Trial Outcomes & Findings for Autologous Bone Marrow Mononuclear Cells in the Combined Treatment of Coronary Heart Disease (NCT NCT02059512)
NCT ID: NCT02059512
Last Updated: 2021-05-24
Results Overview
EuroScoreII is intended to assess the risk of adverse outcome of coronary artery bypass grafting. Assessment factors: age, sex, serum creatinine, extracardiac artery disease, chronic lung disease, severe neurological disorders, previous cardiac surgery, previous myocardial infarction, left ventricular dysfunction, diabetes mellitus, pulmonary hypertension, IV class of angina severity, active endocarditis, unstable angina, surgery, critical condition of the patient before surgery, type of surgery. The higher the percentage, the higher the risk of surgery.
COMPLETED
NA
117 participants
Before CABG surgery at baseline.
2021-05-24
Participant Flow
Potential participants in the study were all patients referred to the clinic for surgical treatment of coronary artery disease.
The study included patients admitted for routine coronary artery bypass grafting under cardiopulmonary bypass, and having, according to the angiographic studies, 3 or more of stenosed coronary arteries. Patients met the inclusion criteria and signed an informed voluntary consent.
Participant milestones
| Measure |
Intramyocardial Administration 0.9 % NaCl (Sodium Chloride) - Group 0
Сoronary artery bypass grafting with intramyocardial administration of 0.9 % NaCl (sodium chloride) 0.2 ml - 10 injection in the zone of blood supply LAD.
|
Intramyocardial Administration Autologous Bone Marrow Stem Cells - Group 1
Сoronary artery bypass grafting with intramyocardial administration of autologous bone marrow stem cells 0.2 ml - 10 injection in the zone of blood supply LAD.
|
Intramyocardial and Intracoronary Administration Autologous Bone Marrow Stem Cells - Group 2
Сoronary artery bypass grafting with intramyocardial (0.2 ml - 10 injection in the zone of blood supply LAD) and intracoronary administration of autologous bone marrow stem cells.
|
|---|---|---|---|
|
Overall Study
STARTED
|
46
|
34
|
37
|
|
Overall Study
COMPLETED
|
37
|
25
|
23
|
|
Overall Study
NOT COMPLETED
|
9
|
9
|
14
|
Reasons for withdrawal
Withdrawal data not reported
Baseline Characteristics
The analysis of the final statistics was made at the time the studies were completed.
Baseline characteristics by cohort
| Measure |
Intramyocardial Administration 0.9 % NaCl (Sodium Chloride) - Group 0
n=37 Participants
Сoronary artery bypass grafting with intramyocardial administration of 0.9 % NaCl (sodium chloride) 0.2 ml - 10 injection in the zone of blood supply LAD.
|
Intramyocardial Administration Autologous Bone Marrow Stem Cells - Group 1
n=25 Participants
Сoronary artery bypass grafting with intramyocardial administration of autologous bone marrow mononuclear cells 0.2 ml - 10 injection in the zone of blood supply LAD.
|
Intramyocardial and Intracoronary Administration Autologous Bone Marrow Stem Cells - Group 2
n=23 Participants
Сoronary artery bypass grafting with intramyocardial ( 0.2 ml - 10 injection in the zone of blood supply LAD) and intracoronary administration of autologous bone marrow mononuclear cells.
|
Total
n=85 Participants
Total of all reporting groups
|
|---|---|---|---|---|
|
Angiotensin receptor antagonists.
|
5 Participants
n=5 Participants
|
3 Participants
n=7 Participants
|
4 Participants
n=5 Participants
|
12 Participants
n=4 Participants
|
|
β-blockers.
|
35 Participants
n=5 Participants
|
20 Participants
n=7 Participants
|
23 Participants
n=5 Participants
|
78 Participants
n=4 Participants
|
|
Antagonists СА - calcium tubules antagonists.
|
5 Participants
n=5 Participants
|
6 Participants
n=7 Participants
|
4 Participants
n=5 Participants
|
15 Participants
n=4 Participants
|
|
Age, Categorical
<=18 years
|
0 Participants
n=5 Participants
|
0 Participants
n=7 Participants
|
0 Participants
n=5 Participants
|
0 Participants
n=4 Participants
|
|
Age, Categorical
Between 18 and 65 years
|
29 Participants
n=5 Participants
|
18 Participants
n=7 Participants
|
20 Participants
n=5 Participants
|
67 Participants
n=4 Participants
|
|
Age, Categorical
>=65 years
|
8 Participants
n=5 Participants
|
7 Participants
n=7 Participants
|
3 Participants
n=5 Participants
|
18 Participants
n=4 Participants
|
|
Age, Continuous
|
61 years
STANDARD_DEVIATION 8 • n=5 Participants
|
61.7 years
STANDARD_DEVIATION 6.8 • n=7 Participants
|
59.5 years
STANDARD_DEVIATION 5.4 • n=5 Participants
|
60.9 years
STANDARD_DEVIATION 6.96 • n=4 Participants
|
|
Sex: Female, Male
Female
|
6 Participants
n=5 Participants • The analysis of the final statistics was made at the time the studies were completed.
|
4 Participants
n=7 Participants • The analysis of the final statistics was made at the time the studies were completed.
|
3 Participants
n=5 Participants • The analysis of the final statistics was made at the time the studies were completed.
|
13 Participants
n=4 Participants • The analysis of the final statistics was made at the time the studies were completed.
|
|
Sex: Female, Male
Male
|
31 Participants
n=5 Participants • The analysis of the final statistics was made at the time the studies were completed.
|
21 Participants
n=7 Participants • The analysis of the final statistics was made at the time the studies were completed.
|
20 Participants
n=5 Participants • The analysis of the final statistics was made at the time the studies were completed.
|
72 Participants
n=4 Participants • The analysis of the final statistics was made at the time the studies were completed.
|
|
Region of Enrollment
Russia
|
37 participants
n=5 Participants
|
25 participants
n=7 Participants
|
23 participants
n=5 Participants
|
85 participants
n=4 Participants
|
|
BMI
|
28.6 kg/m^2
STANDARD_DEVIATION 3.59 • n=5 Participants
|
28.05 kg/m^2
STANDARD_DEVIATION 4.46 • n=7 Participants
|
28.09 kg/m^2
STANDARD_DEVIATION 3.57 • n=5 Participants
|
28.3 kg/m^2
STANDARD_DEVIATION 3.4 • n=4 Participants
|
|
Diabetes
|
6 Participants
n=5 Participants
|
5 Participants
n=7 Participants
|
4 Participants
n=5 Participants
|
15 Participants
n=4 Participants
|
|
Hypertonic desease (stage).
2 stage
|
1 Participants
n=5 Participants
|
0 Participants
n=7 Participants
|
0 Participants
n=5 Participants
|
1 Participants
n=4 Participants
|
|
Hypertonic desease (stage).
3 stage
|
36 Participants
n=5 Participants
|
25 Participants
n=7 Participants
|
23 Participants
n=5 Participants
|
84 Participants
n=4 Participants
|
|
Arterial hypertension (degree)
No
|
2 Participants
n=5 Participants
|
3 Participants
n=7 Participants
|
2 Participants
n=5 Participants
|
7 Participants
n=4 Participants
|
|
Arterial hypertension (degree)
1 degree
|
6 Participants
n=5 Participants
|
5 Participants
n=7 Participants
|
5 Participants
n=5 Participants
|
16 Participants
n=4 Participants
|
|
Arterial hypertension (degree)
2 degree
|
14 Participants
n=5 Participants
|
11 Participants
n=7 Participants
|
7 Participants
n=5 Participants
|
32 Participants
n=4 Participants
|
|
Arterial hypertension (degree)
3 degree
|
15 Participants
n=5 Participants
|
6 Participants
n=7 Participants
|
9 Participants
n=5 Participants
|
30 Participants
n=4 Participants
|
|
Peripheral arteriopathy.
|
11 Participants
n=5 Participants
|
4 Participants
n=7 Participants
|
6 Participants
n=5 Participants
|
21 Participants
n=4 Participants
|
|
Acute myocardial infarction transferred in history (number).
1 acute myocardial infarctions
|
14 Participants
n=5 Participants
|
17 Participants
n=7 Participants
|
9 Participants
n=5 Participants
|
40 Participants
n=4 Participants
|
|
Acute myocardial infarction transferred in history (number).
2 acute myocardial infarctions
|
4 Participants
n=5 Participants
|
3 Participants
n=7 Participants
|
6 Participants
n=5 Participants
|
13 Participants
n=4 Participants
|
|
Acute myocardial infarction transferred in history (number).
3 acute myocardial infarctions
|
2 Participants
n=5 Participants
|
1 Participants
n=7 Participants
|
1 Participants
n=5 Participants
|
4 Participants
n=4 Participants
|
|
Smoking.
|
7 Participants
n=5 Participants
|
2 Participants
n=7 Participants
|
4 Participants
n=5 Participants
|
13 Participants
n=4 Participants
|
|
Family history of cardiovascular disease.
|
19 Participants
n=5 Participants
|
11 Participants
n=7 Participants
|
10 Participants
n=5 Participants
|
40 Participants
n=4 Participants
|
|
Debut of ischemic heart disease (months).
|
71.9 months
STANDARD_DEVIATION 70.9 • n=5 Participants
|
62.9 months
STANDARD_DEVIATION 79.2 • n=7 Participants
|
76.9 months
STANDARD_DEVIATION 59.4 • n=5 Participants
|
69.3 months
STANDARD_DEVIATION 60.3 • n=4 Participants
|
|
Debut of ischemic heart disease.
Debut of ischemic heart disease up to 5 years
|
23 Participants
n=5 Participants
|
16 Participants
n=7 Participants
|
12 Participants
n=5 Participants
|
51 Participants
n=4 Participants
|
|
Debut of ischemic heart disease.
Debut of ischemic heart disease 6-10 years
|
8 Participants
n=5 Participants
|
4 Participants
n=7 Participants
|
8 Participants
n=5 Participants
|
20 Participants
n=4 Participants
|
|
Debut of ischemic heart disease.
Debut of ischemic heart disease over 10 years
|
6 Participants
n=5 Participants
|
5 Participants
n=7 Participants
|
3 Participants
n=5 Participants
|
14 Participants
n=4 Participants
|
|
Angina pectoris (functional class).
2 functional class
|
1 Participants
n=5 Participants
|
0 Participants
n=7 Participants
|
0 Participants
n=5 Participants
|
1 Participants
n=4 Participants
|
|
Angina pectoris (functional class).
3 functional class
|
32 Participants
n=5 Participants
|
23 Participants
n=7 Participants
|
21 Participants
n=5 Participants
|
76 Participants
n=4 Participants
|
|
Angina pectoris (functional class).
4 functional class
|
3 Participants
n=5 Participants
|
2 Participants
n=7 Participants
|
1 Participants
n=5 Participants
|
6 Participants
n=4 Participants
|
|
Antiplatelet agents.
|
18 Participants
n=5 Participants
|
12 Participants
n=7 Participants
|
9 Participants
n=5 Participants
|
39 Participants
n=4 Participants
|
|
Angina pectoris (functional class).
painless ischemia
|
1 Participants
n=5 Participants
|
0 Participants
n=7 Participants
|
1 Participants
n=5 Participants
|
2 Participants
n=4 Participants
|
|
Heart failure (functional class NYHA).
1 functional class
|
5 Participants
n=5 Participants
|
1 Participants
n=7 Participants
|
2 Participants
n=5 Participants
|
8 Participants
n=4 Participants
|
|
Heart failure (functional class NYHA).
2 functional class
|
29 Participants
n=5 Participants
|
24 Participants
n=7 Participants
|
21 Participants
n=5 Participants
|
74 Participants
n=4 Participants
|
|
Heart failure (functional class NYHA).
3 functional class
|
3 Participants
n=5 Participants
|
0 Participants
n=7 Participants
|
0 Participants
n=5 Participants
|
3 Participants
n=4 Participants
|
|
Total holesterol (mmol/l).
|
4.49 mmol/l
STANDARD_DEVIATION 1.08 • n=5 Participants
|
4.5 mmol/l
STANDARD_DEVIATION 1.24 • n=7 Participants
|
4.6 mmol/l
STANDARD_DEVIATION 1.49 • n=5 Participants
|
4.5 mmol/l
STANDARD_DEVIATION 1.1 • n=4 Participants
|
|
Very loud density lipoprotein (mmol/l).
|
0.96 mmol/l
STANDARD_DEVIATION 0.35 • n=5 Participants
|
0.94 mmol/l
STANDARD_DEVIATION 0.5 • n=7 Participants
|
0.77 mmol/l
STANDARD_DEVIATION 0.3 • n=5 Participants
|
0.95 mmol/l
STANDARD_DEVIATION 0.31 • n=4 Participants
|
|
High density lipoproteins (mmol/l).
|
2.7 mmol/l
STANDARD_DEVIATION 0.89 • n=5 Participants
|
2.58 mmol/l
STANDARD_DEVIATION 1.05 • n=7 Participants
|
2.7 mmol/l
STANDARD_DEVIATION 1.26 • n=5 Participants
|
2.6 mmol/l
STANDARD_DEVIATION 1.1 • n=4 Participants
|
|
Loud density lipoproteins (mmol/l).
|
0.98 mmol/l
STANDARD_DEVIATION 0.31 • n=5 Participants
|
1.16 mmol/l
STANDARD_DEVIATION 0.37 • n=7 Participants
|
1.13 mmol/l
STANDARD_DEVIATION 0.29 • n=5 Participants
|
1.1 mmol/l
STANDARD_DEVIATION 0.3 • n=4 Participants
|
|
Triglyceride (mmol/l).
|
2.04 mmol/l
STANDARD_DEVIATION 0.68 • n=5 Participants
|
1.69 mmol/l
STANDARD_DEVIATION 0.72 • n=7 Participants
|
1.63 mmol/l
STANDARD_DEVIATION 0.62 • n=5 Participants
|
1.9 mmol/l
STANDARD_DEVIATION 0.65 • n=4 Participants
|
|
Atherogenic coefficient.
|
4.07 ratio
STANDARD_DEVIATION 1.32 • n=5 Participants
|
3.27 ratio
STANDARD_DEVIATION 1.9 • n=7 Participants
|
4.5 ratio
STANDARD_DEVIATION 5.2 • n=5 Participants
|
4.08 ratio
STANDARD_DEVIATION 2.1 • n=4 Participants
|
|
Creatinine (mmol / l).
|
0.09 mmol/l
STANDARD_DEVIATION 0.02 • n=5 Participants
|
0.09 mmol/l
STANDARD_DEVIATION 0.02 • n=7 Participants
|
0.08 mmol/l
STANDARD_DEVIATION 0.02 • n=5 Participants
|
0.09 mmol/l
STANDARD_DEVIATION 0.02 • n=4 Participants
|
|
C-reactive protein (mg/l).
|
5.9 mg/l
STANDARD_DEVIATION 11.07 • n=5 Participants
|
2.56 mg/l
STANDARD_DEVIATION 1.96 • n=7 Participants
|
5.3 mg/l
STANDARD_DEVIATION 5.38 • n=5 Participants
|
4.9 mg/l
STANDARD_DEVIATION 6.8 • n=4 Participants
|
|
Glomerular filtration rate (ml/min/1.73 m^2) (assessment of renal function).
|
79.89 ml/min/1.73 m^2
STANDARD_DEVIATION 15.8 • n=5 Participants
|
77.6 ml/min/1.73 m^2
STANDARD_DEVIATION 16.03 • n=7 Participants
|
84.2 ml/min/1.73 m^2
STANDARD_DEVIATION 17.26 • n=5 Participants
|
77.9 ml/min/1.73 m^2
STANDARD_DEVIATION 16.8 • n=4 Participants
|
|
EuroScore II
|
1.3 percentage of risk
STANDARD_DEVIATION 0.68 • n=5 Participants
|
1.07 percentage of risk
STANDARD_DEVIATION 0.47 • n=7 Participants
|
1.02 percentage of risk
STANDARD_DEVIATION 0.4 • n=5 Participants
|
1.15 percentage of risk
STANDARD_DEVIATION 0.5 • n=4 Participants
|
|
SYNTAX Score
|
26.7 units on a scale
STANDARD_DEVIATION 7.0 • n=5 Participants
|
26.8 units on a scale
STANDARD_DEVIATION 6.0 • n=7 Participants
|
26.4 units on a scale
STANDARD_DEVIATION 7.3 • n=5 Participants
|
26.7 units on a scale
STANDARD_DEVIATION 6.4 • n=4 Participants
|
|
Nitrates.
|
21 Participants
n=5 Participants
|
11 Participants
n=7 Participants
|
10 Participants
n=5 Participants
|
42 Participants
n=4 Participants
|
|
Diuretics.
|
5 Participants
n=5 Participants
|
10 Participants
n=7 Participants
|
3 Participants
n=5 Participants
|
18 Participants
n=4 Participants
|
|
Angiotensin converting enzyme inhibitors.
|
18 Participants
n=5 Participants
|
9 Participants
n=7 Participants
|
16 Participants
n=5 Participants
|
43 Participants
n=4 Participants
|
|
Anticoagulants.
|
6 Participants
n=5 Participants
|
0 Participants
n=7 Participants
|
2 Participants
n=5 Participants
|
8 Participants
n=4 Participants
|
|
Statins.
|
27 Participants
n=5 Participants
|
16 Participants
n=7 Participants
|
15 Participants
n=5 Participants
|
58 Participants
n=4 Participants
|
|
Echocardiography - 1. Lvd ind. Lvs ind. LAind.
Lvd ind.
|
2.7 mm/ m^2
STANDARD_DEVIATION 0.39 • n=5 Participants
|
2.98 mm/ m^2
STANDARD_DEVIATION 0.5 • n=7 Participants
|
2.8 mm/ m^2
STANDARD_DEVIATION 0.2 • n=5 Participants
|
2.8 mm/ m^2
STANDARD_DEVIATION 0.36 • n=4 Participants
|
|
Echocardiography - 1. Lvd ind. Lvs ind. LAind.
Lvs ind.
|
1.8 mm/ m^2
STANDARD_DEVIATION 0.42 • n=5 Participants
|
2.1 mm/ m^2
STANDARD_DEVIATION 0.5 • n=7 Participants
|
1.9 mm/ m^2
STANDARD_DEVIATION 0.4 • n=5 Participants
|
1.9 mm/ m^2
STANDARD_DEVIATION 0.44 • n=4 Participants
|
|
Echocardiography - 1. Lvd ind. Lvs ind. LAind.
LAind.
|
2.1 mm/ m^2
STANDARD_DEVIATION 0.3 • n=5 Participants
|
2.2 mm/ m^2
STANDARD_DEVIATION 0.3 • n=7 Participants
|
2.1 mm/ m^2
STANDARD_DEVIATION 0.2 • n=5 Participants
|
2.2 mm/ m^2
STANDARD_DEVIATION 0.27 • n=4 Participants
|
|
Echocardiography - 2. LVEDV MOD BP ind. LVESV MOD BP ind.
LVEDV MOD BP ind.
|
62.4 ml/ m^2
STANDARD_DEVIATION 20.7 • n=5 Participants
|
73 ml/ m^2
STANDARD_DEVIATION 36.1 • n=7 Participants
|
73.2 ml/ m^2
STANDARD_DEVIATION 29.9 • n=5 Participants
|
62.7 ml/ m^2
STANDARD_DEVIATION 28.9 • n=4 Participants
|
|
Echocardiography - 2. LVEDV MOD BP ind. LVESV MOD BP ind.
LVESV MOD BP ind.
|
23.6 ml/ m^2
STANDARD_DEVIATION 14.8 • n=5 Participants
|
32.4 ml/ m^2
STANDARD_DEVIATION 27.9 • n=7 Participants
|
31.9 ml/ m^2
STANDARD_DEVIATION 22.3 • n=5 Participants
|
27.9 ml/ m^2
STANDARD_DEVIATION 21.7 • n=4 Participants
|
|
Echocardiography - 3. LVEF (Simpson) - left ventricular ejection fraction.
|
62.1 percent
STANDARD_DEVIATION 7.4 • n=5 Participants
|
56.6 percent
STANDARD_DEVIATION 10.2 • n=7 Participants
|
59.3 percent
STANDARD_DEVIATION 11.1 • n=5 Participants
|
59.8 percent
STANDARD_DEVIATION 9.6 • n=4 Participants
|
|
Echocardiography - 4. Left ventricular diastolic function - 1.
Peak E of transmitral flow
|
0.7 m/sec
STANDARD_DEVIATION 0.2 • n=5 Participants
|
0.6 m/sec
STANDARD_DEVIATION 0.1 • n=7 Participants
|
0.7 m/sec
STANDARD_DEVIATION 0.2 • n=5 Participants
|
0.7 m/sec
STANDARD_DEVIATION 0.2 • n=4 Participants
|
|
Echocardiography - 4. Left ventricular diastolic function - 1.
Peak A of transmitral flow
|
0.8 m/sec
STANDARD_DEVIATION 0.2 • n=5 Participants
|
0.8 m/sec
STANDARD_DEVIATION 0.2 • n=7 Participants
|
0.7 m/sec
STANDARD_DEVIATION 0.2 • n=5 Participants
|
0.7 m/sec
STANDARD_DEVIATION 0.2 • n=4 Participants
|
|
Echocardiography - 5. Left ventricular diastolic function - 2 (E/A).
|
0.9 ratio
STANDARD_DEVIATION 0.4 • n=5 Participants
|
0.9 ratio
STANDARD_DEVIATION 0.5 • n=7 Participants
|
0.9 ratio
STANDARD_DEVIATION 0.5 • n=5 Participants
|
0.9 ratio
STANDARD_DEVIATION 0.47 • n=4 Participants
|
|
Echocardiography - 6. Left ventricular diastolic function - 3 (DT, IVRT).
DT (Half-time of wave E)
|
253 ms.
STANDARD_DEVIATION 52.7 • n=5 Participants
|
257.6 ms.
STANDARD_DEVIATION 46.3 • n=7 Participants
|
252.3 ms.
STANDARD_DEVIATION 55.1 • n=5 Participants
|
254.7 ms.
STANDARD_DEVIATION 51.4 • n=4 Participants
|
|
Echocardiography - 6. Left ventricular diastolic function - 3 (DT, IVRT).
IVRT (time of isovolumic relaxation of the left ventriclar)
|
103.4 ms.
STANDARD_DEVIATION 11.1 • n=5 Participants
|
106 ms.
STANDARD_DEVIATION 9.8 • n=7 Participants
|
105.3 ms.
STANDARD_DEVIATION 13.9 • n=5 Participants
|
104.7 ms.
STANDARD_DEVIATION 11.6 • n=4 Participants
|
|
Echocardiography - 7. LVmass/ BSA (g/m^2)
|
119.1 g/m^2
STANDARD_DEVIATION 29 • n=5 Participants
|
152.8 g/m^2
STANDARD_DEVIATION 48 • n=7 Participants
|
134.04 g/m^2
STANDARD_DEVIATION 32 • n=5 Participants
|
135.3 g/m^2
STANDARD_DEVIATION 36.3 • n=4 Participants
|
|
Echocardiography - 8. RWT - relative wall thickness of the left ventricle.
|
0.44 ratio
STANDARD_DEVIATION 0.07 • n=5 Participants
|
0.4 ratio
STANDARD_DEVIATION 0.07 • n=7 Participants
|
0.4 ratio
STANDARD_DEVIATION 0.06 • n=5 Participants
|
0.43 ratio
STANDARD_DEVIATION 0.07 • n=4 Participants
|
|
Echocardiography - 9. Mitral regurgitation.
Not
|
16 Participants
n=5 Participants
|
8 Participants
n=7 Participants
|
6 Participants
n=5 Participants
|
30 Participants
n=4 Participants
|
|
Echocardiography - 9. Mitral regurgitation.
1 degree Mitral regurgitation.
|
19 Participants
n=5 Participants
|
13 Participants
n=7 Participants
|
13 Participants
n=5 Participants
|
45 Participants
n=4 Participants
|
|
Echocardiography - 9. Mitral regurgitation.
2 degree Mitral regurgitation.
|
2 Participants
n=5 Participants
|
3 Participants
n=7 Participants
|
3 Participants
n=5 Participants
|
8 Participants
n=4 Participants
|
|
Echocardiography - 9. Mitral regurgitation.
3 degree Mitral regurgitation.
|
0 Participants
n=5 Participants
|
1 Participants
n=7 Participants
|
1 Participants
n=5 Participants
|
2 Participants
n=4 Participants
|
|
Echocardiography - 10. Tricuspid regurgitation.
Not
|
25 participants
n=5 Participants
|
22 participants
n=7 Participants
|
19 participants
n=5 Participants
|
66 participants
n=4 Participants
|
|
Echocardiography - 10. Tricuspid regurgitation.
1 degreeTricuspid regurgitation
|
12 participants
n=5 Participants
|
3 participants
n=7 Participants
|
4 participants
n=5 Participants
|
19 participants
n=4 Participants
|
|
Echocardiography - 10. Tricuspid regurgitation.
2 degreeTricuspid regurgitation
|
0 participants
n=5 Participants
|
0 participants
n=7 Participants
|
0 participants
n=5 Participants
|
0 participants
n=4 Participants
|
|
Echocardiography - 10. Tricuspid regurgitation.
3 degreeTricuspid regurgitation
|
0 participants
n=5 Participants
|
0 participants
n=7 Participants
|
0 participants
n=5 Participants
|
0 participants
n=4 Participants
|
|
Echocardiography - 11. Aortic regurgitation.
Not
|
25 participants
n=5 Participants
|
23 participants
n=7 Participants
|
22 participants
n=5 Participants
|
70 participants
n=4 Participants
|
|
Echocardiography - 11. Aortic regurgitation.
1 degree Aortic regurgitation.
|
11 participants
n=5 Participants
|
2 participants
n=7 Participants
|
1 participants
n=5 Participants
|
14 participants
n=4 Participants
|
|
Echocardiography - 11. Aortic regurgitation.
2 degree Aortic regurgitation.
|
1 participants
n=5 Participants
|
0 participants
n=7 Participants
|
0 participants
n=5 Participants
|
1 participants
n=4 Participants
|
|
Echocardiography - 11. Aortic regurgitation.
3 degree Aortic regurgitation.
|
0 participants
n=5 Participants
|
0 participants
n=7 Participants
|
0 participants
n=5 Participants
|
0 participants
n=4 Participants
|
|
Echocardiography - 12. Signs of myocardial remodeling.
Left ventricular diastolic function/ · Yes
|
19 Participants
n=5 Participants
|
17 Participants
n=7 Participants
|
16 Participants
n=5 Participants
|
52 Participants
n=4 Participants
|
|
Echocardiography - 12. Signs of myocardial remodeling.
Left ventricular diastolic function/ · Not
|
18 Participants
n=5 Participants
|
8 Participants
n=7 Participants
|
7 Participants
n=5 Participants
|
33 Participants
n=4 Participants
|
|
Echocardiography - 12. Signs of myocardial remodeling.
Left ventricular aneurysm. · Yes
|
2 Participants
n=5 Participants
|
4 Participants
n=7 Participants
|
3 Participants
n=5 Participants
|
9 Participants
n=4 Participants
|
|
Echocardiography - 12. Signs of myocardial remodeling.
Left ventricular aneurysm. · Not
|
35 Participants
n=5 Participants
|
21 Participants
n=7 Participants
|
20 Participants
n=5 Participants
|
76 Participants
n=4 Participants
|
|
Echocardiography - 12. Signs of myocardial remodeling.
Change in local kinetics. · Yes
|
23 Participants
n=5 Participants
|
11 Participants
n=7 Participants
|
12 Participants
n=5 Participants
|
46 Participants
n=4 Participants
|
|
Echocardiography - 12. Signs of myocardial remodeling.
Change in local kinetics. · Not
|
14 Participants
n=5 Participants
|
14 Participants
n=7 Participants
|
11 Participants
n=5 Participants
|
39 Participants
n=4 Participants
|
PRIMARY outcome
Timeframe: Before CABG surgery at baseline.Population: The data of all patients initially included in the study were analyzed.
EuroScoreII is intended to assess the risk of adverse outcome of coronary artery bypass grafting. Assessment factors: age, sex, serum creatinine, extracardiac artery disease, chronic lung disease, severe neurological disorders, previous cardiac surgery, previous myocardial infarction, left ventricular dysfunction, diabetes mellitus, pulmonary hypertension, IV class of angina severity, active endocarditis, unstable angina, surgery, critical condition of the patient before surgery, type of surgery. The higher the percentage, the higher the risk of surgery.
Outcome measures
| Measure |
Group 2
n=23 Participants
Сoronary artery bypass grafting with intramyocardial (0.2 ml - 10 injection in the zone of blood supply LAD) and intracoronary administration of autologous bone marrow stem cells.
|
Group 0
n=37 Participants
Сoronary artery bypass grafting with intramyocardial administration of 0.9 % NaCl (sodium chloride) 0.2 ml - 10 injection in the zone of blood supply LAD.
|
Group 1
n=25 Participants
Сoronary artery bypass grafting with intramyocardial administration of autologous bone marrow stem cells 0.2 ml - 10 injection in the zone of blood supply LAD.
|
|---|---|---|---|
|
Assessment of the Initial Risk of Surgery (EuroScore II).
|
1.02 percent
Standard Deviation 0.4
|
1.3 percent
Standard Deviation 0.68
|
1.07 percent
Standard Deviation 0.47
|
PRIMARY outcome
Timeframe: Primary hospitalization for planned CABG.Population: The data of all patients initially included in the study were analyzed.
The results were obtained from the analysis of primary data.
Outcome measures
| Measure |
Group 2
n=23 Participants
Сoronary artery bypass grafting with intramyocardial (0.2 ml - 10 injection in the zone of blood supply LAD) and intracoronary administration of autologous bone marrow stem cells.
|
Group 0
n=37 Participants
Сoronary artery bypass grafting with intramyocardial administration of 0.9 % NaCl (sodium chloride) 0.2 ml - 10 injection in the zone of blood supply LAD.
|
Group 1
n=25 Participants
Сoronary artery bypass grafting with intramyocardial administration of autologous bone marrow stem cells 0.2 ml - 10 injection in the zone of blood supply LAD.
|
|---|---|---|---|
|
Length of Hospital Stay. Length of Stay in the Intensive Care Unit.
Hospital Stay
|
38.4 days
Standard Deviation 15.2
|
36.8 days
Standard Deviation 11.2
|
32.8 days
Standard Deviation 13.9
|
|
Length of Hospital Stay. Length of Stay in the Intensive Care Unit.
Days in the intensive care unite
|
3.3 days
Standard Deviation 1.8
|
3.9 days
Standard Deviation 2.2
|
3.1 days
Standard Deviation 1.7
|
PRIMARY outcome
Timeframe: The parameters were evaluated initially at baseline in the postoperative period - an interval of 0-6 hours, 12-18 hours, 18-24 hours, 48 hours, 72 hours, 96 hours, 7 days and 14 days.Population: The data of all patients initially included in the study were analyzed.
Assessment of the severity of the systemic inflammatory response during hospital stay after surgery. Assessment of the level of inflammation by the severity of an increase in leukocytes (leukocytosis). Leukocytosis - an increase in the number of leukocytes per unit volume of blood. The norm of leukocytes in the blood is 5.5-8.810\^9 /l. For adults, leukocytosis is considered to be an increase in the number of leukocytes in the blood of more than 9.0\*10\^9 / l In the statistical analysis, the grouping of indicators in the indicated intervals was used, in view of the individual characteristics of the course of the postoperative period in each case.
Outcome measures
| Measure |
Group 2
n=23 Participants
Сoronary artery bypass grafting with intramyocardial (0.2 ml - 10 injection in the zone of blood supply LAD) and intracoronary administration of autologous bone marrow stem cells.
|
Group 0
n=37 Participants
Сoronary artery bypass grafting with intramyocardial administration of 0.9 % NaCl (sodium chloride) 0.2 ml - 10 injection in the zone of blood supply LAD.
|
Group 1
n=25 Participants
Сoronary artery bypass grafting with intramyocardial administration of autologous bone marrow stem cells 0.2 ml - 10 injection in the zone of blood supply LAD.
|
|---|---|---|---|
|
The Severity of the Systemic Inflammatory Response in the Postoperative Period (Leukocytosis).
Leu (leukocytes) / initially
|
7.3 x10^9 cells/L"
Standard Deviation 2.04
|
8.3 x10^9 cells/L"
Standard Deviation 2.2
|
6.5 x10^9 cells/L"
Standard Deviation 1.5
|
|
The Severity of the Systemic Inflammatory Response in the Postoperative Period (Leukocytosis).
Leu / in the postoperative period - an interval of 0-6 hours
|
16.2 x10^9 cells/L"
Standard Deviation 5.4
|
13.9 x10^9 cells/L"
Standard Deviation 6.3
|
14.1 x10^9 cells/L"
Standard Deviation 1.9
|
|
The Severity of the Systemic Inflammatory Response in the Postoperative Period (Leukocytosis).
Leu / in the postoperative period - an interval of 12-18 hours
|
13.3 x10^9 cells/L"
Standard Deviation 3.7
|
13.9 x10^9 cells/L"
Standard Deviation 3.99
|
14.7 x10^9 cells/L"
Standard Deviation 5.9
|
|
The Severity of the Systemic Inflammatory Response in the Postoperative Period (Leukocytosis).
Leu / in the postoperative period - an interval of 18-24 hours
|
16.99 x10^9 cells/L"
Standard Deviation 3.9
|
13.08 x10^9 cells/L"
Standard Deviation 2.4
|
15.4 x10^9 cells/L"
Standard Deviation 2.4
|
|
The Severity of the Systemic Inflammatory Response in the Postoperative Period (Leukocytosis).
Leu / in the postoperative period 48 hours
|
13.3 x10^9 cells/L"
Standard Deviation 3.97
|
13.8 x10^9 cells/L"
Standard Deviation 5.5
|
14.8 x10^9 cells/L"
Standard Deviation 2.2
|
|
The Severity of the Systemic Inflammatory Response in the Postoperative Period (Leukocytosis).
Leu / in the postoperative period 72 hours
|
11.4 x10^9 cells/L"
Standard Deviation 1.9
|
11.3 x10^9 cells/L"
Standard Deviation 4.1
|
9.4 x10^9 cells/L"
Standard Deviation 1.6
|
|
The Severity of the Systemic Inflammatory Response in the Postoperative Period (Leukocytosis).
Leu / in the postoperative period 96 hours
|
10.4 x10^9 cells/L"
Standard Deviation 1.99
|
10.1 x10^9 cells/L"
Standard Deviation 2.7
|
8.7 x10^9 cells/L"
Standard Deviation 2.6
|
|
The Severity of the Systemic Inflammatory Response in the Postoperative Period (Leukocytosis).
Leu / in the postoperative period 7 days
|
10.4 x10^9 cells/L"
Standard Deviation 3.2
|
11.9 x10^9 cells/L"
Standard Deviation 5.9
|
9.5 x10^9 cells/L"
Standard Deviation 2.3
|
|
The Severity of the Systemic Inflammatory Response in the Postoperative Period (Leukocytosis).
Leu / in the postoperative period 14 days
|
10.4 x10^9 cells/L"
Standard Deviation 3.06
|
8.8 x10^9 cells/L"
Standard Deviation 1.6
|
8.8 x10^9 cells/L"
Standard Deviation 1.7
|
PRIMARY outcome
Timeframe: Initial data, control point in the interval 4-6 days of the postoperative period, control point in the interval 12-14 days of the postoperative period.Population: The data of all patients initially included in the study were analyzed.
Results of dynamic control of laboratory parameters of CRP. C-reactive protein. This fraction of plasma proteins increases in the presence of an inflammatory process in the body. It is synthesized in response to the ingestion of toxins of pathological microorganisms into the bloodstream and neutralizes them by binding them. In addition, it appears when the body's own cells are destroyed in the event of necrosis, tumor disintegration or extensive trauma, inactivating the resulting products. In addition to eliminating toxins, CRP triggers a cascade of immune responses aimed at eliminating pathologically altered structures. Normally absent (or less than 0.4 mg / l). In the statistical analysis, the grouping of indicators in the indicated intervals was used, in view of the individual characteristics of the course of the postoperative period in each case.
Outcome measures
| Measure |
Group 2
n=23 Participants
Сoronary artery bypass grafting with intramyocardial (0.2 ml - 10 injection in the zone of blood supply LAD) and intracoronary administration of autologous bone marrow stem cells.
|
Group 0
n=37 Participants
Сoronary artery bypass grafting with intramyocardial administration of 0.9 % NaCl (sodium chloride) 0.2 ml - 10 injection in the zone of blood supply LAD.
|
Group 1
n=25 Participants
Сoronary artery bypass grafting with intramyocardial administration of autologous bone marrow stem cells 0.2 ml - 10 injection in the zone of blood supply LAD.
|
|---|---|---|---|
|
Assessment of the Degree of General Inflammatory Response (C-reactive Protein (CRP)),
CRP initially/ mg / l
|
5.1 mg/l
Standard Deviation 5.1
|
4.4 mg/l
Standard Deviation 6.05
|
3.05 mg/l
Standard Deviation 2
|
|
Assessment of the Degree of General Inflammatory Response (C-reactive Protein (CRP)),
CRP control point in the interval 4-6 days of the postoperative period/ mg/l
|
121.1 mg/l
Standard Deviation 76.3
|
80.2 mg/l
Standard Deviation 38
|
85.9 mg/l
Standard Deviation 51.8
|
|
Assessment of the Degree of General Inflammatory Response (C-reactive Protein (CRP)),
CRP control point in the interval 12-14 days of the postoperative period/ mg/l
|
24.4 mg/l
Standard Deviation 15.6
|
24.6 mg/l
Standard Deviation 13.8
|
25.9 mg/l
Standard Deviation 20.9
|
PRIMARY outcome
Timeframe: Evaluation of these data - for the time spent in the intensive care unit before removing the drains.Population: The data of all patients initially included in the study were analyzed.
A daily assessment of the discharge by drainage before removal was carried out. It was carried out to assess the possible development of an excessive inflammatory reaction (polyserositis phenomena) in response to the transplantation of autologous bone marrow mononuclear cells.
Outcome measures
| Measure |
Group 2
n=23 Participants
Сoronary artery bypass grafting with intramyocardial (0.2 ml - 10 injection in the zone of blood supply LAD) and intracoronary administration of autologous bone marrow stem cells.
|
Group 0
n=37 Participants
Сoronary artery bypass grafting with intramyocardial administration of 0.9 % NaCl (sodium chloride) 0.2 ml - 10 injection in the zone of blood supply LAD.
|
Group 1
n=25 Participants
Сoronary artery bypass grafting with intramyocardial administration of autologous bone marrow stem cells 0.2 ml - 10 injection in the zone of blood supply LAD.
|
|---|---|---|---|
|
The Volume of Discharge Through the Drains in the Early Postoperative Period.
The volume of discharge through the drains on the first day after surgery.
|
410 milliliters
Standard Error 59.4
|
541.2 milliliters
Standard Error 47.9
|
424 milliliters
Standard Error 95.7
|
|
The Volume of Discharge Through the Drains in the Early Postoperative Period.
The volume of discharge through the drains on the second day after the operation.
|
195.4 milliliters
Standard Error 33.6
|
189.7 milliliters
Standard Error 27.1
|
152 milliliters
Standard Error 54.2
|
PRIMARY outcome
Timeframe: 1 and 3 days of the postoperative period.Population: The data of all patients initially included in the study were analyzed.
Assessment of the severity of the period of ischemia / reperfusion. And the effect of autologous bone marrow mononuclear cells transplantation on these indicators.
Outcome measures
| Measure |
Group 2
n=23 Participants
Сoronary artery bypass grafting with intramyocardial (0.2 ml - 10 injection in the zone of blood supply LAD) and intracoronary administration of autologous bone marrow stem cells.
|
Group 0
n=37 Participants
Сoronary artery bypass grafting with intramyocardial administration of 0.9 % NaCl (sodium chloride) 0.2 ml - 10 injection in the zone of blood supply LAD.
|
Group 1
n=25 Participants
Сoronary artery bypass grafting with intramyocardial administration of autologous bone marrow stem cells 0.2 ml - 10 injection in the zone of blood supply LAD.
|
|---|---|---|---|
|
Dynamics of Markers of Myocardial Damage (Troponin I, Myoglobin).
Troponin I (postoperative day 1)/mcg / l
|
2.9 mcg / l
Standard Deviation 2.3
|
12.05 mcg / l
Standard Deviation 18.9
|
5.7 mcg / l
Standard Deviation 5.8
|
|
Dynamics of Markers of Myocardial Damage (Troponin I, Myoglobin).
Troponin I (postoperative day 3)/mcg / l
|
1.9 mcg / l
Standard Deviation 1.3
|
19.6 mcg / l
Standard Deviation 31.9
|
3.08 mcg / l
Standard Deviation 3.7
|
|
Dynamics of Markers of Myocardial Damage (Troponin I, Myoglobin).
Myoglobin postoperative day 1/mcg / l/
|
757.2 mcg / l
Standard Deviation 1146.8
|
522.8 mcg / l
Standard Deviation 711.6
|
385.6 mcg / l
Standard Deviation 221.7
|
|
Dynamics of Markers of Myocardial Damage (Troponin I, Myoglobin).
Myoglobin postoperative day 3/mcg / l
|
70.4 mcg / l
Standard Deviation 148.4
|
92.5 mcg / l
Standard Deviation 1094.8
|
71.4 mcg / l
Standard Deviation 41.4
|
PRIMARY outcome
Timeframe: 1 and 3 days of the postoperative period.Population: The data of all patients initially included in the study were analyzed.
Assessment of the severity of the period of ischemia / reperfusion. And the effect of autologous bone marrow mononuclear cells transplantation on these indicators.
Outcome measures
| Measure |
Group 2
n=23 Participants
Сoronary artery bypass grafting with intramyocardial (0.2 ml - 10 injection in the zone of blood supply LAD) and intracoronary administration of autologous bone marrow stem cells.
|
Group 0
n=37 Participants
Сoronary artery bypass grafting with intramyocardial administration of 0.9 % NaCl (sodium chloride) 0.2 ml - 10 injection in the zone of blood supply LAD.
|
Group 1
n=25 Participants
Сoronary artery bypass grafting with intramyocardial administration of autologous bone marrow stem cells 0.2 ml - 10 injection in the zone of blood supply LAD.
|
|---|---|---|---|
|
Dynamics of Markers of Myocardial Damage (Creatine Phosphokinase Fraction MB (CPK-MB)).
CPK-MB postoperative day 1/ U/l
|
78.6 U/l
Standard Deviation 136.8
|
62.3 U/l
Standard Deviation 1024
|
63.02 U/l
Standard Deviation 79.2
|
|
Dynamics of Markers of Myocardial Damage (Creatine Phosphokinase Fraction MB (CPK-MB)).
CPK-MB postoperative day 3/ U/l
|
4.6 U/l
Standard Deviation 1.9
|
35.4 U/l
Standard Deviation 84.7
|
9.5 U/l
Standard Deviation 9.3
|
PRIMARY outcome
Timeframe: Intraoperative data.Population: The data of all patients initially included in the study were analyzed.
These parameters were evaluated at the end of the cardiopulmonary bypass and at the end of the surgery. The interval between indicators is on average from 60 to 120 minutes.
Outcome measures
| Measure |
Group 2
n=23 Participants
Сoronary artery bypass grafting with intramyocardial (0.2 ml - 10 injection in the zone of blood supply LAD) and intracoronary administration of autologous bone marrow stem cells.
|
Group 0
n=37 Participants
Сoronary artery bypass grafting with intramyocardial administration of 0.9 % NaCl (sodium chloride) 0.2 ml - 10 injection in the zone of blood supply LAD.
|
Group 1
n=25 Participants
Сoronary artery bypass grafting with intramyocardial administration of autologous bone marrow stem cells 0.2 ml - 10 injection in the zone of blood supply LAD.
|
|---|---|---|---|
|
Intraoperative Assessment of Homeostasis (Hemoglobin (Hb).
Hb intraoperatively before turning off the cardiopulmonary bypass (CPB).
|
75.8 g/l
Standard Deviation 14.5
|
74.05 g/l
Standard Deviation 12.2
|
73.4 g/l
Standard Deviation 8.08
|
|
Intraoperative Assessment of Homeostasis (Hemoglobin (Hb).
Hb at the end of the operation.
|
86.7 g/l
Standard Deviation 11.1
|
91.3 g/l
Standard Deviation 16.09
|
91.5 g/l
Standard Deviation 8.6
|
PRIMARY outcome
Timeframe: Intraoperative data.Population: The data of all patients initially included in the study were analyzed.
These parameters were evaluated at the end of the cardiopulmonary bypass and at the end of the surgery. The interval between indicators is on average from 60 to 120 minutes.
Outcome measures
| Measure |
Group 2
n=23 Participants
Сoronary artery bypass grafting with intramyocardial (0.2 ml - 10 injection in the zone of blood supply LAD) and intracoronary administration of autologous bone marrow stem cells.
|
Group 0
n=37 Participants
Сoronary artery bypass grafting with intramyocardial administration of 0.9 % NaCl (sodium chloride) 0.2 ml - 10 injection in the zone of blood supply LAD.
|
Group 1
n=25 Participants
Сoronary artery bypass grafting with intramyocardial administration of autologous bone marrow stem cells 0.2 ml - 10 injection in the zone of blood supply LAD.
|
|---|---|---|---|
|
Intraoperative Assessment of Homeostasis (Hematocrit (HCT)).
HCT intraoperatively before turning off the cardiopulmonary bypass(CPB).
|
23.2 percent
Standard Deviation 3.9
|
23.4 percent
Standard Deviation 4.2
|
22.2 percent
Standard Deviation 1.9
|
|
Intraoperative Assessment of Homeostasis (Hematocrit (HCT)).
HCT at the end of the operation.
|
25.7 percent
Standard Deviation 3.1
|
29.3 percent
Standard Deviation 5.2
|
27.8 percent
Standard Deviation 3.2
|
PRIMARY outcome
Timeframe: Intraoperative data.Population: The data of all patients initially included in the study were analyzed.
These parameters were evaluated at the end of the cardiopulmonary bypass and at the end of the surgery. The interval between indicators is on average from 60 to 120 minutes.
Outcome measures
| Measure |
Group 2
n=23 Participants
Сoronary artery bypass grafting with intramyocardial (0.2 ml - 10 injection in the zone of blood supply LAD) and intracoronary administration of autologous bone marrow stem cells.
|
Group 0
n=37 Participants
Сoronary artery bypass grafting with intramyocardial administration of 0.9 % NaCl (sodium chloride) 0.2 ml - 10 injection in the zone of blood supply LAD.
|
Group 1
n=25 Participants
Сoronary artery bypass grafting with intramyocardial administration of autologous bone marrow stem cells 0.2 ml - 10 injection in the zone of blood supply LAD.
|
|---|---|---|---|
|
Intraoperative Assessment of Homeostasis (К+).
K+ intraoperatively before turning off the cardiopulmonary bypass(CPB).
|
4.7 mmol/l
Standard Deviation 0.9
|
5.01 mmol/l
Standard Deviation 0.59
|
5.4 mmol/l
Standard Deviation 0.9
|
|
Intraoperative Assessment of Homeostasis (К+).
K+ at the end of the operation.
|
3.9 mmol/l
Standard Deviation 0.5
|
3.9 mmol/l
Standard Deviation 0.4
|
4.5 mmol/l
Standard Deviation 0.6
|
PRIMARY outcome
Timeframe: Intraoperative data.Population: The data of all patients initially included in the study were analyzed.
Outcome measures
| Measure |
Group 2
n=23 Participants
Сoronary artery bypass grafting with intramyocardial (0.2 ml - 10 injection in the zone of blood supply LAD) and intracoronary administration of autologous bone marrow stem cells.
|
Group 0
n=37 Participants
Сoronary artery bypass grafting with intramyocardial administration of 0.9 % NaCl (sodium chloride) 0.2 ml - 10 injection in the zone of blood supply LAD.
|
Group 1
n=25 Participants
Сoronary artery bypass grafting with intramyocardial administration of autologous bone marrow stem cells 0.2 ml - 10 injection in the zone of blood supply LAD.
|
|---|---|---|---|
|
Cardiopulmonary Bypass Time.
|
144 minutes
Standard Deviation 29.2
|
135 minutes
Standard Deviation 31.6
|
122.8 minutes
Standard Deviation 19.7
|
PRIMARY outcome
Timeframe: Intraoperative data.Population: The data of all patients initially included in the study were analyzed.
Estimation of the time from the moment the clamp is applied to the aorta (complete clamping of the aorta) to the removal of the clamp from the aorta.
Outcome measures
| Measure |
Group 2
n=23 Participants
Сoronary artery bypass grafting with intramyocardial (0.2 ml - 10 injection in the zone of blood supply LAD) and intracoronary administration of autologous bone marrow stem cells.
|
Group 0
n=37 Participants
Сoronary artery bypass grafting with intramyocardial administration of 0.9 % NaCl (sodium chloride) 0.2 ml - 10 injection in the zone of blood supply LAD.
|
Group 1
n=25 Participants
Сoronary artery bypass grafting with intramyocardial administration of autologous bone marrow stem cells 0.2 ml - 10 injection in the zone of blood supply LAD.
|
|---|---|---|---|
|
Time of Aortic Clamping (Anoxia).
|
84 minutes
Standard Deviation 18.8
|
75.8 minutes
Standard Deviation 17.6
|
73.8 minutes
Standard Deviation 22.3
|
PRIMARY outcome
Timeframe: Postoperative period.Population: The data of all patients initially included in the study were analyzed.
The presence of complications in the postoperative period (Hydrothorax, Hydropericardium, Cardiac arrhythmias - atrial fibrillation / atrial flutter).
Outcome measures
| Measure |
Group 2
n=23 Participants
Сoronary artery bypass grafting with intramyocardial (0.2 ml - 10 injection in the zone of blood supply LAD) and intracoronary administration of autologous bone marrow stem cells.
|
Group 0
n=37 Participants
Сoronary artery bypass grafting with intramyocardial administration of 0.9 % NaCl (sodium chloride) 0.2 ml - 10 injection in the zone of blood supply LAD.
|
Group 1
n=25 Participants
Сoronary artery bypass grafting with intramyocardial administration of autologous bone marrow stem cells 0.2 ml - 10 injection in the zone of blood supply LAD.
|
|---|---|---|---|
|
Assessment of Complications in the Postoperative Period. Additional Estimation of Safety.
Hydrothorax / postoperative period
|
3 participants
|
3 participants
|
4 participants
|
|
Assessment of Complications in the Postoperative Period. Additional Estimation of Safety.
Hydropericardium / postoperative period
|
2 participants
|
0 participants
|
1 participants
|
|
Assessment of Complications in the Postoperative Period. Additional Estimation of Safety.
Resternotomy / postoperative period
|
0 participants
|
1 participants
|
1 participants
|
|
Assessment of Complications in the Postoperative Period. Additional Estimation of Safety.
Atrial fibrillation / postoperative period
|
9 participants
|
8 participants
|
4 participants
|
|
Assessment of Complications in the Postoperative Period. Additional Estimation of Safety.
Atrial flutter / postoperative period
|
0 participants
|
4 participants
|
0 participants
|
PRIMARY outcome
Timeframe: 7-14 days of the postoperative periodPopulation: all patients included in the study
Evaluation of myocardial contractility according to echocardiography, in particular the left ventricular ejection fraction, was carried out within 7-14 days of the postoperative period, depending on the patient's clinical condition, as well as the maximum degree of information content of this study. The lower the indicator, the worse the prognosis of an unfavorable outcome.
Outcome measures
| Measure |
Group 2
n=23 Participants
Сoronary artery bypass grafting with intramyocardial (0.2 ml - 10 injection in the zone of blood supply LAD) and intracoronary administration of autologous bone marrow stem cells.
|
Group 0
n=37 Participants
Сoronary artery bypass grafting with intramyocardial administration of 0.9 % NaCl (sodium chloride) 0.2 ml - 10 injection in the zone of blood supply LAD.
|
Group 1
n=25 Participants
Сoronary artery bypass grafting with intramyocardial administration of autologous bone marrow stem cells 0.2 ml - 10 injection in the zone of blood supply LAD.
|
|---|---|---|---|
|
Left Ventricular Ejection Fraction - Echocardiography - Assessment of Myocardial Contractility on Days 7-14 After Surgical Treatment. Additional Estimation of Safety.
|
55.9 percent
Standard Deviation 2.1
|
62.1 percent
Standard Deviation 1.6
|
56.4 percent
Standard Deviation 2.0
|
PRIMARY outcome
Timeframe: 7-14 days after surgeryPopulation: All patients included in the study.
Assessment of myocardial contractility according to echocardiography, in particular the size of the left ventricle - its index, was carried out within 7-14 days of the postoperative period, depending on the clinical condition of the patient, as well as on the maximum information content of this study. The higher the indicator (left ventricular size - index), the worse the prognosis of an unfavorable outcome. The index is used as an indicator of payment to obtain a more reliable result (taking into account the individual characteristics of each patient). index - left ventricular size (mm.)/ body mass index (kg/m\^2).
Outcome measures
| Measure |
Group 2
n=23 Participants
Сoronary artery bypass grafting with intramyocardial (0.2 ml - 10 injection in the zone of blood supply LAD) and intracoronary administration of autologous bone marrow stem cells.
|
Group 0
n=37 Participants
Сoronary artery bypass grafting with intramyocardial administration of 0.9 % NaCl (sodium chloride) 0.2 ml - 10 injection in the zone of blood supply LAD.
|
Group 1
n=25 Participants
Сoronary artery bypass grafting with intramyocardial administration of autologous bone marrow stem cells 0.2 ml - 10 injection in the zone of blood supply LAD.
|
|---|---|---|---|
|
Assessment of Myocardial Contractility on Days 7-14 After Surgical Treatment - Echocardiography (Size of the Left Ventricle - Index). Additional Estimation of Safety.
Lvd ind.
|
2.7 mm/m^2
Standard Deviation 0.1
|
2.6 mm/m^2
Standard Deviation 0.08
|
3 mm/m^2
Standard Deviation 0.1
|
|
Assessment of Myocardial Contractility on Days 7-14 After Surgical Treatment - Echocardiography (Size of the Left Ventricle - Index). Additional Estimation of Safety.
Lvs ind.
|
1.9 mm/m^2
Standard Deviation 0.09
|
1.8 mm/m^2
Standard Deviation 0.07
|
2.1 mm/m^2
Standard Deviation 0.09
|
|
Assessment of Myocardial Contractility on Days 7-14 After Surgical Treatment - Echocardiography (Size of the Left Ventricle - Index). Additional Estimation of Safety.
LAind.
|
2.1 mm/m^2
Standard Deviation 0.08
|
2 mm/m^2
Standard Deviation 0.06
|
2.2 mm/m^2
Standard Deviation 0.07
|
PRIMARY outcome
Timeframe: 7-14 days after surgeryPopulation: All patients included in the study
Evaluation of myocardial contractility according to echocardiography, in particular volume of the left ventricle - index was carried out within 7-14 days of the postoperative period, depending on the patient's clinical condition, as well as the maximum degree of information content of this study. The greater the figure (volume of the left ventricle - index), the worse the prognosis of adverse outcome. The index is used as an indicator of the payment to obtain a more reliable result (taking into account individual characteristics of each patient). index - volume of the left ventricle (ml.)/ body mass index (kg / m\^2).
Outcome measures
| Measure |
Group 2
n=23 Participants
Сoronary artery bypass grafting with intramyocardial (0.2 ml - 10 injection in the zone of blood supply LAD) and intracoronary administration of autologous bone marrow stem cells.
|
Group 0
n=37 Participants
Сoronary artery bypass grafting with intramyocardial administration of 0.9 % NaCl (sodium chloride) 0.2 ml - 10 injection in the zone of blood supply LAD.
|
Group 1
n=25 Participants
Сoronary artery bypass grafting with intramyocardial administration of autologous bone marrow stem cells 0.2 ml - 10 injection in the zone of blood supply LAD.
|
|---|---|---|---|
|
Volume of the Left Ventricle - Index - Echocardiography. Assessment of Myocardial Contractility on Days 7-14 After Surgical Treatment. Additional Estimation of Safety.
LVEDV MOD BP ind
|
63.9 mL/m^2
Standard Deviation 5.9
|
58.8 mL/m^2
Standard Deviation 4.8
|
70.9 mL/m^2
Standard Deviation 6.9
|
|
Volume of the Left Ventricle - Index - Echocardiography. Assessment of Myocardial Contractility on Days 7-14 After Surgical Treatment. Additional Estimation of Safety.
LVESV MOD BP ind.
|
27.8 mL/m^2
Standard Deviation 3.7
|
23.5 mL/m^2
Standard Deviation 3
|
31.9 mL/m^2
Standard Deviation 4.4
|
PRIMARY outcome
Timeframe: Upon completion of the main stage of surgery.Population: All patients included in the study.
The need to perform defibrillation to restore sinus rhythm, at the end of the main stage of surgery.
Outcome measures
| Measure |
Group 2
n=23 Participants
Сoronary artery bypass grafting with intramyocardial (0.2 ml - 10 injection in the zone of blood supply LAD) and intracoronary administration of autologous bone marrow stem cells.
|
Group 0
n=37 Participants
Сoronary artery bypass grafting with intramyocardial administration of 0.9 % NaCl (sodium chloride) 0.2 ml - 10 injection in the zone of blood supply LAD.
|
Group 1
n=25 Participants
Сoronary artery bypass grafting with intramyocardial administration of autologous bone marrow stem cells 0.2 ml - 10 injection in the zone of blood supply LAD.
|
|---|---|---|---|
|
Restoration of the Heart Rate After the Completion of the Main Stage of the Surgical Intervention. Additional Estimation of Safety.
|
4 Participants
|
3 Participants
|
3 Participants
|
SECONDARY outcome
Timeframe: 12 months after surgeryPopulation: All patients included in the study (groups 1 and 2) were compared with the control group (Group 0).In patients included in study during the observation period after the treatment there was no progression of the underlying disease that was fatal.
The total number of deaths - in the primary hospitalization and during the observation period of 12 months after surgical treatment - deaths associated with the progression of the initial disease. The complication rate for CABG operations is 30±10%. According to n1=kn2; n1 sample size, in the control. In group 0, k=2/3 times more than in group 1 and group 2. The difference between the test and control frequencies is ε=p1-p2. Accordingly, with p1 = 0.2; p2=0.4, δ= 0.1; n1=49.5, n2=33. The result is group 0 - 36, group 1 and 2 - 25+25 = 50. The null hypothesis of complication rate δ.All patients included in the study.
Outcome measures
| Measure |
Group 2
n=23 Participants
Сoronary artery bypass grafting with intramyocardial (0.2 ml - 10 injection in the zone of blood supply LAD) and intracoronary administration of autologous bone marrow stem cells.
|
Group 0
n=37 Participants
Сoronary artery bypass grafting with intramyocardial administration of 0.9 % NaCl (sodium chloride) 0.2 ml - 10 injection in the zone of blood supply LAD.
|
Group 1
n=25 Participants
Сoronary artery bypass grafting with intramyocardial administration of autologous bone marrow stem cells 0.2 ml - 10 injection in the zone of blood supply LAD.
|
|---|---|---|---|
|
All-cause Mortality Associated With the Progression of Basic Disease.
|
0 participants
|
0 participants
|
0 participants
|
SECONDARY outcome
Timeframe: At baseline and after one year.Population: All patients included in the study.
The SF-36 questionnaire. The indicators of each scale vary between 0 and 100, where 100 represents total health. The results are presented in the form of scores on 8 scales, compiled in such a way that a higher score indicates a higher level of quality of life.MHFLQ - for patients with heart failure.The specified questionnaire consists of 21 questions. To answer each question, a scale of 6 points from the minimum intensity of certain symptoms to the maximum is used. The assessment is based on the sum of points, where the maximum number of points - 105 corresponds to the patient's worst condition. The lowest score 0 points is the best clinical condition of the patient. SAQ consists of 19 questions about the patient's condition, which are divided into the following 5 scales. The quality of life for each of the five scales under consideration is measured in percent, with 0% corresponding to the worst quality of life, and 100% to the best.
Outcome measures
| Measure |
Group 2
n=23 Participants
Сoronary artery bypass grafting with intramyocardial (0.2 ml - 10 injection in the zone of blood supply LAD) and intracoronary administration of autologous bone marrow stem cells.
|
Group 0
n=37 Participants
Сoronary artery bypass grafting with intramyocardial administration of 0.9 % NaCl (sodium chloride) 0.2 ml - 10 injection in the zone of blood supply LAD.
|
Group 1
n=25 Participants
Сoronary artery bypass grafting with intramyocardial administration of autologous bone marrow stem cells 0.2 ml - 10 injection in the zone of blood supply LAD.
|
|---|---|---|---|
|
Quality of Life. Evaluation of the Quality of Life (Minnesota Questionnaire (MHFLQ), Seattle Questionnaire (SAQ), SF-36 Questionnaire). Estimation of Efficiency.
Physical Functioning SF-36
|
51.1 score on a scale
Standard Deviation 6.2
|
48.6 score on a scale
Standard Deviation 4.6
|
47.8 score on a scale
Standard Deviation 6.2
|
|
Quality of Life. Evaluation of the Quality of Life (Minnesota Questionnaire (MHFLQ), Seattle Questionnaire (SAQ), SF-36 Questionnaire). Estimation of Efficiency.
Physical Functioning SF-36 in year
|
68.6 score on a scale
Standard Deviation 5.4
|
62.9 score on a scale
Standard Deviation 4
|
69.2 score on a scale
Standard Deviation 5.4
|
|
Quality of Life. Evaluation of the Quality of Life (Minnesota Questionnaire (MHFLQ), Seattle Questionnaire (SAQ), SF-36 Questionnaire). Estimation of Efficiency.
Role-Physical Functioning SF-36
|
21 score on a scale
Standard Deviation 8.4
|
24.2 score on a scale
Standard Deviation 6.2
|
20.8 score on a scale
Standard Deviation 8.4
|
|
Quality of Life. Evaluation of the Quality of Life (Minnesota Questionnaire (MHFLQ), Seattle Questionnaire (SAQ), SF-36 Questionnaire). Estimation of Efficiency.
Role-Physical Functioning SF-36 in year
|
43.06 score on a scale
Standard Deviation 10
|
38.7 score on a scale
Standard Deviation 7.4
|
41.7 score on a scale
Standard Deviation 10
|
|
Quality of Life. Evaluation of the Quality of Life (Minnesota Questionnaire (MHFLQ), Seattle Questionnaire (SAQ), SF-36 Questionnaire). Estimation of Efficiency.
Bodily pain SF-36
|
57.8 score on a scale
Standard Deviation 6.7
|
50.9 score on a scale
Standard Deviation 4.9
|
53.3 score on a scale
Standard Deviation 6.7
|
|
Quality of Life. Evaluation of the Quality of Life (Minnesota Questionnaire (MHFLQ), Seattle Questionnaire (SAQ), SF-36 Questionnaire). Estimation of Efficiency.
Bodily pain SF-36 in year
|
73.4 score on a scale
Standard Deviation 6.04
|
68 score on a scale
Standard Deviation 4.5
|
75.8 score on a scale
Standard Deviation 6.04
|
|
Quality of Life. Evaluation of the Quality of Life (Minnesota Questionnaire (MHFLQ), Seattle Questionnaire (SAQ), SF-36 Questionnaire). Estimation of Efficiency.
General Health SF-36
|
45 score on a scale
Standard Deviation 3.4
|
48.6 score on a scale
Standard Deviation 2.5
|
50.1 score on a scale
Standard Deviation 3.4
|
|
Quality of Life. Evaluation of the Quality of Life (Minnesota Questionnaire (MHFLQ), Seattle Questionnaire (SAQ), SF-36 Questionnaire). Estimation of Efficiency.
General Health SF-36 in year
|
53.5 score on a scale
Standard Deviation 3.3
|
52.4 score on a scale
Standard Deviation 2.4
|
53.2 score on a scale
Standard Deviation 3.3
|
|
Quality of Life. Evaluation of the Quality of Life (Minnesota Questionnaire (MHFLQ), Seattle Questionnaire (SAQ), SF-36 Questionnaire). Estimation of Efficiency.
Vitality SF-36
|
53.8 score on a scale
Standard Deviation 4.9
|
52.6 score on a scale
Standard Deviation 3.7
|
54.7 score on a scale
Standard Deviation 4.9
|
|
Quality of Life. Evaluation of the Quality of Life (Minnesota Questionnaire (MHFLQ), Seattle Questionnaire (SAQ), SF-36 Questionnaire). Estimation of Efficiency.
Vitality SF-36 in year
|
64.7 score on a scale
Standard Deviation 3.6
|
61.3 score on a scale
Standard Deviation 2.6
|
67.2 score on a scale
Standard Deviation 3.6
|
|
Quality of Life. Evaluation of the Quality of Life (Minnesota Questionnaire (MHFLQ), Seattle Questionnaire (SAQ), SF-36 Questionnaire). Estimation of Efficiency.
Social Functioning SF-36
|
66.3 score on a scale
Standard Deviation 5.7
|
66.4 score on a scale
Standard Deviation 4.2
|
65.9 score on a scale
Standard Deviation 5.7
|
|
Quality of Life. Evaluation of the Quality of Life (Minnesota Questionnaire (MHFLQ), Seattle Questionnaire (SAQ), SF-36 Questionnaire). Estimation of Efficiency.
Social Functioning SF-36 in year
|
82.6 score on a scale
Standard Deviation 5.2
|
77.8 score on a scale
Standard Deviation 3.9
|
77.08 score on a scale
Standard Deviation 5.2
|
|
Quality of Life. Evaluation of the Quality of Life (Minnesota Questionnaire (MHFLQ), Seattle Questionnaire (SAQ), SF-36 Questionnaire). Estimation of Efficiency.
Role- Emotional SF-36
|
38.3 score on a scale
Standard Deviation 9.7
|
51.5 score on a scale
Standard Deviation 7.2
|
40.7 score on a scale
Standard Deviation 9.7
|
|
Quality of Life. Evaluation of the Quality of Life (Minnesota Questionnaire (MHFLQ), Seattle Questionnaire (SAQ), SF-36 Questionnaire). Estimation of Efficiency.
Role- Emotional SF-36 in year
|
55.5 score on a scale
Standard Deviation 10.2
|
58.6 score on a scale
Standard Deviation 7.6
|
53.7 score on a scale
Standard Deviation 10.2
|
|
Quality of Life. Evaluation of the Quality of Life (Minnesota Questionnaire (MHFLQ), Seattle Questionnaire (SAQ), SF-36 Questionnaire). Estimation of Efficiency.
Mental Health SF-36
|
67.5 score on a scale
Standard Deviation 4.2
|
60.6 score on a scale
Standard Deviation 3.1
|
64.9 score on a scale
Standard Deviation 4.2
|
|
Quality of Life. Evaluation of the Quality of Life (Minnesota Questionnaire (MHFLQ), Seattle Questionnaire (SAQ), SF-36 Questionnaire). Estimation of Efficiency.
Mental Health SF-36 in year
|
72.7 score on a scale
Standard Deviation 3.98
|
64.5 score on a scale
Standard Deviation 2.9
|
70 score on a scale
Standard Deviation 3.98
|
|
Quality of Life. Evaluation of the Quality of Life (Minnesota Questionnaire (MHFLQ), Seattle Questionnaire (SAQ), SF-36 Questionnaire). Estimation of Efficiency.
Minnesota Quality of Life (MHFLQ)
|
33.3 score on a scale
Standard Deviation 4.9
|
39.8 score on a scale
Standard Deviation 3.6
|
35.1 score on a scale
Standard Deviation 4.9
|
|
Quality of Life. Evaluation of the Quality of Life (Minnesota Questionnaire (MHFLQ), Seattle Questionnaire (SAQ), SF-36 Questionnaire). Estimation of Efficiency.
Minnesota Quality of Life (MHFLQ) in year
|
22.1 score on a scale
Standard Deviation 3.9
|
31.6 score on a scale
Standard Deviation 2.9
|
22.7 score on a scale
Standard Deviation 3.9
|
|
Quality of Life. Evaluation of the Quality of Life (Minnesota Questionnaire (MHFLQ), Seattle Questionnaire (SAQ), SF-36 Questionnaire). Estimation of Efficiency.
Seattle QuestionnairePhysical limitation
|
40 score on a scale
Standard Deviation 5.2
|
39.6 score on a scale
Standard Deviation 3.5
|
42.6 score on a scale
Standard Deviation 5.4
|
|
Quality of Life. Evaluation of the Quality of Life (Minnesota Questionnaire (MHFLQ), Seattle Questionnaire (SAQ), SF-36 Questionnaire). Estimation of Efficiency.
SeattleQuestionnairePhysical limitation / in year
|
58.6 score on a scale
Standard Deviation 4.3
|
53.5 score on a scale
Standard Deviation 2.9
|
60.8 score on a scale
Standard Deviation 4.4
|
|
Quality of Life. Evaluation of the Quality of Life (Minnesota Questionnaire (MHFLQ), Seattle Questionnaire (SAQ), SF-36 Questionnaire). Estimation of Efficiency.
SeattleQuestionnaireAngina stability
|
61 score on a scale
Standard Deviation 9.4
|
43.5 score on a scale
Standard Deviation 6.3
|
40.4 score on a scale
Standard Deviation 9.7
|
|
Quality of Life. Evaluation of the Quality of Life (Minnesota Questionnaire (MHFLQ), Seattle Questionnaire (SAQ), SF-36 Questionnaire). Estimation of Efficiency.
SeattleQuestionnaireAngina stability / in year
|
98.2 score on a scale
Standard Deviation 10.6
|
87 score on a scale
Standard Deviation 7.1
|
91.9 score on a scale
Standard Deviation 10.9
|
|
Quality of Life. Evaluation of the Quality of Life (Minnesota Questionnaire (MHFLQ), Seattle Questionnaire (SAQ), SF-36 Questionnaire). Estimation of Efficiency.
SeattleQuestionnaireAngina frequency
|
46.07 score on a scale
Standard Deviation 8.5
|
48.7 score on a scale
Standard Deviation 5.7
|
48.5 score on a scale
Standard Deviation 8.8
|
|
Quality of Life. Evaluation of the Quality of Life (Minnesota Questionnaire (MHFLQ), Seattle Questionnaire (SAQ), SF-36 Questionnaire). Estimation of Efficiency.
SeattleQuestionnaiAngina frequency / in year
|
86.4 score on a scale
Standard Deviation 6.3
|
80.3 score on a scale
Standard Deviation 4.2
|
90.8 score on a scale
Standard Deviation 6.6
|
|
Quality of Life. Evaluation of the Quality of Life (Minnesota Questionnaire (MHFLQ), Seattle Questionnaire (SAQ), SF-36 Questionnaire). Estimation of Efficiency.
SeattleQuestionnaireTreatment satisfaction
|
69.6 score on a scale
Standard Deviation 5.6
|
58.9 score on a scale
Standard Deviation 3.7
|
72.1 score on a scale
Standard Deviation 5.8
|
|
Quality of Life. Evaluation of the Quality of Life (Minnesota Questionnaire (MHFLQ), Seattle Questionnaire (SAQ), SF-36 Questionnaire). Estimation of Efficiency.
SeattleQuestionnaireTreatmentSatisfaction/ in year
|
80.4 score on a scale
Standard Deviation 4.8
|
75.2 score on a scale
Standard Deviation 3.2
|
81.3 score on a scale
Standard Deviation 4.9
|
|
Quality of Life. Evaluation of the Quality of Life (Minnesota Questionnaire (MHFLQ), Seattle Questionnaire (SAQ), SF-36 Questionnaire). Estimation of Efficiency.
SeattleQuestionnaire Disease perception
|
37.9 score on a scale
Standard Deviation 6.5
|
41.4 score on a scale
Standard Deviation 4.3
|
36.5 score on a scale
Standard Deviation 6.7
|
|
Quality of Life. Evaluation of the Quality of Life (Minnesota Questionnaire (MHFLQ), Seattle Questionnaire (SAQ), SF-36 Questionnaire). Estimation of Efficiency.
SeattleQuestionnaire Disease perception/ in year
|
64.3 score on a scale
Standard Deviation 20.1
|
60.7 score on a scale
Standard Deviation 24.4
|
64.2 score on a scale
Standard Deviation 20.8
|
SECONDARY outcome
Timeframe: up to 12 monthsPopulation: Data analysis of all patients underwent follow-up examination 12 months after surgery.
1. functional class - The usual load does not cause changes in the state of health. Painful attacks occur against the background of excessive loads - after climbing several flights of stairs, while walking fast. 2. functional class - Pain attacks when walking more than 500 meters, when climbing stairs more than one floor. 3. functional class - The patient does not tolerate minimal physical activity. An attack occurs when walking a distance of 50-100 meters. Climbing stairs is difficult. 4. functional class - Activity is significantly limited. Angina pectoris manifests itself when performing minimal actions, including at rest.
Outcome measures
| Measure |
Group 2
n=23 Participants
Сoronary artery bypass grafting with intramyocardial (0.2 ml - 10 injection in the zone of blood supply LAD) and intracoronary administration of autologous bone marrow stem cells.
|
Group 0
n=37 Participants
Сoronary artery bypass grafting with intramyocardial administration of 0.9 % NaCl (sodium chloride) 0.2 ml - 10 injection in the zone of blood supply LAD.
|
Group 1
n=25 Participants
Сoronary artery bypass grafting with intramyocardial administration of autologous bone marrow stem cells 0.2 ml - 10 injection in the zone of blood supply LAD.
|
|---|---|---|---|
|
Assessment of the Functional Class of Exertional Angina at 12 Months After Surgical Treatment.
1 functional class of angina pectoris1 year after
|
5 participants
|
15 participants
|
4 participants
|
|
Assessment of the Functional Class of Exertional Angina at 12 Months After Surgical Treatment.
2 functional class of angina pectoris1 year after
|
0 participants
|
7 participants
|
0 participants
|
|
Assessment of the Functional Class of Exertional Angina at 12 Months After Surgical Treatment.
3 functional class of angina pectoris1 year after
|
0 participants
|
0 participants
|
0 participants
|
|
Assessment of the Functional Class of Exertional Angina at 12 Months After Surgical Treatment.
4 functional class of angina pectoris1 year after
|
0 participants
|
0 participants
|
0 participants
|
SECONDARY outcome
Timeframe: Assessment of the dynamics at 12 months after treatment.Population: In one case, a patient of Groups 1 through 12 months after the treatment, marked progression of the functional class of heart failure. It should be noted that this patient did not adhere to the recommendations on lifestyle and drug therapy in the postoperative period.
1. functional class - There is no limitation of a person's physical activity, shortness of breath manifests itself when going above the third floor. 2. functional class - slight limitation of activity, palpitations, shortness of breath, fatigue occur during normal physical activity and more. 3. functional class - Symptoms occur with the smallest physical activity, resulting in a significant decrease in activity. At rest, clinical manifestations are not observed. The smaller the functional class, the better the quality of human life.
Outcome measures
| Measure |
Group 2
n=23 Participants
Сoronary artery bypass grafting with intramyocardial (0.2 ml - 10 injection in the zone of blood supply LAD) and intracoronary administration of autologous bone marrow stem cells.
|
Group 0
n=37 Participants
Сoronary artery bypass grafting with intramyocardial administration of 0.9 % NaCl (sodium chloride) 0.2 ml - 10 injection in the zone of blood supply LAD.
|
Group 1
n=25 Participants
Сoronary artery bypass grafting with intramyocardial administration of autologous bone marrow stem cells 0.2 ml - 10 injection in the zone of blood supply LAD.
|
|---|---|---|---|
|
Dynamics of the Functional Class of Heart Failure (NYHA). Estimation of Efficiency.
1 functional class heart failure (NYHA).
|
7 Participants
|
12 Participants
|
14 Participants
|
|
Dynamics of the Functional Class of Heart Failure (NYHA). Estimation of Efficiency.
2 functional class heart failure (NYHA).
|
15 Participants
|
25 Participants
|
10 Participants
|
|
Dynamics of the Functional Class of Heart Failure (NYHA). Estimation of Efficiency.
3 functional class heart failure (NYHA).
|
0 Participants
|
0 Participants
|
1 Participants
|
SECONDARY outcome
Timeframe: 12 months after treatment.Population: All patients included in the study.
According to echocardiography.
Outcome measures
| Measure |
Group 2
n=23 Participants
Сoronary artery bypass grafting with intramyocardial (0.2 ml - 10 injection in the zone of blood supply LAD) and intracoronary administration of autologous bone marrow stem cells.
|
Group 0
n=37 Participants
Сoronary artery bypass grafting with intramyocardial administration of 0.9 % NaCl (sodium chloride) 0.2 ml - 10 injection in the zone of blood supply LAD.
|
Group 1
n=25 Participants
Сoronary artery bypass grafting with intramyocardial administration of autologous bone marrow stem cells 0.2 ml - 10 injection in the zone of blood supply LAD.
|
|---|---|---|---|
|
Evaluation of the Left Ventricular Ejection Fraction 12 Months After Treatment.
|
58.4 percent
Standard Deviation 1.9
|
61.4 percent
Standard Deviation 1.5
|
58.1 percent
Standard Deviation 1.8
|
SECONDARY outcome
Timeframe: 12 months after the treatment.Population: The data of all patients initially included in the study were analyzed.
Evaluation of myocardial contractility according to echocardiography, in particular the size of the left ventricle - the index was carried out 12 months after CABG. The higher the indicator (left ventricular size - index), the worse the prognosis of an unfavorable outcome. The index is used as an indicator of the payment to obtain a more reliable result (taking into account individual characteristics of each patient). index - size of the left ventricle (mm.)/ body mass index (kg/m\^2).
Outcome measures
| Measure |
Group 2
n=23 Participants
Сoronary artery bypass grafting with intramyocardial (0.2 ml - 10 injection in the zone of blood supply LAD) and intracoronary administration of autologous bone marrow stem cells.
|
Group 0
n=37 Participants
Сoronary artery bypass grafting with intramyocardial administration of 0.9 % NaCl (sodium chloride) 0.2 ml - 10 injection in the zone of blood supply LAD.
|
Group 1
n=25 Participants
Сoronary artery bypass grafting with intramyocardial administration of autologous bone marrow stem cells 0.2 ml - 10 injection in the zone of blood supply LAD.
|
|---|---|---|---|
|
Estimation of the Index of Linear Parameters of the Left Ventricle 12 Months After the Treatment. Estimation of Efficiency.
Lvd ind.
|
2.8 mm/m^2
Standard Deviation 0.09
|
2.7 mm/m^2
Standard Deviation 0.07
|
2.9 mm/m^2
Standard Deviation 0.08
|
|
Estimation of the Index of Linear Parameters of the Left Ventricle 12 Months After the Treatment. Estimation of Efficiency.
Lvs ind.
|
1.8 mm/m^2
Standard Deviation 0.08
|
1.9 mm/m^2
Standard Deviation 0.06
|
2.07 mm/m^2
Standard Deviation 0.08
|
|
Estimation of the Index of Linear Parameters of the Left Ventricle 12 Months After the Treatment. Estimation of Efficiency.
LAind.
|
2.2 mm/m^2
Standard Deviation 0.07
|
2.2 mm/m^2
Standard Deviation 0.05
|
2.3 mm/m^2
Standard Deviation 0.07
|
SECONDARY outcome
Timeframe: 12 Months After the TreatmentPopulation: The data of all patients initially included in the study were analyzed.
Evaluation of myocardial contractility according to echocardiography, in particular the volume of the left ventricle - the index was carried out 12 months after CABG. The higher the indicator (left ventricular volume - index), the worse the prognosis of an unfavorable outcome. The index is used as an indicator of the payment to obtain a more reliable result (taking into account individual characteristics of each patient). index - volume of the left ventricle (mm.)/ body mass index (kg/m\^2).
Outcome measures
| Measure |
Group 2
n=23 Participants
Сoronary artery bypass grafting with intramyocardial (0.2 ml - 10 injection in the zone of blood supply LAD) and intracoronary administration of autologous bone marrow stem cells.
|
Group 0
n=37 Participants
Сoronary artery bypass grafting with intramyocardial administration of 0.9 % NaCl (sodium chloride) 0.2 ml - 10 injection in the zone of blood supply LAD.
|
Group 1
n=25 Participants
Сoronary artery bypass grafting with intramyocardial administration of autologous bone marrow stem cells 0.2 ml - 10 injection in the zone of blood supply LAD.
|
|---|---|---|---|
|
Estimation of the Index of Volumetric Parameters of the Left Ventricle 12 Months After the Treatment. Estimation of Efficiency.
LVEDV MOD BP ind.
|
66.9 mL/m^2
Standard Deviation 5.5
|
62.3 mL/m^2
Standard Deviation 4.4
|
70.4 mL/m^2
Standard Deviation 6.2
|
|
Estimation of the Index of Volumetric Parameters of the Left Ventricle 12 Months After the Treatment. Estimation of Efficiency.
LVESV MOD BP ind.
|
25.6 mL/m^2
Standard Deviation 3.5
|
25.2 mL/m^2
Standard Deviation 2.6
|
31.5 mL/m^2
Standard Deviation 3.9
|
SECONDARY outcome
Timeframe: 12 months after treatment.Population: The data of all patients initially included in the study were analyzed.
Evaluation of left ventricular diastolic function (echocardiography). The peak velocity E reflects the pressure gradient between the LA and LV in early diastole, and it is affected by preload and disturbance LV relaxation The speed of peak A, which forms at the end diastole, influences LV compliance and contractility left atrium.
Outcome measures
| Measure |
Group 2
n=23 Participants
Сoronary artery bypass grafting with intramyocardial (0.2 ml - 10 injection in the zone of blood supply LAD) and intracoronary administration of autologous bone marrow stem cells.
|
Group 0
n=37 Participants
Сoronary artery bypass grafting with intramyocardial administration of 0.9 % NaCl (sodium chloride) 0.2 ml - 10 injection in the zone of blood supply LAD.
|
Group 1
n=25 Participants
Сoronary artery bypass grafting with intramyocardial administration of autologous bone marrow stem cells 0.2 ml - 10 injection in the zone of blood supply LAD.
|
|---|---|---|---|
|
Assessment of Left Ventricular Diastolic Function - Peak E of Transmitral Flow and Peak А of Transmitral Flow 12 Months After Treatment.
Peak E of transmitral flow
|
0.8 meters/sec.
Standard Deviation 0.05
|
0.7 meters/sec.
Standard Deviation 0.04
|
0.7 meters/sec.
Standard Deviation 0.05
|
|
Assessment of Left Ventricular Diastolic Function - Peak E of Transmitral Flow and Peak А of Transmitral Flow 12 Months After Treatment.
Peak А of transmitral flow
|
0.8 meters/sec.
Standard Deviation 0.1
|
0.7 meters/sec.
Standard Deviation 0.09
|
07 meters/sec.
Standard Deviation 0.1
|
SECONDARY outcome
Timeframe: 12 months after treatmentPopulation: All patients included in the study.
The ratio of the transmitral flow, wave E (ejection wave / left ventricular contraction) to wave A (ejection wave / left atrial contraction). The norm is 0.75-1.5 Less than 0.75 violation of relaxation, more than 1.5 restrictive type of diastolic dysfunction.
Outcome measures
| Measure |
Group 2
n=23 Participants
Сoronary artery bypass grafting with intramyocardial (0.2 ml - 10 injection in the zone of blood supply LAD) and intracoronary administration of autologous bone marrow stem cells.
|
Group 0
n=37 Participants
Сoronary artery bypass grafting with intramyocardial administration of 0.9 % NaCl (sodium chloride) 0.2 ml - 10 injection in the zone of blood supply LAD.
|
Group 1
n=25 Participants
Сoronary artery bypass grafting with intramyocardial administration of autologous bone marrow stem cells 0.2 ml - 10 injection in the zone of blood supply LAD.
|
|---|---|---|---|
|
Assessment of Left Ventricular Diastolic Function E/A - 12 Months After Treatment.
|
1.2 ratio
Standard Deviation 0.1
|
1 ratio
Standard Deviation 0.1
|
1.2 ratio
Standard Deviation 0.1
|
SECONDARY outcome
Timeframe: 12 Months After Treatment.Population: The data of all patients initially included in the study were analyzed.
Echocardiographic data ( DT (Half-time of wave E), time of isovolumic relaxation of the left ventricle (IVRT). DT (Half-time of wave E). The DT time index reflects the relaxation process LV, LV diastolic pressure after mitral valve opening, and LV compliance. 150-200 ms - normal; \> 200 ms - violation of relaxation; 150-200 ms - pseudonormal type of left ventricular filling; \<150 ms - restrictive type of diastolic dysfunction IVRT (time of isovolumic relaxation of the left ventricl.) \<100 ms - normal; \> 100 ms - violation of relaxation
Outcome measures
| Measure |
Group 2
n=23 Participants
Сoronary artery bypass grafting with intramyocardial (0.2 ml - 10 injection in the zone of blood supply LAD) and intracoronary administration of autologous bone marrow stem cells.
|
Group 0
n=37 Participants
Сoronary artery bypass grafting with intramyocardial administration of 0.9 % NaCl (sodium chloride) 0.2 ml - 10 injection in the zone of blood supply LAD.
|
Group 1
n=25 Participants
Сoronary artery bypass grafting with intramyocardial administration of autologous bone marrow stem cells 0.2 ml - 10 injection in the zone of blood supply LAD.
|
|---|---|---|---|
|
Assessment of Left Ventricular Diastolic Function - DT and IVRT 12 Months After Treatment.
DT (Half-time of wave E).
|
256.6 ms
Standard Deviation 18.3
|
250.4 ms
Standard Deviation 15.2
|
252.6 ms
Standard Deviation 20.08
|
|
Assessment of Left Ventricular Diastolic Function - DT and IVRT 12 Months After Treatment.
time of isovolumic relaxation of the left ventricle (IVRT).
|
99.6 ms
Standard Deviation 4.9
|
96.9 ms
Standard Deviation 4.1
|
102.4 ms
Standard Deviation 5.5
|
SECONDARY outcome
Timeframe: initially and after 12 monthsThe dynamic of the number of meters walked according to the 6-minutes walk test (6MWD) in the observation groups.
Outcome measures
| Measure |
Group 2
n=23 Participants
Сoronary artery bypass grafting with intramyocardial (0.2 ml - 10 injection in the zone of blood supply LAD) and intracoronary administration of autologous bone marrow stem cells.
|
Group 0
n=37 Participants
Сoronary artery bypass grafting with intramyocardial administration of 0.9 % NaCl (sodium chloride) 0.2 ml - 10 injection in the zone of blood supply LAD.
|
Group 1
n=25 Participants
Сoronary artery bypass grafting with intramyocardial administration of autologous bone marrow stem cells 0.2 ml - 10 injection in the zone of blood supply LAD.
|
|---|---|---|---|
|
Distance Traveled in the 6-minute Walk Test. Test Results With 6 Minute Walk
Original number of meters.
|
329.9 meters
Standard Deviation 25.3
|
315.06 meters
Standard Deviation 17.6
|
319.8 meters
Standard Deviation 24.5
|
|
Distance Traveled in the 6-minute Walk Test. Test Results With 6 Minute Walk
Number of meters in 12 months.
|
452.7 meters
Standard Deviation 29.7
|
433.54 meters
Standard Deviation 20.6
|
524.4 meters
Standard Deviation 28.7
|
SECONDARY outcome
Timeframe: up to 12 monthsPopulation: All patients included in the study.
According to the angiographic study.
Outcome measures
| Measure |
Group 2
n=23 Participants
Сoronary artery bypass grafting with intramyocardial (0.2 ml - 10 injection in the zone of blood supply LAD) and intracoronary administration of autologous bone marrow stem cells.
|
Group 0
n=37 Participants
Сoronary artery bypass grafting with intramyocardial administration of 0.9 % NaCl (sodium chloride) 0.2 ml - 10 injection in the zone of blood supply LAD.
|
Group 1
n=25 Participants
Сoronary artery bypass grafting with intramyocardial administration of autologous bone marrow stem cells 0.2 ml - 10 injection in the zone of blood supply LAD.
|
|---|---|---|---|
|
The Number of Functioning Grafts 12 Months After CABG. Patency of Grafts Within a Specified Time of Treatment (Angiography).
Initial number of grafts
|
75 Number of grafts
|
113 Number of grafts
|
79 Number of grafts
|
|
The Number of Functioning Grafts 12 Months After CABG. Patency of Grafts Within a Specified Time of Treatment (Angiography).
Number of functioning grafts at 12 months
|
73 Number of grafts
|
99 Number of grafts
|
76 Number of grafts
|
|
The Number of Functioning Grafts 12 Months After CABG. Patency of Grafts Within a Specified Time of Treatment (Angiography).
Number of non-functioning grafts after 12 months
|
2 Number of grafts
|
14 Number of grafts
|
3 Number of grafts
|
SECONDARY outcome
Timeframe: up to 12 monthsPopulation: All patients included in the study.
Echocardiographic data.
Outcome measures
| Measure |
Group 2
n=23 Participants
Сoronary artery bypass grafting with intramyocardial (0.2 ml - 10 injection in the zone of blood supply LAD) and intracoronary administration of autologous bone marrow stem cells.
|
Group 0
n=37 Participants
Сoronary artery bypass grafting with intramyocardial administration of 0.9 % NaCl (sodium chloride) 0.2 ml - 10 injection in the zone of blood supply LAD.
|
Group 1
n=25 Participants
Сoronary artery bypass grafting with intramyocardial administration of autologous bone marrow stem cells 0.2 ml - 10 injection in the zone of blood supply LAD.
|
|---|---|---|---|
|
Analysis of the Effect of Left Ventricular Diastolic Dysfunction on the Patency of the Grafts.
Number of patients with non-functioning grafts
|
2 Participants
|
10 Participants
|
1 Participants
|
|
Analysis of the Effect of Left Ventricular Diastolic Dysfunction on the Patency of the Grafts.
Patients with non-functioning grafts in the presence of LV diastolic dysfunction after 12 months.
|
1 Participants
|
8 Participants
|
0 Participants
|
OTHER_PRE_SPECIFIED outcome
Timeframe: Initial data at the time of collection of bone marrow cells.Population: The data of all patients initially included in the study were analyzed.
Dependence and Duration of Positive Clinical Effect on the Amount of Injected Cell Material (cytosis).
Outcome measures
| Measure |
Group 2
Сoronary artery bypass grafting with intramyocardial (0.2 ml - 10 injection in the zone of blood supply LAD) and intracoronary administration of autologous bone marrow stem cells.
|
Group 0
n=25 Participants
Сoronary artery bypass grafting with intramyocardial administration of 0.9 % NaCl (sodium chloride) 0.2 ml - 10 injection in the zone of blood supply LAD.
|
Group 1
n=23 Participants
Сoronary artery bypass grafting with intramyocardial administration of autologous bone marrow stem cells 0.2 ml - 10 injection in the zone of blood supply LAD.
|
|---|---|---|---|
|
The Volume of Cellular Material (Cytosis).
|
—
|
20.3 *10^8cells/l
Standard Deviation 8.9
|
20.3 *10^8cells/l
Standard Deviation 8.9
|
OTHER_PRE_SPECIFIED outcome
Timeframe: Initial data at the time of collection of bone marrow cells.Population: The data of all patients initially included in the study were analyzed.
Dependence and duration of positive clinical effect on the amount of injected cell material (Mononuclear fraction %, CD34+ %, CD133+ %). Assessment - mononuclear fraction, CD 34 +, CD 133+ according to flow cytometry data.
Outcome measures
| Measure |
Group 2
Сoronary artery bypass grafting with intramyocardial (0.2 ml - 10 injection in the zone of blood supply LAD) and intracoronary administration of autologous bone marrow stem cells.
|
Group 0
n=25 Participants
Сoronary artery bypass grafting with intramyocardial administration of 0.9 % NaCl (sodium chloride) 0.2 ml - 10 injection in the zone of blood supply LAD.
|
Group 1
n=23 Participants
Сoronary artery bypass grafting with intramyocardial administration of autologous bone marrow stem cells 0.2 ml - 10 injection in the zone of blood supply LAD.
|
|---|---|---|---|
|
The Amount of Cell Material (Percentage).
Mononuclear fraction/ %
|
—
|
21.04 percent
Standard Deviation 2.9
|
20.0 percent
Standard Deviation 2.7
|
|
The Amount of Cell Material (Percentage).
CD34+/ %
|
—
|
1.16 percent
Standard Deviation 0.22
|
1.18 percent
Standard Deviation 0.34
|
|
The Amount of Cell Material (Percentage).
CD133+/ %
|
—
|
0.4 percent
Standard Deviation 0.08
|
0.38 percent
Standard Deviation 1.14
|
OTHER_PRE_SPECIFIED outcome
Timeframe: 12 months after treatment.Population: The data of all patients initially included in the study were analyzed.
The distance covered (in meters) was compared with the proper value depending on age (years), height (cm), weight (kg), body mass index (BMI). The due values (6MWD (i)) were calculated using the following formulas: For men: 6МWD (i) = 7.57 × height - 5.02 × age - 1.76 × weight - 309 or 6MWD (i) = 1140 - 5.61 × BMI - 6.94 × age. For women: 6МWD (i) = 2.11 × height - 2.29 × weight - 5.78 × age + 667 Or 6МWD (i) = 1017 - 6.24 × BMI - 5.83 × age. This difference at baseline is reported as distance walked for smokers minus non-smokers.
Outcome measures
| Measure |
Group 2
n=23 Participants
Сoronary artery bypass grafting with intramyocardial (0.2 ml - 10 injection in the zone of blood supply LAD) and intracoronary administration of autologous bone marrow stem cells.
|
Group 0
n=37 Participants
Сoronary artery bypass grafting with intramyocardial administration of 0.9 % NaCl (sodium chloride) 0.2 ml - 10 injection in the zone of blood supply LAD.
|
Group 1
n=25 Participants
Сoronary artery bypass grafting with intramyocardial administration of autologous bone marrow stem cells 0.2 ml - 10 injection in the zone of blood supply LAD.
|
|---|---|---|---|
|
Smoking as a Factor That Negatively Affects the Results of the Test With a 6-minute Walk in Dynamics.
diference between smokers and non-smoking participants at baseline
|
224.8 meters
Standard Deviation 27.1
|
230.04 meters
Standard Deviation 28.7
|
215.3 meters
Standard Deviation 31.4
|
|
Smoking as a Factor That Negatively Affects the Results of the Test With a 6-minute Walk in Dynamics.
diference between baseline and1 year after surgery
|
62.1 meters
Standard Deviation 4.8
|
87.9 meters
Standard Deviation 4.9
|
8.5 meters
Standard Deviation 2.7
|
Adverse Events
Group 0
Group 1
Group 2
Serious adverse events
Adverse event data not reported
Other adverse events
Adverse event data not reported
Additional Information
Vladimir V Komok, Ph.D
First Pavlov State Medical University of St. Petersburg
Results disclosure agreements
- Principal investigator is a sponsor employee
- Publication restrictions are in place