Revascularization of Extracranial Carotid Artery Stenosis

NCT ID: NCT01994187

Last Updated: 2013-11-25

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

2100 participants

Study Classification

OBSERVATIONAL

Study Start Date

2013-07-31

Study Completion Date

2015-06-30

Brief Summary

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Investigate the current situation of carotid stenosis therapy in China. Establish the data bank of carotid stenosis revascularization (CAS and CEA) in China ,in order to get best quality control of the therapy, as well as confirm the standard treatment for carotid stenosis.

Understand situation about the adverse events occurs after the revascularization (CAS and CEA), evaluate the health economics .

Detailed Description

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The carotid stenosis was one of the higher risk of the ischemia stroke in China.In the mean time ,more and more people accept revascularization because of carotid stenosis.NASCAT indicated that CEA is the "golden standard" of the therapy of the carotid stenosis.But in china , case the opposite,only little patient receive CEA,on the other hand , most patients received angioplasty.

Expected no less than 2100 cases within 2 years for the whole study. We choose 39 hospitals whose experienced in CAS or/and CEA spread all over the country as multiple centers for this clinic registration study. All cases inclusion must be continuously registration.

The subject choice:All registered patients must be signed informed consent to register for non intrusive research this study ,the researchers during the study period should be continuous registration in patients undergoing surgical treatment of carotid stenosis, to ensure that the selected participants reflect the target patient population.

Medical Center choice: This research for the study of the registration, therefore, when the choice, all the medical center will be based on market research data.

Primary endpoint or the main aim of this registration study is to observe the following details:

1. The participants who suffer from stroke(ischemic or hemorrhagic), death or cardiovascular events within 30 days after any revascularization procedure.
2. The participants who suffer from ipsilateral stroke(ischemic or hemorrhagic) or death beyond 30 days to 12 months after any revascularization procedure.

Secondary endpoint or the other aims of this registration study:

1. Success rate of any procedure (CAS or CEA).
2. postoperative complications, including hyperperfusion syndrome,TIA, ipsilateral infarction, vascular dissection and other adverse events.
3. To observe the rate of restenosis during follow-up.
4. Stroke in patients with TIA mainly heart attacks and other cardiovascular events during follow-up.
5. Changes of the patients with mRS NIHSS Barthel Index score.
6. Postoperative patients with drug use.
7. Patient survival after 12 months.
8. Patients hospitalized cost during follow-up.

This study does not need to be random. The study is expected to begin in July 2013 in the first, participants in the group stage for two years, to the end of June 2015 into the group of patients after surgery, follow-up of at least 12 months after the last case the participants into groups and followed up for 12 months, is expected to be completed in June 2015.

Conditions

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Carotid Stenosis Surgery Stroke

Keywords

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Carotid stenosis Angioplasty Carotid endarterectomy Stroke

Study Design

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Observational Model Type

CASE_ONLY

Study Time Perspective

PROSPECTIVE

Study Groups

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CAS or CEA

CAS:the patient who accepted carotid angioplasty due to catotid artery stenosis CEA:the patient who accepted carotid endarterectomy due to catotid artery stenosis

Carotid endarterectomy

Intervention Type PROCEDURE

carotid angioplasty

Intervention Type PROCEDURE

Interventions

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Carotid endarterectomy

Intervention Type PROCEDURE

carotid angioplasty

Intervention Type PROCEDURE

Other Intervention Names

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conventional carotid endarterectomy Eversion carotid endarterectomy carotid angioplasty with stent

Eligibility Criteria

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Inclusion Criteria

Inclusion Criteria:all the consecutive cases of carotid stenosis which received CEA or/and CAS in central hospital during the study(upto 2015).

Exclusion Criteria:the cases of carotid stenosis which received CEA or/and CAS in other hospital(not enroll this study) will be exclusion.
Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Xuanwu Hospital, Beijing

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Feng Ling, MD

Role: PRINCIPAL_INVESTIGATOR

Xuanwu Hospital, Capital University of Medical Sciences, Beijing, China

Locations

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Department of neurosurgery, Xuanwu hospital

Beijing, , China

Site Status RECRUITING

Countries

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China

Central Contacts

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Liqun Jiao, MD

Role: CONTACT

Phone: 86-1083198899

Email: [email protected]

Yanfei Chen, MD

Role: CONTACT

Phone: 86-1083198899

Email: [email protected]

Facility Contacts

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Jiao Li qun, MD

Role: primary

References

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Yang B, Ma Y, Wang T, Chen Y, Wang Y, Zhao Z, Chen D, Wang J, Xu X, Luo T, Hua Y, Ling F, Qureshi AI, Hong B, Jiao L; RECAS Trial Investigators. Carotid Endarterectomy and Stenting in a Chinese Population: Safety Outcome of the Revascularization of Extracranial Carotid Artery Stenosis Trial. Transl Stroke Res. 2021 Apr;12(2):239-247. doi: 10.1007/s12975-020-00835-8. Epub 2020 Jul 19.

Reference Type DERIVED
PMID: 32686047 (View on PubMed)

Other Identifiers

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XW125-S004

Identifier Type: -

Identifier Source: org_study_id