worldwiki
比較

Stem Cell Fat Grafting vs SVF-assisted Fat Grafting

以下の事実はすべて2つのエンティティページとその出典に基づきます。両方に記録のある項目を先に対比し、残りは並べて表示します。

両者の関係Stem Cell Fat Grafting — 一般に指す施術 → SVF-assisted Fat Grafting

共通項目

両側に記録あり 0件

この2つに共通して記録された項目はまだありません。それぞれの検証済みの事実は以下のとおりです。

それぞれの事実

どちらか一方にのみ記録されている検証済みの事実です。

Stem Cell Fat Grafting

まだ検証された値がありません

SVF-assisted Fat Grafting

First clinical descriptionYoshimura K et al., 'Cell-assisted lipotransfer for cosmetic breast augmentation', Aesthetic Plast Surg 2008;32(1):48–55; 40 women, maximum follow-up 42 months
Original procedureAbout half of the aspirated fat is processed to isolate fresh SVF, which is recombined with the other half before injection; the fat acts as a living scaffold
Pooled fat survival (2026 meta-analysis)72.78% with enrichment vs 45.28% conventional (SMD 2.44; 95% CI 1.00–3.88); 15 studies, 634 patients; heterogeneity I² = 97.19%
Efficacy by siteFace showed a significant benefit (SMD 2.95); breast reconstruction showed no significant advantage (SMD 0.47); no benefit with water-assisted lipotransfer harvesting
Methodological qualityAbout 62% of included studies rated weak overall; mean follow-up 16.2 months, too short for oncologic conclusions
Comparative study without benefitPeltoniemi et al. 2013 (JPRAS 66:1494–1503): 18 women, MRI at 6 months; graft survival 50% with Celution SVF enrichment vs 54% without, difference not significant
Breast-surgery evidence base11 studies, 336 patients, follow-up 6–42 months; 8 of 11 studies had no control group; only one used a validated patient-reported outcome measure (BREAST-Q)
Reported complications (breast)Calcifications were the most frequently reported complication; none reported as malignant
Preclinical and early clinical findings16 of 18 preclinical studies showed significantly improved retention (1.19- to 4.14-fold); 6 of 7 clinical studies favored CAL; evidence judged low quality
Applicable US FDA guidanceFinal guidance 'Regulatory Considerations for HCT/Ps: Minimal Manipulation and Homologous Use', July 2020 (supersedes November 2017 version)
Enzymatic SVF isolation (US)Collagenase digestion to isolate SVF falls outside 'minimal manipulation'; non-enzymatic mechanical point-of-care methods are proposed as possible alternatives
Also calledCell-assisted lipotransfer (CAL)
EvidenceA 2024 systematic review assessed the efficacy of cell-assisted lipotransfer; a 2021 study compared CAL with PRP-assisted lipotransfer
Proposed mechanismStromal cells may support angiogenesis and graft survival (hypothesis under study)