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临床试验/ChiCTR-TRC-06000689
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

发起方
Division of Neurology, Department of Medicine and Therapeutics; Prince of Wales Hospital, The Chinese University of Hong Kong; and Vascular and Intervention Radiology Foundation

研究点 (1)

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