PMID- 37885940 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20231028 IS - 0970-9134 (Print) IS - 0973-7723 (Electronic) IS - 0970-9134 (Linking) VI - 39 IP - 6 DP - 2023 Nov TI - Cell sheet transplantation for ischemic heart disease: a systematic review. PG - 577-587 LID - 10.1007/s12055-023-01554-z [doi] AB - OBJECTIVE: Cell sheet transplantation is emerging as an appealing alternative for ischemic heart disease patients as it potentially can increase stem cell viability and retention. But the outcomes and safety of this treatment are still limited in literature and the result varies widely. We conduct a systematic review to look at the efficacy and safety of this promising transplantation method. METHODS: A systematic review was performed according to PRISMA guidelines. A comprehensive literature search was undertaken using the PubMed, Scopus, and Embase databases. Articles were thoroughly evaluated and analyzed. RESULTS: Seven publications about cell sheet transplantation for ischemic heart disease patients were included. The primary outcomes measured were left ventricular ejection fraction (LVEF) and New York Heart Association (NYHA) class. Safety measurement was depicted by cardiac-related readmission and deaths. The follow-up time ranged from 3 to 36 months for clinical outcomes and 8.5 years for safety outcomes. Cell sheet transplantation showed improvement in LVEF and NYHA class in most studies. Cardiac-related readmission and adverse events of cell sheet transplantation range from 0 to 30.4%, all were nonfatal as no cardiac-related death was reported. Patient preoperative status seems can affect the patient's response to cell sheet therapy. CONCLUSION: Cell sheet transplantation can safely improve LVEF and NYHA class in ischemic heart disease patients, even in very low ejection fraction patients with unsuccessful standard therapy before. Further studies with better patient inclusion, larger population, and long-term follow-up required to confirm these results. CI - (c) Indian Association of Cardiovascular-Thoracic Surgeons 2023. Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law. FAU - Thamrin, Ahmad Muslim Hidayat AU - Thamrin AMH AD - Adult Cardiac Surgery Division, Department of Thoracic and Cardiovascular Surgery, Harapan Kita National Cardiovascular Center Hospital, S. Parman Street Cavling 87, Jakarta, Indonesia. AD - Faculty of Medicine Syarif Hidayatullah State Islamic University - Haji Hospital, Jakarta, Indonesia. GRID: grid.449547.f. ISNI: 0000 0000 9331 2695 FAU - Soetisna, Tri Wisesa AU - Soetisna TW AUID- ORCID: 0000-0002-7428-3600 AD - Adult Cardiac Surgery Division, Department of Thoracic and Cardiovascular Surgery, Harapan Kita National Cardiovascular Center Hospital, S. Parman Street Cavling 87, Jakarta, Indonesia. AD - Department of Thoracic and Cardiovascular Surgery, Faculty of Medicine, University of Indonesia, Jakarta, Indonesia. ROR: https://ror.org/0116zj450. GRID: grid.9581.5. ISNI: 0000 0001 2019 1471 FAU - Ramadhani, Andi Nurul Erisya AU - Ramadhani ANE AD - Adult Cardiac Surgery Division, Department of Thoracic and Cardiovascular Surgery, Harapan Kita National Cardiovascular Center Hospital, S. Parman Street Cavling 87, Jakarta, Indonesia. FAU - Hendarto, Hari AU - Hendarto H AD - Faculty of Medicine Syarif Hidayatullah State Islamic University - Haji Hospital, Jakarta, Indonesia. GRID: grid.449547.f. ISNI: 0000 0000 9331 2695 LA - eng PT - Journal Article DEP - 20230717 PL - India TA - Indian J Thorac Cardiovasc Surg JT - Indian journal of thoracic and cardiovascular surgery JID - 8700105 PMC - PMC10597942 OTO - NOTNLM OT - Cell sheet transplantation OT - Ischemic heart disease OT - Outcome OT - Safety OT - Stem cell COIS- Conflict of interestThe authors declare no competing interests. EDAT- 2023/10/27 06:42 MHDA- 2023/10/27 06:43 PMCR- 2024/11/01 CRDT- 2023/10/27 04:27 PHST- 2023/03/15 00:00 [received] PHST- 2023/05/30 00:00 [revised] PHST- 2023/06/01 00:00 [accepted] PHST- 2024/11/01 00:00 [pmc-release] PHST- 2023/10/27 06:43 [medline] PHST- 2023/10/27 06:42 [pubmed] PHST- 2023/10/27 04:27 [entrez] AID - 1554 [pii] AID - 10.1007/s12055-023-01554-z [doi] PST - ppublish SO - Indian J Thorac Cardiovasc Surg. 2023 Nov;39(6):577-587. doi: 10.1007/s12055-023-01554-z. Epub 2023 Jul 17.