2009
DOI: 10.1016/j.ejcts.2008.09.015
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Cardiac assistance from skeletal muscle: a reappraisal☆

Abstract: SummaryCardiac assistance from skeletal muscle offers an attractive surgical solution to the problem of end-stage heart failure, yet it is widely regarded as a failed approach. I argue here that this is an outdated assessment. Systematic progress has been made over the last 25 years in understanding the relevant basic science. In the light of these advances we should be reconsidering the place of skeletal muscle assist in the surgical armamentarium. #

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Cited by 10 publications
(9 citation statements)
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References 107 publications
(118 reference statements)
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“…Researchers have also identified more suitable donor cells for CCM. The most promising cell populations evaluated to date include skeletal muscle myoblasts [20-23], murine embryonic stem cells [24,25], bone marrow (BM)-derived stem cells, mesenchymal stem cells (MSCs) [17,26-28], purified (enriched) hematopoietic stem cells [29-31], blood- and BM-derived endothelial progenitor cells [32-35], and cardiac stem cells [36-40]. To date, donor cell populations used in CCM have demonstrated some beneficial effects for the heart, but various ethical, biological, and technical concerns limit their suitability for use in human patients.…”
Section: Stem Cell-mediated Therapies For Cardiac Injuriesmentioning
confidence: 99%
See 1 more Smart Citation
“…Researchers have also identified more suitable donor cells for CCM. The most promising cell populations evaluated to date include skeletal muscle myoblasts [20-23], murine embryonic stem cells [24,25], bone marrow (BM)-derived stem cells, mesenchymal stem cells (MSCs) [17,26-28], purified (enriched) hematopoietic stem cells [29-31], blood- and BM-derived endothelial progenitor cells [32-35], and cardiac stem cells [36-40]. To date, donor cell populations used in CCM have demonstrated some beneficial effects for the heart, but various ethical, biological, and technical concerns limit their suitability for use in human patients.…”
Section: Stem Cell-mediated Therapies For Cardiac Injuriesmentioning
confidence: 99%
“…The cells were transplanted via direct intramyocardial injection and intra-arterial injection [21-23,47-49] and despite the ability of the engrafted skeletal myoblasts to adapt to the cardiac microenvironment and improve cardiac performance in experimental animal models of cardiac injury [21,22,46-50], various limitations, including poor cell survival - similar to those encountered with myoblast transplantation into skeletal muscle - have hindered the overall applicability of this therapeutic approach [51-53]. …”
Section: Stem Cell-mediated Therapies For Cardiac Injuriesmentioning
confidence: 99%
“…It is therefore crucially dependent on the blood supply, which may be compromised when the muscle graft is lifted: important contributory vessels have to be ligated and divided, and spasm may be induced in the remaining vasculature by handling, cooling, and loss of normal resting tension during surgery. Fortunately, these problems may be alleviated by stimulating the muscle in advance (“preconditioning”), which enhances blood flow and opens arterial anastomoses (for a review, see Ref 143…”
Section: Therapeutic Applications Of Long‐term Electrical Stimulationmentioning
confidence: 99%
“…A titanized blood contacting surface with endothelialization (Pfm titanium GmbH, Nürnberg; Germany) might prevent thromboembolic complications. In the light of 25 years of systematic progress in basic science of muscle powered cardiac assist this biologic treatment option should become reconsidered as a future surgical treatment option for the therapy of end-stage heart failure [20].…”
Section: Summary and Perspectivesmentioning
confidence: 99%