 

Sustained angina relief 5 years after transmyocardial laser revascularization with a CO(2) laser
Horvath KA, et al.
Circulation 2001;104:I81-4
http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&dopt=Citation&list_uids=11568035 

Surgical and percutaneous myocardial angiogenesis induction. Part II--neoangiogenesis
Gimelli G, et al.
Ital Heart J 2001;2:21-4
http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&dopt=Citation&list_uids=11214697  

Review 
Therapeutic angiogenesis for cardiovascular disease
Yin-Shan Ng, Patricia A D'Amore
http://cvm.controlled-trials.com/content/2/6/278  

Transmyocardial laser revascularization: is the enthusiasm justified?
Hayat N, et al.
Clin Cardiol 2001;24:321-4
http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&dopt=Citation&list_uids=11303701
Transmyocardial laser revascularization is associated with significant relief of angina pectoris in the majority of patients with severe diffuse coronary artery disease; however, this relief is short-lived in most. When mortality and morbidity are factored in, TMLR cannot be enthusiastically recommended.

Online myocardial viability assessment in the catheterization laboratory via NOGA electroanatomic mapping: Quantitative comparison with thallium-201 uptake
Gyongyosi M, et al.
Circulation 2001;104:1005-11
http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&dopt=Citation&list_uids=11524393
These study indicates that the unipolar voltage potentials obtained by electroanatomic mapping correlate well with standard quantitative late resting (201)Tl imaging for the evaluation of myocardial viability; thus, NOGA endocardial mapping provides useful "online" data at the time of catheterization, especially when information from other methods for viability assessment is unavailable.

Evidence that human cardiac myocytes divide after myocardial infarction
Beltrami AP, et al.
N Engl J Med 2001;344:1750-7
http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&dopt=Citation&list_uids=11396441
The results of this study challenge the dogma that the adult heart is a postmitotic organ and indicate that the regeneration of myocytes may be a critical component of the increase in muscle mass of the myocardium. Human hearts after extensive MI have a significant number of cardiomyocytes engaged in cell cycling near the infarct, suggestive of cell proliferation.
This challenges the view that the human heart does not regenerate http://www.theheart.org/index.cfm?doc_id=23473 

Cellular therapy reverses myocardial dysfunction
Rajnoch C, et al.
J Thorac Cardiovasc Surg 2001;121:871-8
http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&dopt=Citation&list_uids=11326230 
Read Comment

Commentary 
Cellular cardiomyoplasty with autologous skeletal myoblasts for ischemic heart disease and heart failure 
Doris A Taylor
Curr Control Trials Cardiovasc Med 2001, 2

Click here
to read the article

Cardiovascular News
Myocyte Implants Appear Feasible and Safe
Ruth SoRelle
Circulation 2001;104 e9056
http://circ.ahajournals.org/cgi/content/full/104/23/e9056

Is skeletal myoblast transplantation clinically relevant in the era of angiotensin-converting enzyme inhibitors?
Pouzet B, et al.
Circulation 2001;104:I223-8
http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&dopt=Citation&list_uids=11568060 

Stem cell therapy: what cardiologists need to know
http://www.theheart.org/index.cfm?doc_id=25158 
Sep 07, 2001. Stem cell research has been vigorously debated in the media recently, and major advances have been reported regarding the therapeutic use of embryonic and adult stem cells. Three cardiovascular researchers, Drs Robert Roberts, Piero Anversa, and Seigo Izumo, came together to discuss stem cell therapy from a cardiologist's point of view, just 3 days before US President Bush announced federal funding for research involving existing embryonic stem cell lines.

Bone marrow cells regenerate infarcted myocardium
Orlic D, et al.
Nature 2001;410:701-5
http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&dopt=Citation&list_uids=11287958

Implantation of bone marrow mononuclear cells into ischemic myocardium enhances collateral perfusion and regional function via side supply of angioblasts, angiogenic ligands, and cytokines
Kamihata H, et al.
Circulation 2001;104:1046-52
http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&dopt=Citation&list_uids=11524400
Bone marrow implantation  was shown to enhance angiogenesis in a rat ischemic heart model. This preclinical study using a swine model suggests that bone marrow implantation may constitute a novel safety strategy for achieving optimal therapeutic angiogenesis by the natural ability of the bone marrow cells to secrete potent angiogenic ligands and cytokines as well as to be incorporated into foci of neovascularization.

Neovascularization of ischemic myocardium by human bone-marrow-derived angioblasts prevents cardiomyocyte apoptosis, reduces remodeling and improves cardiac function
Kocher AA, et al.
Nat Med 2001;7:430-6
http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&dopt=Citation&list_uids=11283669

Intracoronary, human autologous stem cell transplantation for myocardial regeneration following myocardial infarction
Strauer BE, et al.
Dtsch Med Wochenschr 2001;126:932-8
http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&dopt=Citation&list_uids=11523014 
Oct 16, 2001 A German cardiologist has successfully treated an MI patient with his own stem cells for the first time. His team reported a significant improvement of the patient's heart function after the procedure. The news caused quite a stir at the XXIII Congress of the European Society of Cardiology, and the cardiologist hopes to present his results at the AHA meeting in November 2001
http://www.theheart.org/documents/page.cfm?from=590001200&doc_id=25482  

TCT 2000 Expert Presentation Slides

TCTMD Factoids 
Intramyocardial Revascularization
Click here for short summaries of key journal articles in PowerPoint slide format. Factoids can be downloaded. Create your own slide library or download slides for your next talk.

Review 
Basic principles of angiogenesis for the interventional cardiologist 
  Andrew P Levy and Ariel Roguin 
  Int J Cardiovasc Intervent 2000; 3: 13–19
  Click here to view the full article
This review summarizes the physiology of angiogenesis and gives an update on the current available trials data of angiogenic cytokines administration

Review 
Catheter-based transendocardial gene delivery for therapeutic myocardial angiogenesis
  Kornowski R et al.
  Int J Cardiovasc Intervent 2000; 3:67-70
This report reviews the rationale and current experience of using a catheter-based approach as a promising platform for proangiogenic intramyocardial gene delivery strategy

Surgical and percutaneous myocardial angiogenesis induction. Part I-- laser revascularization
  Gimelli G et al. 
  Ital Heart J 2000;1:785-94
  http://www.ncbi.nlm.nih.gov/htbin-post/Entrez/query?db=m&form=6&dopt=r&uid=0011152409 
  Click here to view the full article
In the first part of this article, the Authors review laser- induced direct myocardial revascularization, its indications, potential risks, and published clinical trials. 

Intracoronary basic fibroblast growth factor (FGF-2) in patients with severe ischemic heart disease: results of a phase I open-label dose escalation study
 
Laham RJ et al.
  J Am Coll Cardiol 2000;36:2132-9
  http://www.ncbi.nlm.nih.gov/htbin-post/Entrez/query?db=m&form=6&dopt=r&uid=0011127452 
Intracoronary administration of rFGF-2 appears safe and is well tolerated over a 100-fold dose range (0.33 to 48 microk/kg). Preliminary evidence of efficacy is tempered by the open-label uncontrolled design of the study.

Short- and intermediate-term clinical outcomes from direct myocardial laser revascularization guided by biosense left ventricular electromechanical mapping
  Kornowski R et al.
  Circulation 2000;102:1120-5
  http://www.ncbi.nlm.nih.gov/htbin-post/Entrez/query?db=m&form=6&dopt=r&uid=0010973840actoids
  Click here to view the slide
Percutaneous DMR guided by left ventricular mapping is feasible and safe and reveals improved angina and prolonged exercise duration for up to a 6-month follow-up.

Late-Breaking Clinical Trial 
DIRECT Trial (DMR In Regeneration of Endomyocardial Channels Trial)
  Leon MB Presented at the TCT 2000 Meeting
Percutaneous DMR: No Better Than Placebo - Direct myocardial revascularization performed percutaneously with a laser, long studied as a last-ditch measure for angina patients who have no other treatment options, was no better than a placebo in a major randomized trial. Unless other controlled studies can prove DMR works, says the Martin Leon, M.D., the principal investigator of DIRECT, "I would wonder how clinical operators and surgeons in good conscience could continue performing this procedure."
Click here to view the full article.
Click here or here for the slide set presented at TCT 2000.

PACIFIC Trial Percutaneous transmyocardial laser revascularisation for severe angina. Potential Class Improvement From Intramyocardial Channels
 
Lancet 2000;356:1705-10
  http://www.ncbi.nlm.nih.gov/htbin-post/Entrez/query?db=m&form=6&dopt=r&uid=0011095257 
In this trial, 221 patients with severe angina were randomized to continued medical treatment or percutaneous transmyocardial laser revascularization (PTMR). At one year, exercise tolerance had improved by 89.0 seconds in the PTMR group compared with 12.5 seconds in the control group. (p=0.008). By this time, there were 8 deaths in the PTMR group and 3 in the medical group. Trial News for Tuesday, November 21, 2000

Technical delivery of myogenic cells through an endocardial injection catheter for myocardial cell implantation 
  Uri Oron; Orna Halevy; Tali Yaakobi; Gal Hayam; Lior Gepstein; Tamir Wolf; Shlomo Ben-Haim
  International Journal of Cardiovascular Interventions Volume 3 Number 4 December 2000 Page 227
Oron and colleagues present a paper that deals with techniques for injection of myogenic cells into the myocardium. While the principles of cellular molecular treatment of the heart can be studied in theory and practice, the practicality of this treatment will have to be developed by the device industry. The platform for such treatment leads in multiple directions, involving angiogenesis, and myocardial transplantation with a variety of cell sources. A common catheter for all these cellular technique is under development.

Immediate effect of Biosense guided percutaneous direct myocardial revascularization with holmium:yttrium aluminium garnet laser on myocardial contractility assessed by transesophageal echocardiography
Shiran A, et al.
Coron Artery Dis 2000;11:359-61.
http://www.ncbi.nlm.nih.gov/htbin-post/Entrez/query?db=m&form=6&dopt=r&uid=10860180

Delivery strategies to achieve therapeutic myocardial angiogenesis
Kornowski R, et al.
Circulation 2000;101:454-8.
http://www.ncbi.nlm.nih.gov/htbin-post/Entrez/query?db=m&form=6&dopt=r&uid=10653839
http://www.circulationaha.org/cgi/content/full/101/4/454

Electromagnetic guidance for catheter-based transendocardial injection: a platform for intramyocardial angiogenesis therapy. Results in normal and ischemic porcine models
Kornowski R, et al.
J Am Coll Cardiol 2000;35:1031-9.
http://www.ncbi.nlm.nih.gov/htbin-post/Entrez/query?db=m&form=6&dopt=r&uid=10732905

Percutaneous transmyocardial laser revascularization: overview of US clinical trials
Kornowski R, et al.
Semin Interv Cardiol 2000;5:97-101.
http://www.ncbi.nlm.nih.gov/htbin-post/Entrez/query?db=m&form=6&dopt=r&uid=10867767

Short- and intermediate-term clinical outcomes from direct myocardial laser revascularization guided by biosense left ventricular electromechanical mapping
Kornowski R, et al.
Circulation 2000;102:1120-5.
http://www.ncbi.nlm.nih.gov/htbin-post/Entrez/query?db=m&form=6&dopt=r&uid=10973840
http://www.circulationaha.org/cgi/content/full/102/10/1120

Percutaneous transmyocardial laser revascularization: an overview
Kornowski R, et al.
Catheter Cardiovasc Interv 1999;47:354-9.
http://www.ncbi.nlm.nih.gov/htbin-post/Entrez/query?db=m&form=6&dopt=r&uid=10402297 

Evaluation of the acute and chronic safety of the biosense injection catheter system in porcine hearts
Kornowski R, et al.
Catheter Cardiovasc Interv 1999;48:447-53; discussion 454-5.
http://www.ncbi.nlm.nih.gov/htbin-post/Entrez/query?db=m&form=6&dopt=r&uid=10559830 

Left Ventricular Mapping and Myocardial Revascularization
Kornowski R, et al.
Curr Interv Cardiol Rep 1999;1:117-126.
http://www.ncbi.nlm.nih.gov/htbin-post/Entrez/query?db=m&form=6&dopt=r&uid=11096616 

Mechanical Approaches for Myocardial Angiogenesis
Kornowski R, et al.
Curr Interv Cardiol Rep 1999;1:199-204.
http://www.ncbi.nlm.nih.gov/htbin-post/Entrez/query?db=m&form=6&dopt=r&uid=11096625 

Perioperative morbidity and mortality after transmyocardial laser revascularization: incidence and risk factors for adverse events
Hughes GC, et al.
J Am Coll Cardiol 1999;33:1021-6.
http://www.ncbi.nlm.nih.gov/htbin-post/Entrez/query?db=m&form=6&dopt=r&uid=10091830 

Neointimal growth can be influenced by local adventitial gene manipulation via a needle injection catheter
Huehns TY, et al.
Atherosclerosis 1999;144:135-50.
http://www.ncbi.nlm.nih.gov/htbin-post/Entrez/query?db=m&form=6&dopt=r&uid=10381287

The transmyocardial laser revascularization international registry report
Burns SM, et al.
Eur Heart J 1999;20:31-7.
http://www.ncbi.nlm.nih.gov/htbin-post/Entrez/query?db=m&form=6&dopt=r&uid=10075139 

Transmyocardial laser revascularization: early results and 1-year follow-up
Agarwal R, et al.
Ann Thorac Surg 1999;67:432-6.
http://www.ncbi.nlm.nih.gov/htbin-post/Entrez/query?db=m&form=6&dopt=r&uid=10197665 

Current status of transmyocardial laser revascularization: review of the literature
Abramov D, et al.
Can J Cardiol 1999;15:303-10.
http://www.ncbi.nlm.nih.gov/htbin-post/Entrez/query?db=m&form=6&dopt=r&uid=10202194 

In vitro growth suppression of vascular smooth muscle cells using adenovirus-mediated gene transfer of a truncated form of fibroblast growth factor receptor
Yukawa H, et al.
Atherosclerosis 1998;141:125-32.
http://www.ncbi.nlm.nih.gov/htbin-post/Entrez/query?db=m&form=6&dopt=r&uid=9863545 

Angiogenesis is enhanced in ischemic canine myocardium by transmyocardial laser revascularization
Yamamoto N, et al.
J Am Coll Cardiol 1998;31:1426-33.
http://www.ncbi.nlm.nih.gov/htbin-post/Entrez/query?db=m&form=6&dopt=r&uid=9581745 

Effect of basic fibroblast growth factor on angiogenesis in the infarcted porcine heart
Watanabe E, et al.
Basic Res Cardiol 1998;93:30-7.
http://www.ncbi.nlm.nih.gov/htbin-post/Entrez/query?db=m&form=6&dopt=r&uid=9538935 

Local adenovirus-mediated transfer of human endothelial nitric oxide synthase reduces luminal narrowing after coronary angioplasty in pigs
Varenne O, et al.
Circulation 1998;98:919-26.
http://www.ncbi.nlm.nih.gov/htbin-post/Entrez/query?db=m&form=6&dopt=r&uid=9738648 

Potentiated angiogenic effect of scatter factor/hepatocyte growth factor via induction of vascular endothelial growth factor: the case for paracrine amplification of angiogenesis
Van Belle E, et al.
Circulation 1998;97:381-90.
http://www.ncbi.nlm.nih.gov/htbin-post/Entrez/query?db=m&form=6&dopt=r&uid=9468212 

Transmyocardial laser as an adjunct to minimally invasive CABG for complete myocardial revascularization
Trehan N, et al.
Ann Thorac Surg 1998;66:1113-8.
http://www.ncbi.nlm.nih.gov/htbin-post/Entrez/query?db=m&form=6&dopt=r&uid=9769015 

Early coronary angiogenesis in response to thyroxine: growth characteristics and upregulation of basic fibroblast growth factor
Tomanek RJ, et al.
Circ Res 1998;82:587-93.
http://www.ncbi.nlm.nih.gov/htbin-post/Entrez/query?db=m&form=6&dopt=r&uid=9529163 

Gene therapy for vascular disease
Svensson EC, et al.
Curr Opin Cardiol 1998;13:369-74.
http://www.ncbi.nlm.nih.gov/htbin-post/Entrez/query?db=m&form=6&dopt=r&uid=9823792 

Increased vulnerability of neurones and glial cells to low concentrations of methylmercury in a prooxidant situation
Sorg O, et al.
Acta Neuropathol (Berl) 1998;96:621-7.
http://www.ncbi.nlm.nih.gov/htbin-post/Entrez/query?db=m&form=6&dopt=r&uid=9845292 

Transmyocardial laser revascularization: three sequential autopsy cases
Sigel JE, et al.
J Thorac Cardiovasc Surg 1998;115:1381-5.
http://www.ncbi.nlm.nih.gov/htbin-post/Entrez/query?db=m&form=6&dopt=r&uid=9628684 

Induction of neoangiogenesis in ischemic myocardium by human growth factors: first clinical results of a new treatment of coronary heart disease
Schumacher B, et al.
Circulation 1998;97:645-50.
http://www.ncbi.nlm.nih.gov/htbin-post/Entrez/query?db=m&form=6&dopt=r&uid=9495299 

Fas ligand gene transfer to the vessel wall inhibits neointima formation and overrides the adenovirus-mediated T cell response
Sata M, et al.
Proc Natl Acad Sci U S A 1998;95:1213-7.
http://www.ncbi.nlm.nih.gov/htbin-post/Entrez/query?db=m&form=6&dopt=r&uid=9448311 

Insertion/deletion polymorphism of the angiotensin I-converting enzyme gene is associated with coronary artery plaque calcification as assessed by intravascular ultrasound
Pfohl M, et al.
J Am Coll Cardiol 1998;31:987-91.
http://www.ncbi.nlm.nih.gov/htbin-post/Entrez/query?db=m&form=6&dopt=r&uid=9561998 

Thoracoscopic transmyocardial revascularization
Milano A, et al.
Ann Thorac Surg 1998;65:1510-1.
http://www.ncbi.nlm.nih.gov/htbin-post/Entrez/query?db=m&form=6&dopt=r&uid=9594909 

Early results of transmyocardial revascularization with a holmium laser
Milano A, et al.
Ann Thorac Surg 1998;65:700-4.
http://www.ncbi.nlm.nih.gov/htbin-post/Entrez/query?db=m&form=6&dopt=r&uid=9527198 

Transmyocardial revascularization for cardiac transplantation allograft vasculopathy
McFadden PM, et al.
J Thorac Cardiovasc Surg 1998;115:1385-8.
http://www.ncbi.nlm.nih.gov/htbin-post/Entrez/query?db=m&form=6&dopt=r&uid=9628685 

Biologic bypass with the use of adenovirus-mediated gene transfer of the complementary deoxyribonucleic acid for vascular endothelial growth factor 121 improves myocardial perfusion and function in the ischemic porcine heart
Mack CA, et al.
J Thorac Cardiovasc Surg 1998;115:168-76; discussion 176-7.
http://www.ncbi.nlm.nih.gov/htbin-post/Entrez/query?db=m&form=6&dopt=r&uid=9451061 

Salvage angiogenesis induced by adenovirus-mediated gene transfer of vascular endothelial growth factor protects against ischemic vascular occlusion
Mack CA, et al.
J Vasc Surg 1998;27:699-709.
http://www.ncbi.nlm.nih.gov/htbin-post/Entrez/query?db=m&form=6&dopt=r&uid=9576084 

Histologic findings of transmyocardial laser channels after two hours
Lutter G, et al.
Ann Thorac Surg 1998;65:1437-9.
http://www.ncbi.nlm.nih.gov/htbin-post/Entrez/query?db=m&form=6&dopt=r&uid=9594881 

Angiogenic potential of perivascularly delivered aFGF in a porcine model of chronic myocardial ischemia
Lopez JJ, et al.
Am J Physiol 1998;274:H930-6.
http://www.ncbi.nlm.nih.gov/htbin-post/Entrez/query?db=m&form=6&dopt=r&uid=9530206 

National Diabetes Education Program: opportunities and challenges. The National Diabetes Education Program Strategic Planning Committee
Leontos C, et al.
J Am Diet Assoc 1998;98:73-5.
http://www.ncbi.nlm.nih.gov/htbin-post/Entrez/query?db=m&form=6&dopt=r&uid=9434654 

Transmyocardial revascularization: mechanism of action with carbon dioxide and holmium-yttrium-aluminum-garnet lasers
Lansing AM.
J Thorac Cardiovasc Surg 1998;115:1392.
http://www.ncbi.nlm.nih.gov/htbin-post/Entrez/query?db=m&form=6&dopt=r&uid=9628690 

Current perspectives on direct myocardial revascularization
Kornowski R, et al.
Am J Cardiol 1998;81:44E-48E.
http://www.ncbi.nlm.nih.gov/htbin-post/Entrez/query?db=m&form=6&dopt=r&uid=9551594 

Feasibility and safety of percutaneous laser revascularization using the Biosense system in porcine hearts
Kornowski R, et al.
Coron Artery Dis 1998;9:535-40
http://www.ncbi.nlm.nih.gov/htbin-post/Entrez/query?db=m&form=6&dopt=r&uid=9847986 

Evidence of vascular growth associated with laser treatment of normal canine myocardium
Kohmoto T, et al.
Ann Thorac Surg 1998;65:1360-7.
http://www.ncbi.nlm.nih.gov/htbin-post/Entrez/query?db=m&form=6&dopt=r&uid=9594867 

Angiopoietin-1 induces sprouting angiogenesis in vitro
Koblizek TI, et al.
Curr Biol 1998;8:529-32.
http://www.ncbi.nlm.nih.gov/htbin-post/Entrez/query?db=m&form=6&dopt=r&uid=9560344 
http://www.biomednet.com/article/bb8i51

Human endothelial nitric oxide synthase gene transfer inhibits vascular smooth muscle cell proliferation and neointima formation after balloon injury in rats
Janssens S, et al.
Circulation 1998;97:1274-81.
http://www.ncbi.nlm.nih.gov/htbin-post/Entrez/query?db=m&form=6&dopt=r&uid=9570198 

Combined TMR and mitral valve replacement via left thoracotomy
Hughes GC, et al.
Ann Thorac Surg 1998;65:1141-3.
http://www.ncbi.nlm.nih.gov/htbin-post/Entrez/query?db=m&form=6&dopt=r&uid=9564947 

Thoracoscopic transmyocardial laser revascularization
Horvath KA.
Ann Thorac Surg 1998;65:1439-41.
http://www.ncbi.nlm.nih.gov/htbin-post/Entrez/query?db=m&form=6&dopt=r&uid=9594882 

Left ventricular functional improvement after transmyocardial laser revascularization
Horvath KA, et al.
Ann Thorac Surg 1998;66:721-5.
http://www.ncbi.nlm.nih.gov/htbin-post/Entrez/query?db=m&form=6&dopt=r&uid=9768921 

Transmyocardial laser revascularization in allograft coronary artery disease
Frazier OH, et al.
Ann Thorac Surg 1998;65:1138-41.
http://www.ncbi.nlm.nih.gov/htbin-post/Entrez/query?db=m&form=6&dopt=r&uid=9564946 

Current status of percutaneous transmyocardial revascularisation
Bhargava B, et al.
Indian Heart J 1998;50 Suppl 1:130-7.
http://www.ncbi.nlm.nih.gov/htbin-post/Entrez/query?db=m&form=6&dopt=r&uid=9824918 

Constitutive expression of phVEGF165 after intramuscular gene transfer promotes collateral vessel development in patients with critical limb ischemia
Baumgartner I, et al.
Circulation 1998;97:1114-23.
http://www.ncbi.nlm.nih.gov/htbin-post/Entrez/query?db=m&form=6&dopt=r&uid=9537336 

Monocyte activation in angiogenesis and collateral growth in the rabbit hindlimb
Arras M, et al.
J Clin Invest 1998;101:40-50.
http://www.ncbi.nlm.nih.gov/htbin-post/Entrez/query?db=m&form=6&dopt=r&uid=9421464 

Downregulation of cyclin G1 expression by retrovirus-mediated antisense gene transfer inhibits vascular smooth muscle cell proliferation and neointima formation
Zhu NL, et al.
Circulation 1997;96:628-35.
http://www.ncbi.nlm.nih.gov/htbin-post/Entrez/query?db=m&form=6&dopt=r&uid=9244236 

Modulation of growth factor action: implications for the treatment of cardiovascular diseases
Waltenberger J.
Circulation 1997;96:4083-94.
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