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Carotid Duplex Ultrasound for Selecting Patients for Endovascular Thrombectomy in Acute Stroke Patients

Not Applicable
Completed
Conditions
Stroke, Acute
Interventions
Procedure: After detection of occluded vessels by vascular imaging using carotid duplex ultrasound, digital subtraction angiography is immediately performed before acute endovascular treatment.
Registration Number
NCT02989376
Lead Sponsor
Ryo Itabashi
Brief Summary

The aim of this study is to address the usefulness of carotid duplex ultrasound as vascular imaging for selecting acute stroke patients for endovascular thrombectomy.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
40
Inclusion Criteria
  • Endovascular treatment can be initiated within 6 hours of symptom onset.
  • ASPECTS of >=6 is diagnosed by two or more stroke physicians.
  • The end diastolic velocity in the common carotid arteries or internal carotid artery is evaluated by carotid duplex ultrasound
  • NIHSS score of >=6.
  • Age>=18 years.
  • Written informed consent is obtained.
Exclusion Criteria
  • Pre-stroke modified Rankin Scale (mRS) score >=2.
  • Difficulties to evaluate ASPECTS on initial CT.
  • Difficulties to groin puncture.
  • History of severe allergic reaction to contrast medium.
  • End stage renal disease.

Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Arm && Interventions
GroupInterventionDescription
carotid duplex ultrasoundAfter detection of occluded vessels by vascular imaging using carotid duplex ultrasound, digital subtraction angiography is immediately performed before acute endovascular treatment.Single arm study. After detection of occluded vessels by vascular imaging using carotid duplex ultrasound, digital subtraction angiography is immediately performed before acute endovascular treatment.
Primary Outcome Measures
NameTimeMethod
modified Rankin Scaleat 90 days after onset
Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (1)

Kohnan hospital

🇯🇵

Sendai, Miyagi, Japan

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