CT or MRI in Work up for i.v. Thrombolysis: a Single-centre Study
NCT02780843 · Status: COMPLETED · Phase: NA · Type: INTERVENTIONAL · Enrollment: 499
Last updated 2016-05-24
Summary
Acute stroke occurs in approximately 13.000 persons every year in Denmark, 10 - 15 % now receives intervenous thrombolytic therapy, which remains the most important acute treatment in ischaemic stroke. For more than a decade there has been an ongoing discussion if Computerized Tomography (CT) or Magnetic Resonance Imaging (MRI) were best before thrombolysis: Magnetic Resonance Imaging is superior in visualising ischaemia, but Computerized Tomography is quicker and more easily applicable.
In the investigators centre primary imaging in work up of acute stroke during working hours will alternate between Computerized Tomography and Magnetic Resonance Imaging days based on a fixed calendar for a 24 months period as a quality development project.
This study is planned to include patients who have acute stroke imagining during this period, a total of 600 patients is expected. The investigators will compare door-to-needle time, patient safety, quality of imaging, patients' experience, physicians' decision certainty, and use of recourses.
Conditions
- Acute Stroke
Interventions
- OTHER
-
Computerized Tomography
Standard Operational Plan at admission: CT and CT-angiography
- OTHER
-
Magnetic Resonance Imaging
Standard Operational Plan at admission: Diffusion Weighted Imaging (DWI), T2-FLAIR, Gradient and arterial Time-of Flight (TOF)
Sponsors & Collaborators
-
TRYG Foundation
collaborator OTHER -
Bispebjerg Hospital
lead OTHER
Principal Investigators
-
Hanne K Christensen, MD PhD DMSci · Department of Neurology, Bispebjerg University Hospital
Study Design
- Allocation
- RANDOMIZED
- Purpose
- DIAGNOSTIC
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2013-12-31
- Primary Completion
- 2016-01-31
- Completion
- 2016-01-31
Countries
- Denmark
Study Locations
More Related Trials
-
Assessment of One-shot Cardiac-cervical-intracranial MRI in the Etiological Work up of Ischemic Stroke and Transient Ischemic Attacks
NCT04790357 ·Status: UNKNOWN ·Phase: NA
-
Thrombolysis in stRoke With Unknown onSet Based on noncontrasT CT
NCT03634748 ·Status: COMPLETED
-
CT-Angiography Versus Angiogram as Ancillary Tests in the Determination of Death by Neurologic Criteria
NCT07341490 ·Status: RECRUITING
-
A Feasibility Study for Randomization of Code Stroke Imaging Strategies
NCT06270927 ·Status: ACTIVE_NOT_RECRUITING
-
MRI Biomarkers of Effective Tissue Reperfusion After Thrombectomy of an Acute Proximal Occlusion of the Anterior Circulation
NCT04952077 ·Status: UNKNOWN ·Phase: NA
-
Trenza Embolization Device for Intrasaccular Aneurysm Treatment
NCT04380350 ·Status: ACTIVE_NOT_RECRUITING
-
Cardiac CT Angiography in Patients With Acute Ischemic Stroke
NCT06176872 ·Status: NOT_YET_RECRUITING
-
Predictors of Outcome in t-PA Treated Stroke.
NCT01498042 ·Status: COMPLETED
-
Thrombus Imaging and Treatment Analytics in Neurology
NCT05663281 ·Status: RECRUITING
-
Clinical Mismatch in the Triage of Wake Up and Late Presenting Strokes Undergoing Neurointervention With Trevo
NCT02142283 ·Status: COMPLETED ·Phase: NA
-
The Impact of a Helicopter Emergency Medical System on Prognosis in Stroke Patients
NCT02576379 ·Status: COMPLETED
-
Rural CT Examination and Thrombolytic Treatment for Stroke
NCT03577847 ·Status: UNKNOWN
-
Hypothermia in Acute Stroke With Thrombolysis Imaging Evaluation of Revascularization
NCT01778855 ·Status: TERMINATED ·Phase: PHASE2/PHASE3
-
TReatment Strategy In Acute Ischemic larGE Vessel STROKE: Prioritize Thrombolysis or Endovascular Treatment
NCT03542188 ·Status: COMPLETED ·Phase: NA
-
Prehospital Management of Stroke Patients by Emergency Medical Services
NCT02191514 ·Status: COMPLETED
-
BELgian CT-perFUSion Study to Select Acute Stroke Patients for Thrombectomy
NCT05685043 ·Status: WITHDRAWN ·Phase: NA
-
Thromboelastometry and Ischemic Stroke (ThromboPredict)
NCT04870684 ·Status: UNKNOWN
-
r-tPA Thrombolytic Therapy in Combination With Remote Ischemic Conditioning for Acute Ischemic Stroke Recovery
NCT02886390 ·Status: UNKNOWN ·Phase: NA
-
Acute Stroke Thrombectomy: Does CT Perfusion Accurately Predict Infarct on MRI After Recanalization
NCT02988492 ·Status: COMPLETED ·Phase: NA
-
The Effect of Implementing Hyper-acute Stroke Guidelines on Decision-Making for or Against Thrombolytic Therapy for Stroke in the Emergency Department
NCT01050049 ·Status: COMPLETED
-
Optimized C-arm Cone Beam CT for the Endovascular Treatment (EVT) of Acute Stroke
NCT04774510 ·Status: COMPLETED ·Phase: NA
-
Thrombectomy in Patients Ineligible for iv tPA
NCT02135926 ·Status: TERMINATED ·Phase: NA
-
The Care of Stroke in Ziekenhuis Oost-Limburg
NCT03355690 ·Status: COMPLETED
-
Thrombus Composition in Ischemic Stroke: Analysis of the Correlation With Plasma Biomarkers, Efficacy of Treatment, Etiology and Prognosis
NCT03268668 ·Status: RECRUITING
-
Efficacy and Safety of Thrombectomy in Stroke With Extended Lesion and Extended Time Window
NCT03094715 ·Status: TERMINATED ·Phase: NA