The Efficacy and Safety Study for Endovascular Treatment of Symptomatic Intracranial Atherosclerotic Stenosis Using Neurovascular Drug-Eluting Balloon Dilatation Catheter: A Prospective Multicentre Single-arm Trial
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Intracranial Atherosclerosis
- Sponsor
- Zhejiang Zylox Medical Device Co., Ltd.
- Enrollment
- 132
- Locations
- 11
- Primary Endpoint
- Restenosis rate of the target lesion
- Status
- Active, not recruiting
- Last Updated
- 3 years ago
Overview
Brief Summary
This is a trial designed to test the efficacy and safety of the Neurovascular Drug-Eluting Balloon Dilatation Catheter.
Detailed Description
This is a prospective multicentre single-arm trial conducted by 11 centers in mainland China. Approximately 132 subjects with symptomatic intracranial atherosclerotic stenosis receive endovascular treatment using the neurovascular drug-eluting balloon dilatation catheter designed by Zylox.
Investigators
Eligibility Criteria
Inclusion Criteria
- •Age 18 to 80 years, any gender;
- •Subject has symptomatic intracranial atherosclerotic stenosis that the degree of the artery stenosis is between 70% and 99% diagnosed by intracranial angiography;
- •The target stenotic artery locates in Internal Carotid Artery (intracranial segment), Middle Cerebral Artery (M1, M2), Basilar Artery, Vertebral Artery (intracranial segment);
- •Intracranial artery stenosis requiring interventional treatment is a single lesion;
- •Subject has at least two atherosclerosis risk factors including history or present hypertension, diabetes, hyperlipidemia, smoking, age\>45;
- •modified Rankin Scale(mRS) score≤2 before enrollment;
- •Subject or guardian is able to understand the purpose of study, agree to provide follow-up data and has provided written informed consent.
Exclusion Criteria
- •History of acute ischemic stroke within 2 weeks;
- •History of intracranial hemorrhage (including intraparenchymal hemorrhage, subarachnoid hemorrhage, subdural hemorrhage and epidural hemorrhage) within 3 months;
- •Hypertension uncontrolled by medicine (Systolic pressure≥180 mmHg or diastolic pressure≥110 mmHg continuously);
- •Combined with the intracranial tumor, aneurysm or intracranial arteriovenous malformation;
- •The length of intracranial artery stenosis \>10mm and extremely angulated \>90°, which indicated by angiography;
- •History of stent intervention within the target lesion;
- •Allergic to heparin, sirolimus (i.e. rapamycin), contrast agents, aspirin, clopidogrel, anesthetics;
- •History of gastrointestinal hemorrhage within 6 months before signing the informed consent form, which is unable to receive antiplatelet therapy;
- •Platelet (PLT)\<90\*10\^9/L;
- •Creatinine\>250 umol/L;
Outcomes
Primary Outcomes
Restenosis rate of the target lesion
Time Frame: 180+60 days
Subjects receive Digital Subtraction Angiography (DSA) / Computed Tomography Angiography (CTA) examination in 180 days to analyze whether the degree of stenosis is greater than or equal to 50%, if so, the target lesion restenosis happens.
Secondary Outcomes
- Success rate of surgery(Intraoperation)
- Average stenosis degree of the target lesion(180+60 days)
- Success rate of device(Intraoperation)