ChiCTR-TRC-06000689招募中2 期
Early stent-assisted angioplasty in symptomatic intracranial stenosis (ESASIS)
Division of Neurology, Department of Medicine and Therapeutics; Prince of Wales Hospital, The Chinese University of Hong Kong; and Vascular and Intervention Radiology Foundation1 个研究点 分布在 1 个国家目标入组 200 人开始时间: 2006年12月1日最近更新:
试验速览
- 阶段
- 2 期
- 状态
- 招募中
- 发起方
- 入组人数
- 200
- 试验地点
- 1
研究概览
简要总结
Early stent-assisted angioplasty in symptomatic intracranial stenosis (ESASIS)
研究设计
- 研究类型
- Interventional
- 主要目的
- 随机平行对照
- 盲法
- None
入排标准
- 年龄范围
- 18 至 80(—)
- 性别
- All
入选标准
- •Patient is at least 18 to 80 years of age, inclusive;
- •Acute ischemic stroke (within 4 weeks) attributable to a >70% stenosis of an intracranial artery (i.e. C6/7 internal carotid artery, M1 middle cerebral artery, V4 vertebral artery, or basilar artery) evidenced in DSA;
- •The target intracranial artery has a normal diameter of 2.00 mm to 4.5 mm; and the target area of stenosis is less than or equal to 14 mm in length;
- •A modified Rankin score of <3;
- •Patient understands the purpose and requirements of the study, can make him/herself understood, and has provided informed consent.
排除标准
- •Any medical condition that would not allow the patient to adhere to the protocol or complete the study;
- •Patients for whom the required medications for the study are contra-indicated;
- •Brain infarct within previous 30 days of enrollment that is of sufficient size (> 5 cms) to be at risk of hemorrhagic conversion during or after stenting;
- •Active peptic ulcer disease, history of intracerebral (parenchymal) hemorrhage, major systemic hemorrhage within 30 days, active bleeding diathesis, platelets <100,000, hematocrit <30, INR >1.5, clotting factor abnormality that increases the risk of bleeding, alcohol or substance abuse, uncontrolled severe hypertension (systolic pressure > 180 mm Hg or diastolic pressure > 115mm Hg), severe liver impairment (SGOT > 3 x normal, cirrhosis), creatinine > 3.0 (unless on dialysis);
- •Stroke etiology other than intracranial atherosclerosis, such as cardioembolism (atrial fibrillation, prosthetic heart valve, myocardial infarction within 6 weeks, mitral stenosis, intracardiac clot, bacterial endocarditis, or ventricular aneurysm), or a tandem high-grade (>70%) proximal extra-cranial carotid or vertebral stenosis;
- •Non-atherosclerotic intracranial stenosis, such as MoyaMoya disease, fibromuscular dysplasia, vasculitis or dissection;
- •Women who are pregnant or intend to become pregnant during the study;
- •Known intracranial tumor, arterio-venous malformation or aneurysm;
- •Life expectancy less than one year;
- •Previous intracranial stenting of the target artery;
- •Major surgical operation within the past 30 days.
研究组 & 干预措施
Two groups
early adjunctive stenting vs medical therapy alone, followed up for 12 months
研究者
研究点 (1)
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