Stem Cell Therapy in IschEmic Non-treatable Cardiac Disease

Exclusion Criteria

• •1. Heart Failure (NYHA class I or IV)
• •2. Acute coronary syndrome with acute reversible elevation of CKMB or troponins, stroke or transitory cerebral ischemia within six weeks of inclusion. Constant elevated troponin due to renal failure, heart failure etc. do not exclude the patient.
• •3. Other revascularisation treatment within four months of treatment
• •4. If clinically indicated the patient should have a coronary angiography before inclusion
• •5. Moderate to severe aortic stenosis (valve area \< 1.3 cm2) or valvular disease with option for surgery or interventional therapy.
• •6. Aortic valve replacement with an artificial heart valve. However, a trans-septal treatment approach can be considered in these patients.
• •7. If the patient is expected to be candidate for MitraClip therapy of mitral regurgitation in the 12 months follow-up period.
• •8. Diminished functional capacity for other reasons such as: obstructive pulmonary disease (COPD) with forced expiratory volume (FEV) \<1 L/min, moderate to severe claudication or morbid obesity
• •9. Clinical significant anaemia (haemoglobin \< 6 mmol/L), leukopenia (leucocytes \< 2 109/L), leucocytosis (leucocytes \> 14 109/L) or thrombocytopenia (thrombocytes \< 50 109/L)
• •10. Reduced kidney function (estimated Glomerular Filtration Rate (eGFR) \< 30 ml/min)
• •11. Left ventricular thrombus
• •12. Anticoagulation treatment that cannot be paused during cell injections. Patients can continue with platelet inhibitor treatment
• •13. Patients with reduced immune response or known anti-HLA (human leukocyte antigen) antibodies
• •14. History with malignant disease within five years of inclusion or suspected malignity - except treated skin cancer other than melanoma
• •15. Pregnant women
• •16. Other experimental treatment within four weeks of baseline tests
• •17. Participation in another intervention trial
• •18. Life expectancy less than one year
• •19. Known hypersensitivity to Dimethyl sulfoxide (DMSO), penicillin and streptomycin