Review Article

Cell Therapy in Patients with Critical Limb Ischemia

Table 2

Clinical trials using stem cells for treatment of critical limb ischemia.

AuthorsType of cellsClinical outcomes

Nizankowski et al. [143]BMCsImprovement of symptoms (pain, cold sensation), increase in ABI and TcPO2, new collateral vessels
Napoli et al. [144]BMCsIncrease in ABI and walking distance, ulcer healing, reduction of amputation rates
Procházka et al. [145]BMCsImprovement in toe pressure, TBI, LDI, and TcPO2
Matoba et al. [146]BMMNCsLong-term improvement in pain scale, ulcer size, and walking distance, reduced amputation rates
Amann et al. [8]BMMNCsLimb salvage, increase in ABI and TcPO2
Kawamura et al. [147]PBMNCs with GcSFReduced amputations, mostly in nondiabetic nondialysis patients
Huang et al. [148]PBMNCs versus BMMNCsPBMNC administration: higher overall efficacy, improvement in ABI, skin temperature, rest pain, walking distance, TcPO2, ulcers, and amputation rates (both treatments)
Tateishi-Yuyama et al. [149]Bone marrow MNCsIncreased ABPI and TcPO2 pressure, decreased rest pain
Motukuru et al. [150]Bone marrow MNCsIncreased ABPI and improvement in ulcer healing
Lara-Hernandez et al. [108]Peripheral blood CD34+ CD133+ cells after G-CSF mobilizationIncreased ABPI and improvement in ulcer healing
Benetti et al. [151]Human fetal-derived stem cells
Burt et al. [152]EPCs (CD34/CD133)Improvement in amputation-free survival, exercise capacity, pain relief, collateral formation, perfusion, and QoL
MESENDO (II) Clinicaltrials.gov # NCT00721006 [153]Stem cell mixtureCompleted; pending publication
Lasala et al. [154]BM-MNC 
EPC + BM-MSC
↑ABI, ↑angiogenesis (MRA), ↑AFS, ↑TcPO2, ↑WH, ↑WT, ↓pain
Dash et al. [155]BM-MSC↑angiogenesis (biopsy), ↑WH, ↑WD, ↓pain
NCT01257776 [156]Adipose-MSCABI, AFS, DSA improved
NCT01216865 [156]Cord-MSCABI, AFS, pain, WT, WH improved