the Clinic Registration Study of Carotid Stenosis Revascularization
试验速览
- 阶段
- 不适用
- 入组人数
- 2,100
- 试验地点
- 1
- 主要终点
- The participants who suffer from ipsilateral stroke(ischemic or hemorrhagic) or death beyond 30 days to 12 months after any revascularization procedure.
研究概览
简要总结
Investigate the current situation of carotid stenosis therapy in China. Establish the data bank of carotid stenosis revascularization (CAS and CEA) in China ,in order to get best quality control of the therapy, as well as confirm the standard treatment for carotid stenosis.
Understand situation about the adverse events occurs after the revascularization (CAS and CEA), evaluate the health economics .
详细描述
The carotid stenosis was one of the higher risk of the ischemia stroke in China.In the mean time ,more and more people accept revascularization because of carotid stenosis.NASCAT indicated that CEA is the "golden standard" of the therapy of the carotid stenosis.But in china , case the opposite,only little patient receive CEA,on the other hand , most patients received angioplasty.
Expected no less than 2100 cases within 2 years for the whole study. We choose 39 hospitals whose experienced in CAS or/and CEA spread all over the country as multiple centers for this clinic registration study. All cases inclusion must be continuously registration.
The subject choice:All registered patients must be signed informed consent to register for non intrusive research this study ,the researchers during the study period should be continuous registration in patients undergoing surgical treatment of carotid stenosis, to ensure that the selected participants reflect the target patient population.
Medical Center choice: This research for the study of the registration, therefore, when the choice, all the medical center will be based on market research data.
Primary endpoint or the main aim of this registration study is to observe the following details:
研究设计
- 研究类型
- Observational
- 观察模型
- Case Only
- 时间视角
- Prospective
入排标准
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •all the consecutive cases of carotid stenosis which received CEA or/and CAS in central hospital during the study(upto 2015).
排除标准
- •the cases of carotid stenosis which received CEA or/and CAS in other hospital(not enroll this study) will be exclusion.
结局指标
主要结局
The participants who suffer from ipsilateral stroke(ischemic or hemorrhagic) or death beyond 30 days to 12 months after any revascularization procedure.
时间窗: beyond 30 days to 12 months
The participants who suffer from ipsilateral stroke(ischemic or hemorrhagic) or death beyond 30 days to 12 months after any revascularization procedure.
The participants who suffer from stroke(ischemic or hemorrhagic), death or cardiovascular events within 30 days after any revascularization procedure.
时间窗: 30 days
The participants who suffer from stroke(ischemic or hemorrhagic), death or cardiovascular events within 30 days after any revascularization procedure.
次要结局
- Patient survival after 12 months(12 months)
- Success rate of any procedure (CAS or CEA)(1 days)
- postoperative complications, including hyperperfusion syndrome,TIA, ipsilateral infarction, vascular dissection and other adverse events.(7 days)
- To observe the rate of restenosis during follow-up.(12 months)
- Stroke in patients with TIA mainly heart attacks and other cardiovascular events during follow-up.(12 months)
- Changes of the patients with mRS NIHSS Barthel Index score(12 months)
- Postoperative patients with drug use(12 months)
- Patients hospitalized cost(5-7 days)