Prediction of Carotid Occlusion Intolerance by Transcranial Doppler Evaluation in Patients Undergoing Carotid Artery Stenting With Proximal Flow Arrest Protection System.

NCT ID: NCT01922609

Last Updated: 2013-08-14

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

UNKNOWN

Total Enrollment

30 participants

Study Classification

OBSERVATIONAL

Study Start Date

2013-05-31

Brief Summary

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The aim of this observational pilot study is to determine whether intolerance of carotid occlusion during carotid artery stenting can be predicted with preprocedural transcranial Doppler evaluation.

Detailed Description

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Carotid artery stenting procedures are increasingly performed with devices that involve endovascular clamping of the common carotid artery, thus exposing the ipsilateral hemisphere to hypoperfusion. Approximately 5% of patients do not tolerate the clamp and are in increased risk of periprocedural cerebrovascular complication such as transient ischemic attack or stroke. To date, there is no method available that could be used to predict the risk of occlusion intolerance. The aim of this study is to determine whether preprocedural evaluation with transcranial Doppler ultrasonography can be effective in prediction of occlusion intolerance.

Conditions

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Carotid Occlusion Intolerance

Keywords

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Carotid stenting Proximal protection system Transcranial Doppler ultrasound Cerebrovascular reserve

Study Design

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Observational Model Type

CASE_CONTROL

Study Time Perspective

CROSS_SECTIONAL

Study Groups

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Normal cerebrovascular reserve

Patients without preprocedural TCD signs of impaired cerebrovascular reserve

No interventions assigned to this group

Impaired cerebrovascular reserve

Patients with preprocedural TCD signs of impaired cerebrovascular reserve

No interventions assigned to this group

Eligibility Criteria

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Inclusion Criteria

* Either \>50% symptomatic carotid artery stenosis (transient ischemic attack or ischemic stroke within 6 months before procedure) or \>70% asymptomatic carotid artery stenosis eligible for carotid artery stenting with proximal flow arrest protection
* Signed informed consent

Exclusion Criteria

* Disagreement to be included in the study
* Inadequate acoustic window for transcranial Doppler ultrasound monitoring
* Carotid occlusion
* Significant extracranial artery stenosis (\>50%) other than target artery
* Inability to hold breath for sufficient time (approximately 30s)
Minimum Eligible Age

19 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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University Hospital, Motol

OTHER

Sponsor Role lead

Responsible Party

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Miloslav Spacek, MD

Miloslav Spacek, MD

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Miloslav Spacek, MD

Role: PRINCIPAL_INVESTIGATOR

Department of cardiology, University Hospital Motol

Josef Veselka, MD, PhD

Role: STUDY_CHAIR

Department of cardiology, University Hospital Motol

Locations

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Department of Cardiology, University Hospital Motol

Prague, Czech Republic, Czechia

Site Status RECRUITING

Countries

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Czechia

Facility Contacts

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Miloslav Spacek, MD

Role: primary

Other Identifiers

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EK-1075/13

Identifier Type: -

Identifier Source: org_study_id