NL-OMON47429
Recruiting
Phase 4
Asymptomatic Carotid Surgery Trial -2 (ACST-2). A randomised trial to compare CEA versus CAS to prevent stroke. - Asymptomatic carotid surgery trial - 2.
Overview
- Phase
- Phase 4
- Intervention
- Not specified
- Conditions
- carotid artery stenosis
- Sponsor
- niversity of Oxford
- Enrollment
- 100
- Status
- Recruiting
- Last Updated
- last year
Overview
Brief Summary
No summary available.
Investigators
Eligibility Criteria
Inclusion Criteria
- •1\.Unilateral or bilateral carotid artery stenosis appropriate for surgery or stenting
- •2\.patients'carotid stenosis has not caused symptoms for at least 6 months
- •3\. the patient is fit for, and willing to have carotid surgery or stenting and accessible for follow\-up, with no knwon illness preventing long\-term follow\-up.
- •4\. there is substantial uncertainty about whether the patient is better by surgery or stenting.
Exclusion Criteria
- •Reasons for not entering patients into the trial are specified by the responsible collaborator, not by the protocol, but include:
- •1\) a small likelihood of worthwhile benefit such as low risk of cerebral infarction from a smooth calcified carotid plaque not causing significant stenosis or some major life threatening disease other than stroke.
- •2\) a high risk of adverse effects of trial treatment such as recent acute myocardial infacrtion or intracerebral neoplasia or aneurysm.
- •3\)those found unsuitable for stenting or surgery after angiography (e.g. because the lesion is surgically inaccessible or because the aortic arch anatomy is difficult for stenting access).
- •4\)re\-narrowing of the artery following previous CEA or stent.
- •5\) patients with a likely cardiac source of emboli
- •6\)patients unable or unwilling to give informed consent.
Outcomes
Primary Outcomes
Not specified
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