An International Registry of the Wingspan™ Stent System for the Treatment of Intracranial Atherosclerotic Stenosis

NCT ID: NCT00929383

Last Updated: 2014-06-17

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Total Enrollment

82 participants

Study Classification

OBSERVATIONAL

Study Start Date

2009-02-28

Study Completion Date

2013-03-31

Brief Summary

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The IRISS study is designed to collect clinical and angiographic outcomes data when stenting intracranial atherosclerotic lesions using the Wingspan™ Stent System with Gateway™ PTA Balloon Catheter in routine clinical practice.

Detailed Description

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The Wingspan™ Stent System and Gateway™ PTA Balloon Catheter have CE mark and are commonly used in Europe. All the data collected in this registry will be from patients treated according to the physician's choice, per instructions for use, per approved indications and per local standard of care. The results from this registry will provide an understanding of the use and outcomes associated with the Wingspan™ Stent in a real world setting.

Conditions

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Intracranial Atherosclerosis

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Interventions

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Wingspan Stent System with Gateway PTA Balloon Catheter

The Wingspan Stent System is used in conjunction with Gateway PTA Balloon Catheter to improve cerebral artery lumen diameter in patients with intracranial atherosclerotic disease.

The Gateway Balloon Catheter is indicated for balloon dilation of the stenotic portion of intracranial arteries prior to stenting the artery for the purpose of improving intracranial perfusion.

Intervention Type DEVICE

Other Intervention Names

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Wingspan™ Stent System 3.5F Delivery Catheter (pre-loaded with Wingspan™ Stent) Gateway™ Over-The-Wire PTA Balloon Catheter Rotating Hemostatic Valve

Eligibility Criteria

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Inclusion Criteria

* Symptomatic stenosis of one of those intracranial arteries: Internal carotid artery (ICA ), M1 segment of the MCA, V4 segment of vertebral artery, basilar artery
* A Modified Rankin Score of ≤ 3
* A target vessel diameter between 2mm and ≤ 4.5mm
* Length of the target lesion of ≤ 14 mm
* Patient older than 40 years old

Exclusion Criteria

* Patient previously stented at the target lesion
* Intracranial stenosis related to disease such as: arterial dissection, Moya Moya disease, vasculitis, radiation induced vasculopathy or fibromuscular dysplasia
* Complete occlusion of the artery on the imaging assessment
* Contraindications to antithrombotic and/or anticoagulant therapies
* Women who are pregnant or breast-feeding
* Patient not likely to be available for follow-up
* Patient protected by the law (safeguard of justice, supervision or trusteeship)
Minimum Eligible Age

41 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Stryker Neurovascular

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Emmanuel Houdart

Role: PRINCIPAL_INVESTIGATOR

Marius Hartmann

Role: PRINCIPAL_INVESTIGATOR

Locations

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Groupe Hospitalier Pellegrin

Bordeaux, , France

Site Status

CHU Dijon-Hopital General

Dijon, , France

Site Status

CHU Limoges

Limoges, , France

Site Status

Höpital Gui de Chauliac

Montpellier, , France

Site Status

CHU Hôpital Guillaume et René Laënnec

Nantes, , France

Site Status

Hôpital Saint-Roch

Nice, , France

Site Status

Hôpital Lariboisière

Paris, , France

Site Status

Fondation Rotschild

Paris, , France

Site Status

CHU Reims

Reims, , France

Site Status

CHU Toulouse

Toulouse, , France

Site Status

Klinikum Augsburg

Augsburg, , Germany

Site Status

Universitätsklinikum Dresden

Dresden, , Germany

Site Status

Universitätsklinikum Düsseldorf

Düsseldorf, , Germany

Site Status

Universitätsklinikum Erlangen

Erlangen, , Germany

Site Status

Universitätsklinikum Essen

Essen, , Germany

Site Status

Universitätsklinikum Freiburg

Freiburg im Breisgau, , Germany

Site Status

Asklepios Klinik Altona

Hamburg, , Germany

Site Status

Universitätsklinikum Heidelberg

Heidelberg, , Germany

Site Status

UKSH Campus Kiel

Kiel, , Germany

Site Status

Countries

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France Germany

References

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Sacco RL, Kargman DE, Gu Q, Zamanillo MC. Race-ethnicity and determinants of intracranial atherosclerotic cerebral infarction. The Northern Manhattan Stroke Study. Stroke. 1995 Jan;26(1):14-20. doi: 10.1161/01.str.26.1.14.

Reference Type BACKGROUND
PMID: 7839388 (View on PubMed)

EC/IC Bypass Study Group. Failure of extracranial-intracranial arterial bypass to reduce the risk of ischemic stroke. Results of an international randomized trial. N Engl J Med. 1985 Nov 7;313(19):1191-200. doi: 10.1056/NEJM198511073131904.

Reference Type BACKGROUND
PMID: 2865674 (View on PubMed)

Chimowitz MI, Lynn MJ, Howlett-Smith H, Stern BJ, Hertzberg VS, Frankel MR, Levine SR, Chaturvedi S, Kasner SE, Benesch CG, Sila CA, Jovin TG, Romano JG; Warfarin-Aspirin Symptomatic Intracranial Disease Trial Investigators. Comparison of warfarin and aspirin for symptomatic intracranial arterial stenosis. N Engl J Med. 2005 Mar 31;352(13):1305-16. doi: 10.1056/NEJMoa043033.

Reference Type BACKGROUND
PMID: 15800226 (View on PubMed)

Kasner SE, Chimowitz MI, Lynn MJ, Howlett-Smith H, Stern BJ, Hertzberg VS, Frankel MR, Levine SR, Chaturvedi S, Benesch CG, Sila CA, Jovin TG, Romano JG, Cloft HJ; Warfarin Aspirin Symptomatic Intracranial Disease Trial Investigators. Predictors of ischemic stroke in the territory of a symptomatic intracranial arterial stenosis. Circulation. 2006 Jan 31;113(4):555-63. doi: 10.1161/CIRCULATIONAHA.105.578229. Epub 2006 Jan 23.

Reference Type BACKGROUND
PMID: 16432056 (View on PubMed)

Connors JJ 3rd, Wojak JC. Percutaneous transluminal angioplasty for intracranial atherosclerotic lesions: evolution of technique and short-term results. J Neurosurg. 1999 Sep;91(3):415-23. doi: 10.3171/jns.1999.91.3.0415.

Reference Type BACKGROUND
PMID: 10470816 (View on PubMed)

Marks MP, Wojak JC, Al-Ali F, Jayaraman M, Marcellus ML, Connors JJ, Do HM. Angioplasty for symptomatic intracranial stenosis: clinical outcome. Stroke. 2006 Apr;37(4):1016-20. doi: 10.1161/01.STR.0000206142.03677.c2. Epub 2006 Feb 23.

Reference Type BACKGROUND
PMID: 16497979 (View on PubMed)

SSYLVIA Study Investigators. Stenting of Symptomatic Atherosclerotic Lesions in the Vertebral or Intracranial Arteries (SSYLVIA): study results. Stroke. 2004 Jun;35(6):1388-92. doi: 10.1161/01.STR.0000128708.86762.d6. Epub 2004 Apr 22.

Reference Type BACKGROUND
PMID: 15105508 (View on PubMed)

Wojak JC, Dunlap DC, Hargrave KR, DeAlvare LA, Culbertson HS, Connors JJ 3rd. Intracranial angioplasty and stenting: long-term results from a single center. AJNR Am J Neuroradiol. 2006 Oct;27(9):1882-92.

Reference Type BACKGROUND
PMID: 17032860 (View on PubMed)

Bose A, Hartmann M, Henkes H, Liu HM, Teng MM, Szikora I, Berlis A, Reul J, Yu SC, Forsting M, Lui M, Lim W, Sit SP. A novel, self-expanding, nitinol stent in medically refractory intracranial atherosclerotic stenoses: the Wingspan study. Stroke. 2007 May;38(5):1531-7. doi: 10.1161/STROKEAHA.106.477711. Epub 2007 Mar 29.

Reference Type BACKGROUND
PMID: 17395864 (View on PubMed)

Levy EI, Turk AS, Albuquerque FC, Niemann DB, Aagaard-Kienitz B, Pride L, Purdy P, Welch B, Woo H, Rasmussen PA, Hopkins LN, Masaryk TJ, McDougall CG, Fiorella DJ. Wingspan in-stent restenosis and thrombosis: incidence, clinical presentation, and management. Neurosurgery. 2007 Sep;61(3):644-50; discussion 650-1. doi: 10.1227/01.NEU.0000290914.24976.83.

Reference Type BACKGROUND
PMID: 17881980 (View on PubMed)

Zaidat OO, Klucznik R, Alexander MJ, Chaloupka J, Lutsep H, Barnwell S, Mawad M, Lane B, Lynn MJ, Chimowitz M; NIH Multi-center Wingspan Intracranial Stent Registry Study Group. The NIH registry on use of the Wingspan stent for symptomatic 70-99% intracranial arterial stenosis. Neurology. 2008 Apr 22;70(17):1518-24. doi: 10.1212/01.wnl.0000306308.08229.a3. Epub 2008 Jan 30.

Reference Type BACKGROUND
PMID: 18235078 (View on PubMed)

Fiorella D, Woo HH. Emerging endovascular therapies for symptomatic intracranial atherosclerotic disease. Stroke. 2007 Aug;38(8):2391-6. doi: 10.1161/STROKEAHA.107.482752. Epub 2007 Jun 21. No abstract available.

Reference Type BACKGROUND
PMID: 17585085 (View on PubMed)

Warfarin-Aspirin Symptomatic Intracranial Disease (WASID) Trial Investigators. Design, progress and challenges of a double-blind trial of warfarin versus aspirin for symptomatic intracranial arterial stenosis. Neuroepidemiology. 2003 Mar-Apr;22(2):106-17. doi: 10.1159/000068744. No abstract available.

Reference Type BACKGROUND
PMID: 12656117 (View on PubMed)

Samuels OB, Joseph GJ, Lynn MJ, Smith HA, Chimowitz MI. A standardized method for measuring intracranial arterial stenosis. AJNR Am J Neuroradiol. 2000 Apr;21(4):643-6.

Reference Type BACKGROUND
PMID: 10782772 (View on PubMed)

Other Identifiers

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IRISS

Identifier Type: -

Identifier Source: org_study_id

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