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Mechanical Recanalization With Flow Restoration in Acute Ischemic Stroke

Phase 2
Completed
Conditions
Acute Stroke
Registration Number
NCT01210729
Lead Sponsor
Universität des Saarlandes
Brief Summary

The objective of this study is to collect data on the use of the SOLITAIR FR device for treatment of acute ischemic stroke with large artery occlusion i.e. to investigate, whether the application of SOLITAIR is a safe and feasible method for interventional recanalization of large vessels with favorable patient outcome in acute stroke therapy.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
40
Inclusion Criteria
  • Age 18-85 years
  • Acute ischemic stroke with occlusion if ICA, MCA, VA or BA (TICI 0 or 1 flow) within the first 6 hours
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Exclusion Criteria
  • Rapidly improving neurological signs
  • NHISS>30 or coma
  • Female patients, who are pregnant or lactating
  • Use of warfarin anticoagulation with INR > 1.5
  • Platelet count < 30,000
  • Glucose < 50 mg/dL
  • Life expectancy of less than 90 days
  • Computed tomography (CT) or Magnetic Resonance Imaging (MRI) evidence of hemorrhage on presentation
  • CT showing hypodensity on presentation
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Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Primary Outcome Measures
NameTimeMethod
Overall frequency of favourable clinical outcome (modified Rankin Scale 0 to 2), and unfavourable clinical outcome or death (modified Rankin Scale 3 to 6)Day 90
Secondary Outcome Measures
NameTimeMethod
Excellent functional clinical outcome (modified Rankin Scale 0 or 1)Day 90
All causes of mortalityDay 90
Proportion of patients with rapid neurological improvement (more than 4 points on the NIHSS) during the first 24 hours after treatment.Day 1
Symptomatic intracranial haemorrhages up to 24 hours after treatment defined as homogeneous areas of haemorrhage, with or without mass effect or intraventricular extension with neurological deteriorationDay 1
Time between arterial puncture and Flow RestorationDay 0
Time between arterial puncture and TICI 2b or 3 recanalizationDay 0
Arterial recanalization of occluded target vessel measured by Thrombolysis in Cerebral Infarction (TICI)score of 2b or 3 following the use of the SOLITAIRE FR DeviceDay 0
Number of SOLITAIRE device runs until recanalizationDay 0
Number of patients with and degree of stenosis in the treated artery 90 days after recanalization with SOLITAIREDay 90
Number of patients in which thrombus material was preservedDay 0
Histological examination of the thrombus material in correlation with TICI 2b or 3 recanalization and favorable clinical outcomeDay 1
Overall frequency of modified Rankin Scale 0 to 2 at 30 daysDay 30

Trial Locations

Locations (1)

Department of diagnostic and interventional Neuroradiology

🇩🇪

Homburg, Saarland, Germany

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