CT Based Definition of a Tissue Window for Acute Stroke Thrombolysis
NCT ID: NCT00463281
Last Updated: 2009-05-14
Study Results
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Basic Information
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COMPLETED
100 participants
OBSERVATIONAL
2007-01-31
2009-01-31
Brief Summary
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1. patients with a "tissue window" (favourable non-contrast CT (NCCT) scan and an intracranial occlusion on CT angiography (CTA) or perfusion-CT-mismatch" (area of reduced cerebral blood flow (CBF) \> area of reduced cerebral blood volume (CBV)) represent a significant proportion (\> 20%)of acute stroke patients and therefore are an important target group for future interventional studies
2. patients with a "tissue window" suffer an unfavourable outcome (\> 50 % mRS =\>4 at 3 months)if the occluded artery was not recanalized.
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Detailed Description
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Conditions
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Study Design
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COHORT
PROSPECTIVE
Eligibility Criteria
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Inclusion Criteria
* last seen normal \< 12 hours
* stroke severity =\> 3 on the National Institute of Health Stroke Scale
* multimodal CT stroke protocol performed
* informed consent obtained
Exclusion Criteria
* contraindications to contrast media application
* pregnancy or breast feeding
* subacute stroke \> 50 % of MCA territory
* CT evidence of non-vascular cause of stroke symptoms
18 Years
ALL
No
Sponsors
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Technische Universität Dresden
OTHER
Responsible Party
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University of Dresden
Principal Investigators
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Imanuel Dzialowski, MD
Role: PRINCIPAL_INVESTIGATOR
University of Dresden, Dept of Neurology
Locations
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University of Dresden, Dept of Neurology
Dresden, , Germany
Countries
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References
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Pepper EM, Parsons MW, Bateman GA, Levi CR. CT perfusion source images improve identification of early ischaemic change in hyperacute stroke. J Clin Neurosci. 2006 Feb;13(2):199-205. doi: 10.1016/j.jocn.2005.03.030. Epub 2006 Feb 3.
Parsons MW, Pepper EM, Bateman GA, Wang Y, Levi CR. Identification of the penumbra and infarct core on hyperacute noncontrast and perfusion CT. Neurology. 2007 Mar 6;68(10):730-6. doi: 10.1212/01.wnl.0000256366.86353.ff.
Hill MD, Rowley HA, Adler F, Eliasziw M, Furlan A, Higashida RT, Wechsler LR, Roberts HC, Dillon WP, Fischbein NJ, Firszt CM, Schulz GA, Buchan AM; PROACT-II Investigators. Selection of acute ischemic stroke patients for intra-arterial thrombolysis with pro-urokinase by using ASPECTS. Stroke. 2003 Aug;34(8):1925-31. doi: 10.1161/01.STR.0000082483.37127.D0. Epub 2003 Jul 3.
Other Identifiers
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23211204
Identifier Type: -
Identifier Source: org_study_id
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