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Local Ischemic Postconditioning in Acute Ischemic Stroke

Not Applicable
Not yet recruiting
Conditions
Acute Ischemic Stroke
Mechanical Thrombectomy
Ischemic Postconditioning
Brain Edema
Neuroprotection
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

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

Exclusion Criteria

Not provided

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Incidence of Treatment-Emergent Adverse Events
Secondary Outcome Measures
NameTimeMethod
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