Reconstruction of the Carotid Bifurcation in Patients With Arterial Hypertension of 2-3 Degrees
NCT ID: NCT05931003
Last Updated: 2024-12-16
Study Results
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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ACTIVE_NOT_RECRUITING
NA
90 participants
INTERVENTIONAL
2022-07-01
2026-09-01
Brief Summary
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Detailed Description
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Tasks:
1. To study the course of hypertension after carotid endarterectomy with removal of the carotid glomus.
2. To study the course of hypertension in patients after stenting of the internal carotid artery.
3. To substantiate the strategy for performing carotid endarterectomy in patients with bilateral significant lesions of the internal carotid artery.
4. To substantiate the choice of a surgical treatment strategy in patients with significant stenosis of the carotid bifurcation and 2-3 degree of hypertension.
Methods for examining patients: collection of complaints and anamnesis, objective examination, questioning of patients, instrumental examination (ultrasound of BCS, daily monitoring of blood pressure, CT of the brain, cerebral angiography).
As a result of the study, the optimal tactics of surgical treatment in patients with carotid artery stenosis and the presence of hypertension will be determined.
Conditions
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Keywords
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Study Design
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RANDOMIZED
PARALLEL
TREATMENT
NONE
Study Groups
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Carotid artery stenting
Carotid artery stenting
Carotid stenting
In carotid stenting, a long, hollow tube (catheter) is threaded through the arteries to the narrowed carotid artery in the neck. A metal mesh tube (stent) is inserted into the vessel to serve as a scaffold that helps prevent the artery from narrowing again. The catheter and the filter - which catches any debris that may break off during the procedure - are removed.
Carotid endarterectomy
Carotid endarterectomy
Carotid endarterectomy
Carotid endarterectomy is a procedure to treat carotid artery disease. In carotid endarterectomy receive general anesthesia. Surgeon makes an incision along the front of your neck, opens your carotid artery and removes the plaques that are clogging artery. Then, surgeon repairs the artery with stitches or a patch made with a vein or artificial material (patch graft).
Sometimes surgeons may use another technique called eversion carotid endarterectomy. This involves cutting the carotid artery and turning it inside out, then removing the plaque. Surgeon then reattaches the artery.
Interventions
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Carotid stenting
In carotid stenting, a long, hollow tube (catheter) is threaded through the arteries to the narrowed carotid artery in the neck. A metal mesh tube (stent) is inserted into the vessel to serve as a scaffold that helps prevent the artery from narrowing again. The catheter and the filter - which catches any debris that may break off during the procedure - are removed.
Carotid endarterectomy
Carotid endarterectomy is a procedure to treat carotid artery disease. In carotid endarterectomy receive general anesthesia. Surgeon makes an incision along the front of your neck, opens your carotid artery and removes the plaques that are clogging artery. Then, surgeon repairs the artery with stitches or a patch made with a vein or artificial material (patch graft).
Sometimes surgeons may use another technique called eversion carotid endarterectomy. This involves cutting the carotid artery and turning it inside out, then removing the plaque. Surgeon then reattaches the artery.
Eligibility Criteria
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Inclusion Criteria
* Arterial hypertension of 2 or 3 degrees
* CEA operation with carotid glomus removal or ICA stenting operation
Exclusion Criteria
* traumatic brain injury in history
* IHD, stable angina pectoris 3-4 FC.
* presence of clinical signs of vertebrobasilar insufficiency
* the presence of significant stenosis of the renal arteries
* CKD stages 3b-5
18 Years
ALL
No
Sponsors
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Samara State Medical University
OTHER
Responsible Party
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Locations
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Samara State Medical University
Samara, , Russia
Countries
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Related Links
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ARTERIAL HYPERTENSION AFTER CAROTID ENDARTERECTOMY AND INTERNAL CAROTID ARTERY STENTING
Other Identifiers
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Hypertension_after_CEA_or_CAS
Identifier Type: -
Identifier Source: org_study_id