Role of the Type of Carotid Stent and Cerebral Protection on Cerebral Microembolization During Carotid Artery Stenting. A Randomized Study Comparing Carotid Wallstent vs Roadsaver® Stent and Distal vs Proximal Protection.

NCT ID: NCT02915328

Last Updated: 2016-09-27

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

Clinical Phase

NA

Total Enrollment

100 participants

Study Classification

INTERVENTIONAL

Study Start Date

2016-04-30

Study Completion Date

2018-04-30

Brief Summary

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Stenting is an alternative to traditional surgery in the treatment of carotid stenosis.The intra and/or postprocedural cerebral embolization remains the most frequent complication.

The type of carotid stent and of cerebral protection are the two most important variables potentially affecting the rate of cerebral microembolization. So far there no consensus on the the best stent and cerebral protection.

Detailed Description

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Conditions

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Carotid Stenosis

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Stent Roadsaver® +Filterwire EZ™

The arm assess the efficacy of the combination of the stent Roadsaver® with the Filterwire EZ™ protection

Group Type EXPERIMENTAL

Filterwire EZ™

Intervention Type DEVICE

Stent Roadsaver®

Intervention Type DEVICE

Stent Roadsaver® + MO.MA Ultra

The arm assess the efficacy of the combination of the stent Roadsaver® with the MO.MA Ultra protection

Group Type EXPERIMENTAL

MO.MA Ultra

Intervention Type DEVICE

Stent Roadsaver®

Intervention Type DEVICE

Carotid Wallstent +MO.MA Ultra

The arm assess the efficacy of the combination of the Carotid Wallstent with the MO.MA Ultra protection

Group Type EXPERIMENTAL

MO.MA Ultra

Intervention Type DEVICE

Carotid Wallstent

Intervention Type DEVICE

Carotid Wallstent + Filterwire EZ™

The arm assess the efficacy of the combination of the Carotid Wallstent with the Filterwire EZ™ protection

Group Type EXPERIMENTAL

Filterwire EZ™

Intervention Type DEVICE

Carotid Wallstent

Intervention Type DEVICE

Interventions

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Filterwire EZ™

Intervention Type DEVICE

MO.MA Ultra

Intervention Type DEVICE

Stent Roadsaver®

Intervention Type DEVICE

Carotid Wallstent

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

significant, unilateral carotid artery stenosis with soft plaque defined as:

* symptomatic patients: \> 1.3 m/sec peak systolic velocity and \> 50% diameter stenosis by Doppler ultrasound and \< 60 hounsfield unit by CT angiography
* asymptomatic patients \> 2.5 m/sec peak systolic velocity and \> 70% diameter stenosis by Doppler ultrasound and \< 60 hounsfield unit by CT angiography

Exclusion Criteria

* severe cerebral vasculopathy with cognitive impairment
* contraindication to double antiplatelet treatment
* controlateral carotid occlusion
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Centro Cardiologico Monzino

OTHER

Sponsor Role lead

Responsible Party

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Piero Montorsi

MD

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Piero Montorsi, MD

Role: PRINCIPAL_INVESTIGATOR

Centro Cardiologico Monzino, IRCCS

Locations

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Centro Cardiologico Monzino, IRCCS

Milan, MI, Italy

Site Status RECRUITING

Countries

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Italy

Central Contacts

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Piero Montorsi, MD

Role: CONTACT

0039 0258002 ext. 576

Stefano Galli, MD

Role: CONTACT

0039 02 58002 ext. 533

Facility Contacts

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Piero Montorsi, MD

Role: primary

0038 0258002 ext. 576

Stefano Galli, MD

Role: backup

0038 0258002 ext. 533

References

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Montorsi P, Caputi L, Galli S, Ravagnani PM, Teruzzi G, Annoni A, Calligaris G, Fabbiocchi F, Trabattoni D, de Martini S, Grancini L, Pontone G, Andreini D, Troiano S, Restelli D, Bartorelli AL. Carotid Wallstent Versus Roadsaver Stent and Distal Versus Proximal Protection on Cerebral Microembolization During Carotid Artery Stenting. JACC Cardiovasc Interv. 2020 Feb 24;13(4):403-414. doi: 10.1016/j.jcin.2019.09.007. Epub 2020 Jan 29.

Reference Type DERIVED
PMID: 32007460 (View on PubMed)

Other Identifiers

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R323/15 - CCM334

Identifier Type: -

Identifier Source: org_study_id

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