Heart Failure
Conditions
Brief summary
This is a randomized study of efficiency and safety of intramyocardial implantation of peripheral mononuclear cells with high concentration of CD34+ stem cells in patients with myocardial ischemia after preparatory course of shock - wave therapy.
Interventions
Intramyocardial implantation of autologous peripheral mononuclear cells with CD34+ stem cells by NOGA.XP navigation system. Сell concentration is 200 million cells in 1 ml.
Sponsors
Study design
Eligibility
Inclusion criteria
* Patients with ischemic cardiomyopaty and HF II-IV NYHA class * MI more than 6 months before the study * LVEF less than 35% * Absence effect of coronary revascularization during 6 months * Optimal pharmacological therapy no less than 8 weeks * Heart transplantation is contraindicated * Patients with implantable cardioverter-defibrillator (ICD) or cardiac resynchronization therapy defibrillator (CRT-D) * Patients giving informed consent
Exclusion criteria
* Acute coronary syndrome * Coronary revascularization less than 6 months * Patients requiring surgical correction of post-MI aneurism * LV wall thickness less than 5 mm in site of possible injection * Patients with CRT implanted within 3 month before cells injection * Clinically significant associated diseases * Active oncology desiase * Pregnancy
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in global left ventricular ejection fraction and regional wall motion score index | 6 and12 months | Change in global left ventricular ejection fraction and regional wall motion score index. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Incidence of the major adverse cardiac events | 6 and 12 months | Incidence of the major adverse cardiac events. |
Countries
Ukraine