Vascular Surgery Department of Beijing Tsinghua Chang Gung Hospital
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 50
- 试验地点
- 1
- 主要终点
- the incidence of ischemia shock
研究概览
简要总结
OBJECTIVE/BACKGROUND: Intraplaque neovascularization is one of the most important risk factors for unstable carotid plaque. This study was designed to evaluate whether carotid intraplaque neovascularization (IPN) can be accurately assessed by contrast enhanced ultrasound (CEUS).
METHODS: Preoperative CEUS analysis of 50 carotid artery stenosis patients would be compared to histopathology performed on their plaques excised by carotid endarterectomy (CEA) with CD34 and MMP9 staining.
详细描述
- To enroll 50 cases of patients suffering from carotid artery stenosis continuously, the investigators perform contrast enhanced ultrasound on patients for identifying the vulnerable plagues and taking high resolution MR inspection to analysis those plagues at the same time.
- All patients undergo carotid endarterectomy. The vulnerable ingredients of carotid plaques such as intraplaque neovascularization and bleeding are identified by pathological examination and immunohistochemical staining.
- To evaluate the accuracy of CEUS for identifying carotid vulnerable plague compared with high resolution MR.
- The investigators divide patients into the stable group and the vulnerable group based on the results of CEUS inspection. To analysis the incidence of postoperative complications such as stroke and mortality within 30 days and to compare the differences between the two groups.
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Prospective
入排标准
- 年龄范围
- 50 Years 至 80 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •The patients with ischemic symptom whose carotid stenosis were more than 50%
- •The patients without ischemic symptom whose carotid stenosis were more than 70%
排除标准
- •Confirmed with severe intracranial vascular lesions
- •Suffering from the large area cerebral infarction or critical stroke sequela
- •Restenosis after CEA or CAS
- •Suffering from severe coronary heart disease, respiratory failure,the hypertension difficult to controled
- •Patients with malignant tumor or expected life < 2 years
结局指标
主要结局
the incidence of ischemia shock
时间窗: within 30 days after operations
The incidence of ischemic stroke was defined as the number of cases of postoperative cerebral infarction divided by the total number of cases
次要结局
- the incidence of restenosis(6 months after operations)
- the incidence of all-cause mortality(within 30 days after operations)
研究者
Keqiang Zhao
Attending Doctor
Beijing Tsinghua Chang Gung Hospital