NL-OMON24360招募中不适用
Cohort study for the treatment of unruptured intracranial aneurysms with flow diverters
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 发起方
- Radboudumc
- 入组人数
- 83
研究概览
简要总结
暂无简介。
研究设计
- 研究类型
- Observational
入排标准
入选标准
- •Suitability for FD treatment or alternative treatment will be identified according to the following inclusion criteria:
- •- unruptured intracranial aneurysm of internal carotid artery;
- •- unfavourable dome neck configuration (=2), or neck =4 mm, or maximum aneurysm diameter =10 mm; or tandem aneurysms with any configuration; multisegmental disease;
- •- =18 years;
- •- modified Rankin Scale (mRS) =2;
- •- patients willing to provide written informed consent and comply with follow up requirements.
- •Patients eligible for FD but treated otherwise in the Radboudumc and patients eligible for this study and treated with FD in other centres should also be included in the study. A registry will be kept of patients treated with FD who did not meet the inclusion criteria for this study.
排除标准
- •- intracranial hemorrhage within 30 days;
- •- presence of untreated ruptured intracranial aneurysm;
- •- =1 intracranial aneurysm except the target one which requires treatment within 12 months;
- •- contra-indication for dual antiplatelet therapy;
- •- known allergy or inadequate response to aspirin, heparin, clopidogrel, ticagrelor or prasugrel, other anti-platelet or P2Y12 agents or to general anesthesia (platelet reactivity will be assessed prior to the inclusion in patients who require anti-platelet or P2Y12 agents following the treatment);
- •- bifurcation aneurysm (e.g. pcom aneurysm with fetal or intermediate configuration where pcom cannot be occluded);
- •- immunosuppressive disease;
- •- active infectious disease (e.g. endocarditis, meningitis);
- •- platelet count < 100 x 103 cells/mm3 or known platelet dysfunction at time of enrollment;
- •- female of child-bearing potential who are unable to take adequate contraceptive precautions, are known to be pregnant, or are currently breastfeeding an infant;
- •- intracranial aneurysm correlating to arteriovenous malformation, dissecting aneurysms;
- •- patient with another unrelated intracranial disease and patients with any type of malignancy;
- •- major surgery within previous 30 days or planned in the next 120 days after enrolment;
- •- patient with a periprocedural International Normalized Ratio (INR)= 1.5;
- •- patient with any condition that, in the opinion of the treating physician, would place the participant at a high risk of embolic stroke or with any medical co-morbidity likely to affect the outcome (e.g. pulmonary disease, uncontrolled diabetes, protrombotic conditions, e.g. factor 5 Leiden);
- •- patient with a life threatening allergy to iodinated contrast media (patients with itching or rash as a reaction to contrast can be included if properly prophylactically treated);
- •- patient who is currently participating in another clinical research study involving an investigational product;
- •- stenting, angioplasty, or endarterectomy of an extracranial (carotid or vertebral artery) or intracranial artery within 30 days prior to the treatment date;
- •- unstable neurological deficit (i.e. worsening or improvement of clinical condition in the last 30 days unrelated to the aneurysm);
- •- patient who has participated in a drug study within the last 30 days;
- •- inability to understand the study or history of non-compliance with medical advice;
- •- patient who has had a previous intracranial procedure associated with the target aneurysm such that access and placement of an investigational device would be compromised.
研究者
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