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Systematic Evaluation of Patients Treated With Stroke Devices for Acute Ischemic Stroke (STRATIS) Registry

Completed
Conditions
Ischemic Stroke
Registration Number
NCT02239640
Lead Sponsor
Medtronic Neurovascular Clinical Affairs
Brief Summary

The purpose of this registry is to assess clinical outcomes, and different factors that may affect these clinical outcomes such as systems of care, associated with the use of Covidien market-released neurothrombectomy devices intended to restore blood flow in patients experiencing acute ischemic stroke due to large intracranial vessel occlusion.

Detailed Description

This is a prospective, multi-center, non-randomized, observational registry of acute ischemic stroke patients that have or will undergo treatment with the use of a Covidien market-released neurothrombectomy device (as the initial device used to remove the thrombus) within 8 hours of stroke symptom onset, at the discretion of the investigator and independent of participation in this registry. This registry may enroll up to 1000 patients.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
984
Inclusion Criteria
  • Patient or patient's legally authorized representative has given Informed Consent according to Good Clinical Practices (GCP) and/or IRB and/or local or institutional policies.
  • Patient has experienced an acute ischemic stroke due to large intracranial vessel occlusion (with associated symptoms) and has been or will be treated with a Covidien market-released neurothrombectomy device, as the initial device used to remove the thrombus.
  • Treatment within 8 hours of stroke onset.
  • Pre-Stroke Modified Rankin Scale (mRS) score ≤ 1 (immediately) prior to stroke onset.
  • Pre-treatment National Institutes of Health Stroke Scale (NIHSS) ≥ 8 and ≤ 30.
Exclusion Criteria
  • Concurrent participation in a multicenter randomized study.

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Number of Participants Assessed for Revascularization With mTICI Grades 2b-3Day 0-At the completion of the thrombectomy procedure

Assess revascularization using modified Thrombolysis in Cerebral Infarction (mTICI) score at the end of the procedure. This scale determines the response of therapy for ischemic stroke based on angiographic appearances of the treated occluded vessel and the distal branches.

Classification:

grade 0: no perfusion grade 1: antegrade reperfusion past the initial occlusion, but limited distal branch filling with little or slow distal reperfusion grade 2a: antegrade reperfusion of less than half of the occluded target artery previously ischemic territory grade 2b: antegrade reperfusion of more than half of the previously occluded target artery ischemic territory grade 3: complete antegrade reperfusion of the previously occluded target artery ischemic territory, with absence of visualized occlusion in all distal branches (higher values represent better outcomes)

Secondary Outcome Measures
NameTimeMethod
Incidence of Neurological Events of Interestup to 90 days post index procedure

Evaluate events causing neurological deterioration (defined as ≥ 4 worsening points from baseline on the NIHSS scale)

Trial Locations

Locations (55)

Grady Memorial Hospital

🇺🇸

Atlanta, Georgia, United States

University of Maryland Medical Center

🇺🇸

Baltimore, Maryland, United States

OhioHealth Riverside Methodist Hospital

🇺🇸

Columbus, Ohio, United States

Baylor University Medical Center

🇺🇸

Dallas, Texas, United States

University of Arizona Medical Center

🇺🇸

Tucson, Arizona, United States

University of California Los Angeles

🇺🇸

Los Angeles, California, United States

Los Robles Medical Center

🇺🇸

Thousand Oaks, California, United States

South Broward Hospital

🇺🇸

Hollywood, Florida, United States

University of Kentucky Hospital

🇺🇸

Lexington, Kentucky, United States

Maine Medical Center

🇺🇸

Portland, Maine, United States

McLaren Flint

🇺🇸

Flint, Michigan, United States

St. Dominic's - Jackson Memorial Hospital

🇺🇸

Jackson, Mississippi, United States

University of California Irvine

🇺🇸

Irvine, California, United States

WellStar Kennestone Regional Medical Center

🇺🇸

Marietta, Georgia, United States

Erlanger Medical Center

🇺🇸

Chattanooga, Tennessee, United States

Baptist Health Lexington/Central Baptist

🇺🇸

Lexington, Kentucky, United States

Buffalo General Medical Center

🇺🇸

Buffalo, New York, United States

Advocate Christ Medical Center

🇺🇸

Oak Lawn, Illinois, United States

Baptist Medical Center - Jacksonville

🇺🇸

Jacksonville, Florida, United States

Crouse Hospital

🇺🇸

Syracuse, New York, United States

Geisinger Clinic

🇺🇸

Danville, Pennsylvania, United States

West Virginia University/ Ruby Memorial

🇺🇸

Morgantown, West Virginia, United States

University of Pittsburgh Medical Center

🇺🇸

Pittsburgh, Pennsylvania, United States

Barnes Jewish Hospital

🇺🇸

Saint Louis, Missouri, United States

University of Massachusetts Memorial Medical Center

🇺🇸

Worcester, Massachusetts, United States

Albany Medical Center

🇺🇸

Albany, New York, United States

University of Tennessee Medical Center

🇺🇸

Knoxville, Tennessee, United States

Carolinas Medical Center

🇺🇸

Charlotte, North Carolina, United States

Baptist Hospital of Miami

🇺🇸

Miami, Florida, United States

Brigham and Women's Hospital

🇺🇸

Boston, Massachusetts, United States

California Pacific Medical Center

🇺🇸

San Francisco, California, United States

Abbott Northwestern Hospital

🇺🇸

Minneapolis, Minnesota, United States

Memorial Hermann Texas Medical Center

🇺🇸

Houston, Texas, United States

Vanderbilt University Medical Center

🇺🇸

Nashville, Tennessee, United States

Methodist Hospital, Houston

🇺🇸

Houston, Texas, United States

Virginia Mason Medical Center

🇺🇸

Seattle, Washington, United States

Swedish Medical Center

🇺🇸

Seattle, Washington, United States

Banner University Medical Center

🇺🇸

Phoenix, Arizona, United States

Advanced Neuroscience Network/Tenet South Florida

🇺🇸

Delray Beach, Florida, United States

University of Miami Hospital

🇺🇸

Miami, Florida, United States

Presence St. Joseph Medical Center

🇺🇸

Joliet, Illinois, United States

St. John Providence Hospital, Detroit

🇺🇸

Detroit, Michigan, United States

Cleveland Clinic

🇺🇸

Cleveland, Ohio, United States

ProMedica Toledo Hospital

🇺🇸

Toledo, Ohio, United States

Providence St. Vincent Medical Center

🇺🇸

Portland, Oregon, United States

Oregon Health and Science University Hospital

🇺🇸

Portland, Oregon, United States

Aurora Hospital, Milwaukee

🇺🇸

Milwaukee, Wisconsin, United States

Mayo Clinic, Rochester

🇺🇸

Rochester, Minnesota, United States

Froedtert Hospital

🇺🇸

Milwaukee, Wisconsin, United States

Valley Baptist Medical Center

🇺🇸

Harlingen, Texas, United States

Baptist Hospital Louisville

🇺🇸

Louisville, Kentucky, United States

St. Luke's Hospital of Kansas City

🇺🇸

Kansas City, Missouri, United States

Mercy San Juan Medical Center/ Mercy General

🇺🇸

Sacramento, California, United States

Florida Hospital

🇺🇸

Orlando, Florida, United States

Norton Healthcare

🇺🇸

Louisville, Kentucky, United States

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