Local Ischemic Postconditioning in Acute Ischemic Stroke
- Conditions
- Acute Ischemic StrokeMechanical ThrombectomyIschemic PostconditioningBrain EdemaNeuroprotection
- Registration Number
- NCT06526429
- Lead Sponsor
- Shanghai Jiao Tong University Affiliated Sixth People's Hospital
- Brief Summary
Not available
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- Not yet recruiting
- Sex
- All
- Target Recruitment
- 60
Inclusion Criteria:<br><br> - Age = 18 years old<br><br> - Presenting with symptoms and signs consistent with acute anterior circulation<br> ischemic stroke<br><br> - Pre-stroke modified Rankin Score 0-1<br><br> - Baseline National Institute of Health Stroke Scale (NIHSS) score=6<br><br> - Endovascular treatment can be initiated (femoral puncture) within 24 hours from<br> stroke onset (stroke onset time is defined as last known well time)<br><br> - Occlusion of the intracranial internal carotid artery, or the middle cerebral artery<br> (MCA) (M1 or M2) and is the culprit artery<br><br> - Ischemic core volume is < 70 ml, mismatch ratio is >1.8 and mismatch volume is >15<br> ml as determined by CT perfusion imaging<br><br> - Embolism verified as the etiology of occluded artery and modified Thrombolysis in<br> Cerebral Infarction Score (mTICI) 2b or 3 achieved after mechanical thrombectomy.<br><br> - Time from CT perfusion to reperfusion < 2 hours<br><br> - Informed consent signed<br><br>Exclusion Criteria:<br><br> - Stenosis of the proximal middle cerebral artery, internal carotid artery, or common<br> carotid artery (=50%) of the culprit artery<br><br> - Evidence of internal carotid artery lesion that precludes the access and application<br> of balloon guide catheter<br><br> - Multiple vascular embolism on different pathways (e.g., bilateral MCA occlusions, or<br> an MCA and a basilar artery occlusion)<br><br> - Pre ischemic stroke within past 3 months<br><br> - The expected survival time is less than 6 months, could not be followed at 90 days<br> (such as patient with malignant tumor)<br><br> - Currently pregnant, mental disease, advanced hepatic and renal insufficiency, severe<br> heart failure<br><br> - Participation in other interventional randomized clinical trials that may confound<br> the outcome assessment of the trial<br><br> - Other circumstances that the investigator considers inappropriate for this trial
Not provided
Study & Design
- Study Type
- Interventional
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method Incidence of Treatment-Emergent Adverse Events
- Secondary Outcome Measures
Name Time Method