CHICAGO, April 2, 2015 /PRNewswire-USNewswire/    --After surgery failed to relieve extreme pain caused by    peripheral artery disease in her right leg, Denise    Hopkins-Glover was facing a bleak outlook  she    might never walk again.  
    "They said they had done everything they could and the only    option was amputation of the right leg from the knee down," she    said.  
    Undeterred, Hopkins-Glover chose to participate in an    investigational trial at Northwestern Medicine called the    MOBILE Study, which makes use of a device called the    MarrowStim PAD Kit. In the trial, a randomized group of    patients receive injections of their own stem cells retrieved    through a bone marrow extraction to try to restore blood flow    to the leg.  
    "MarrowStim offers a new approach for patients with a grim    prognosis," said principal investigator Melina Kibbe, MD, a vascular    surgeon at Northwestern Memorial Hospital and Edward G. Elcock    Professor of Surgical Research at Northwestern University Feinberg School of    Medicine. "We're pleased to be part of this national trial    to see if there might be a significant chance of improving    treatment for patients with few choices left for treatment."  
    Hopkins-Glover, a 55-year-old grandmother of two, suffers from    peripheral artery disease (PAD), a condition affecting 20    percent of Americans where cholesterol and fatty plaque pool in    blood vessels, restricting blood flow to the limbs. In its most    severe form, PAD causes critical limb ischemia (CLI), which can    cause pain in resting legs, sores or ulcers that don't heal,    thickening of the toenails and gangrene, which can eventually    lead to amputation.  
    The Chicago resident worked    as a phlebotomist before her PAD worsened, and had to stop    working because she could no longer walk or stand for extended    stretches of time.  
    "I can walk only a certain distance before the circulation    stops getting to certain parts of the body," she said. "It    feels like a terrible leg cramp, like a jabbing, stabbing    pain."  
    During the procedure, patients are put under general anesthesia    as bone marrow is harvested through a needle from the hip. The    bone marrow is loaded into the MarrowStim PAD Kit, an    investigational device, where it is processed in a centrifuge.    This spinning separates the marrow into different layers, with    one of the layers containing the stem cells. Immediately    following the separation, the stem cells are injected in 40    different spots on the affected limb, delivering concentrated    bone marrow in each one. The entire procedure takes about 90    minutes. Patients follow up with investigators at different    intervals in the year following the injections.  
    Karen Ho, MD, a Northwestern    Medicine vascular surgeon who is also an investigator on the    trial, said the exact reason the bone marrow injections might    help chronic limb ischemia is still a mystery.  
    "Nobody really knows the exact mechanism," said Dr. Ho, who is    also an assistant professor in vascular surgery at Feinberg.    "The idea is that it might improve or enhance new blood vessels    in the calf."  
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Northwestern Medicine Investigates Using Stem Cells to Save Limbs from Amputation