General Anesthesia Versus Sedation During Intra-arterial Treatment for Stroke
NCT02822144 · Status: COMPLETED · Phase: PHASE3 · Type: INTERVENTIONAL · Enrollment: 351
Last updated 2023-05-23
Summary
In France, the annual incidence rate of acute ischaemic stroke is around 150 000 patients, 65 % of whom keep long-term disability. Several multicentric randomized controlled trials have shown the benefit of a mechanical thrombectomy in the acute phase of ischaemic stroke on functional disability, compared to a medical treatment alone (thrombolysis).
The timeliness of revascularisation is an essential factor of good prognosis. This intra-arterial treatment, associated with thrombolysis if applicable, is the reference treatment of large-vessel occlusion. The stillness of the patient is required to control the safety of the recanalization. Currently, either a general anesthesia or a sedation can be performed.
Several studies have shown a trend to superiority of the sedation but none was conducted with a high level of proof methodology.
The aim of our multicentric randomized controlled trial is to compare sedation and general anesthesia during intra-arterial thrombectomy for an acute ischaemic stroke in the anterior cerebral circulation. The main outcome will be the efficacy on the functional neurological prognosis at 3 months.
Conditions
Interventions
- DRUG
-
Etomidate
- DRUG
-
Succinylcholine
- DRUG
-
Propofol
- DRUG
-
Remifentanil
- DRUG
-
Lidocaine
Sponsors & Collaborators
-
Rennes University Hospital
lead OTHER
Principal Investigators
-
Axelle MAURICE, MD · Rennes University Hospital
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- SINGLE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2016-09-29
- Primary Completion
- 2020-08-31
- Completion
- 2020-08-31
Countries
- France
Study Locations
More Related Trials
-
Efficacy and Safety Study of GM602 in Patients With Acute Middle Cerebral Artery Ischemic Stroke Within 18 Hours
NCT01221246 ·Status: COMPLETED ·Phase: PHASE2
-
Early Administration of Cerebrolysin on the Outcome of Patients With Acute Stroke Undergoing EVT
NCT05124353 ·Status: UNKNOWN ·Phase: PHASE2/PHASE3
-
Dl-3-n-butylphthalide and Cerebrolysin Treatment in Acute Ischemic Stroke
NCT02149875 ·Status: COMPLETED ·Phase: PHASE1/PHASE2
-
Superselective Administration of VErapamil During Recanalization in Acute Ischemic Stroke
NCT02235558 ·Status: COMPLETED ·Phase: PHASE1
-
Intravenous Thrombolytic Therapy for Acute Ischemic Stroke Patients with Low NIHSS and Non-disabling Deficits
NCT06115070 ·Status: NOT_YET_RECRUITING ·Phase: PHASE4
-
Ginkgolide With Intravenous Alteplase Thrombolysis in Acute Ischemic Stroke Neurological Improving Trial
NCT03772847 ·Status: COMPLETED ·Phase: PHASE4
-
Outcomes After Intravenous Alteplase / Tenecteplase With or Without Shuxuetong Injection in Routine Clinical Practice
NCT06018181 ·Status: COMPLETED
-
Endovascular Thrombectomy With and Without Intravenous Thrombolysis in Extended Time Window
NCT05634382 ·Status: UNKNOWN ·Phase: PHASE3
-
Temporal Trends of Thrombolysis Treatment in Chinese Acute Ischemic Stroke (AIS) Patients From 2007-2017: Analysis of China National Stroke Registry (CNSR) I, II, and III; CTP-Draft Review Performed;
NCT04290494 ·Status: COMPLETED
-
Methylprednisolone for Stroke With Large Infarct Core and Post-stroke Lymphocytopenia
NCT07202143 ·Status: RECRUITING ·Phase: PHASE3
-
Russian Prospective Multicenter Registry Study of Intravenous Thrombolytic Therapy for Acute Ischemic Stroke
NCT04674293 ·Status: UNKNOWN
-
Impact of a Pluriprofessional Intervention to Improve Medication Adherence (Secondary Preventive Medication) in Patients After Ischemic Stroke
NCT02611440 ·Status: UNKNOWN ·Phase: NA
-
Study on Hibernation-like Therapy Based on Mechanical Thrombectomy
NCT06663631 ·Status: RECRUITING ·Phase: PHASE1
-
FRALYSE Trial: Comparison of the Classical Rt-PA Procedure With a Longer Procedure in Acute Ischemic Stroke
NCT00132509 ·Status: TERMINATED ·Phase: PHASE2
-
Ketamine for Thrombolysis in Acute Ischemic Stroke
NCT02258204 ·Status: UNKNOWN ·Phase: PHASE1/PHASE2
-
Intra-Arterial Magnesium Therapy After Mechanical Thrombectomy in Acute Ischemic Stroke
NCT06956521 ·Status: NOT_YET_RECRUITING ·Phase: PHASE1
-
Endovascular Therapy for Acute Ischemic Stroke Trial
NCT02350283 ·Status: COMPLETED ·Phase: PHASE3
-
Safety and Efficacy of Alteplase When Administered in Chinese Patients With Acute Ischemic Hemispheric Stroke Where Thrombolysis is Initiated Between 3 and 4.5 Hours After Stroke Onset
NCT02930837 ·Status: COMPLETED ·Phase: PHASE3
-
Intravenous Thrombosis and Patients with Prior Ischemic Stroke Within 3 Months
NCT06841978 ·Status: NOT_YET_RECRUITING ·Phase: PHASE3
-
Combined Treatment With Alteplase (Rt-PA) and Cerebrolysin® in Acute Ischemic Hemispheric Stroke
NCT00840671 ·Status: COMPLETED ·Phase: PHASE3
-
Allogeneic Adipose Tissue-derived Mesenchymal Stem Cells in Ischemic Stroke
NCT04280003 ·Status: UNKNOWN ·Phase: PHASE2
-
24 Hours Treatment with Alteplase in Patients with Ischemic Stroke
NCT04879615 ·Status: COMPLETED ·Phase: PHASE3
-
A Safety and Tolerability Study of 42037788 (Referred to as CNTO 0007) Compared With Placebo in Patients Who Have Experienced Ischemic Cerebral Infarction (Also Known as Stroke)
NCT01273467 ·Status: COMPLETED ·Phase: PHASE1
-
Thrombectomy Under Reopro Versus Alteplase to Treat Stoke
NCT02016547 ·Status: TERMINATED ·Phase: PHASE4
-
Trial and Cost Effectiveness Evaluation of Intra-arterial Thrombectomy in Acute Ischemic Stroke
NCT01062698 ·Status: TERMINATED ·Phase: NA