Chronic ischemic heart disease Circulatory System Chronic ischaemic heart disease, unspecified
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Patients aged 20-80 2. Have angina pectoris resulted in severely and diffusely atherosclerotic-obstructive CAD with refractory to optimal medication not the candidates for both PCI or CABG
Exclusion criteria
Exclusion criteria: 1. Age 80 years 2. Pregnant women 3. Patients with adventitious agents [like:Human immunodeficiency virus (HIV), Hepatitis viruses] 4. Recent myocardial infarction (MI) within 3 months 5. Aortic stenosis or mitral stenosis 6. Congestive heart failure 7. New York Heart Association Functional Class IV (NYHA Fc.IV) 8. Malignancy or other severe disease with life span less than one year 9. Chronic kidney disease with creatinine clearance (CCr) <20ml/min and end stage renal disease
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The safety of intra-coronary delivery of autologous CD34+ cells in patients with severely and diffusely atherosclerotic obstructive CAD who are not candidates for PCI and CABG and unsatisfactory medical treated result Patients will be monitored for any severe adverse events (mortality, malignant arrhythmia, stroke, myocardial infarction and re-admission for congestive heart failure) during hospitalization and follow-up at OPD in the 1st week, 1st month, and per 3 months for one year after therapy. | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. The efficacy and optimal dose of autologous intra-coronary CD34+ cell therapy on improving degree of angina pectoris 2. Quality of Life - Short Form (SF-36) 3. LV Function 4. Clinical outcome in patients with severe-diffuse CAD 5. Degree of angina pectoris with Canadian Cardiovascular Society class II- IV angina Measured at week one, 1, 3, 6, 9 and 12 months | — |
Countries
Taiwan