Heart Failure, Ischemic Cardiomyopathy
Conditions
Keywords
stem cell implantation, coronary artery disease, left ventricular assist device
Brief summary
The aim of the study is to investigate safety and efficacy of intramyocardial implantation of allogeneic mesenchymal stem cells in patients with end-stage ischemic cardiomyopathy undergoing left ventricular assist device implantation.
Detailed description
End-stage ischemic cardiomyopathy (ICM) with non-graftable coronary arteries is a common and debilitating problem. The ultimate therapeutic goal in such cases is cardiac transplantation which is restricted by donor availability. Alternatively, left ventricular assist devices (LVAD) are increasingly used as bridge to transplantation or more recently as destination therapy in non-transplant candidates. Widely used second- and third-generation continuous-flow LVAD offer symptomatic relief and prolong life. However, LV unloading rarely improves native heart function in ischemic hearts. We aim to increase myocardial viability and improve native cardiac function in patients with end-stage ICM by injecting allogeneic bone marrow stem cells at the time of LVAD implantation.
Interventions
Sponsors
Study design
Eligibility
Inclusion criteria
* Age 18 to 75 years * End-stage heart failure due to ischemic cardiomyopathy that requires mechanical support according to current indications * Ability to provide informed consent
Exclusion criteria
* Not willing to provide informed consent
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Improvement in myocardial perfusion/viability | 12 months | Improvement in myocardial perfusion/viability assessed with SPECT segmental analysis |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Morbidity | 12 months | Major adverse cardiac and cerebrovascular events |
| Change in left ventricular function | one year | Change in left ventricular function after combined mechanical and cellular therapy |
Countries
Greece