The first clinical experience of direct gene therapy using VEGF and bFGF in treatmentpatients with critical lower limb ischemia

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Abstract

In this paper we present the clinical observation of
successful treatment of distal form of peripheral artery
disease of the lower extremity with symptoms of critical
ischemia in a 60 years old patient.
Intramuscular injection of dual expression plasmid, encoding
vascular endothelial growth factor VEGF and basic fibroblast
growth factor FGF2, was performed to the affected lower
extremity. The effect of treatment was evaluated by functional
tests: measurement of ankle-brachial index, treadmill test, the
recovery time, shoulder-ankle index after strain and temporary
occlusion. Performed immunohistochemical examination of
biopsy samples of the affected lower extremity muscles.

About the authors

M V Plotnikov

Republican Clinical Hospital, Kazan;Kazan State Medical Academy, Kazan;

Republican Clinical Hospital, Kazan;Kazan State Medical Academy, Kazan;

A A Rizvanov

Republican Clinical Hospital, Kazan;Kazan (Volga Region) Federal University, Kazan;

Republican Clinical Hospital, Kazan;Kazan (Volga Region) Federal University, Kazan;

R F Masgutov

Republican Clinical Hospital, Kazan;Kazan (Volga Region) Federal University, Kazan;Kazan State Medical University, Kazan;

Republican Clinical Hospital, Kazan;Kazan (Volga Region) Federal University, Kazan;Kazan State Medical University, Kazan;

M O Mavlikeev

Kazan State Medical University, Kazan

Kazan State Medical University, Kazan

I I Salafutdinov

Republican Clinical Hospital, Kazan;Kazan (Volga Region) Federal University, Kazan;

Republican Clinical Hospital, Kazan;Kazan (Volga Region) Federal University, Kazan;

I M Gazizov

Kazan State Medical University, Kazan

Kazan State Medical University, Kazan

Y D Romanova

Kazan (Volga Region) Federal University, Kazan

Kazan (Volga Region) Federal University, Kazan

I I Shamsutdinova

Republican Clinical Hospital, Kazan

Republican Clinical Hospital, Kazan

A A Bogov

Republican Clinical Hospital, Kazan;Kazan State Medical University, Kazan;

Republican Clinical Hospital, Kazan;Kazan State Medical University, Kazan;

A V Maksimov

Republican Clinical Hospital, Kazan;Kazan State Medical Academy, Kazan;

Republican Clinical Hospital, Kazan;Kazan State Medical Academy, Kazan;

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