Congestive Heart Failure
Conditions
Keywords
Bone Marrow Concentrate, CABG, Cardiac, Stem Cell
Brief summary
Injection of concentrated bone marrow cells into the myocardium during CABG procedure.
Detailed description
Injection of autologous concentrated bone marrow cells into the myocardium during CABG procedure.
Interventions
Injection of 10, 15, or 20 cc of BMAC
Sponsors
Study design
Eligibility
Inclusion criteria
Subjects must meet all of the following inclusion criteria to be enrolled in the trial: * Age 18 years and ability to understand the planned treatment. * Patients with ischemic congestive heart failure requiring by pass surgery * Congestive heart failure with ejection fraction 40%. * Serum bilirubin, SGOT and SGPT 2.5 time the upper level of normal. * Serum creatinine \< 3.0 or no dialysis. * NYHA performance status \> 3. * Negative pregnancy test (in women with childbearing potential). * Subject has read and signed the IRB approved Informed Consent form * Hematocrit ≥ 28.0%, White Blood Cell count ≤ 14,000, Platelet count ≥ 50,000, Creatinine ≤ 3.0 mg / Dl, and/or no dialysis, INR ≤ 1.6 unless on Coumadin, or PTT \<1.5 x control (to avoid bleeding complications) Patients on Coumadin will be corrected prior to the procedure and must have an INR\<1.6 at the time of randomization/surgery
Exclusion criteria
Subjects will be excluded if they meet any of the
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Changes in left ventricular function | 12 months |
Secondary
| Measure | Time frame |
|---|---|
| QOL (Rand 36; Minnesota Living with Heart Failure Questionnaire) | 12 months |
| NYHA or CCS classification evaluation | 12 months |
| Changes in left ventricular ejection fraction | 12 months |
| Changes in left ventricular end-diastolic volume | 12 months |
| Safety | 12 months |
Countries
India