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
Muscle cell transplants to
infarcted heart tissue improve contractility
Reported By: Martha Kerr
Click
here to view
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
Review
Basic principles of angiogenesis for the interventional cardiologist
Andrew P Levy and Ariel Roguin
Int J Cardiovasc Intervent 2000; 3: 1319
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.
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