Table 1

 Techniques for delivery of cells to effect myocardial repair

RouteDelivery methodComments
PMR, percutaneous myocardial revascularisation; VATS, video assisted thorascopic surgery.
Myocardial injection: thoracotomySternotomy, thoracotomy, or VATSSafety concerns for open surgery. Reduced risk with VATS
Myocardial injection: percutaneousInjection catheters developed from electrophysiology/PMR equipmentTargeting improved with guidance by left ventricular mapping
Systemic intravenousIntravenous cannulationSystemic risks of cellular therapy not known
Intracoronary arteryCardiac catheterTargeted cell delivery. Widespread operator experience