BELgian CT-perFUSion Study to Select Acute Stroke Patients for Thrombectomy
NCT05685043 · Status: WITHDRAWN · Phase: NA · Type: INTERVENTIONAL
Last updated 2024-09-19
Summary
The goal of this clinical trial is to test whether perfusion CT can be used as a selection tool in stroke patients with a major anterior circulation occlusion, to exclude patients from thrombectomy because of a predicted non-beneficial outcome, when treated within 6 hours of symptom onset.
Researchers will compare the experimental group, where mechanical thrombectomy is only performed when prespecified perfusion CT criteria are fulfilled, with the standard of care treatment group, where all patients will receive mechanical thrombectomy, to see if functional independence at 90 days is non-inferior.
Conditions
- Stroke
- Stroke, Acute
- Stroke, Ischemic
Interventions
- DEVICE
-
perfusion CT
Patients are selected for thrombectomy based on perfusion CT criteria. When the results from the perfusion CT scan (analyzed by RAPID software) indicate a core infarct volume exceeding 70 ml in patients \< 80 years or 55 ml in patients \> 80 years, then treatment is limited to best medical treatment (intravenous fibrinolysis if applicable) and no mechanical thrombectomy will be performed. This is the current standard of care for patients treated more than 6 hour after onset.
Sponsors & Collaborators
-
University Hospital, Ghent
lead OTHER
Principal Investigators
-
Luc Defreyne, Prof. · University Hospital, Ghent
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- TRIPLE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Max Age
- 90 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2023-04-01
- Primary Completion
- 2023-04-01
- Completion
- 2023-04-01
- FDA Device
- Yes
More Related Trials
-
C-arm Cone Beam CTP Guided Cerebrovascular Interventions
NCT05536895 ·Status: WITHDRAWN ·Phase: NA
-
Evaluate Endovascular Treatment of Large Ischemic Stroke With Substantial Penumbra.
NCT05539404 ·Status: TERMINATED ·Phase: NA
-
FRench Acute Cerebral Multimodal Imaging to Select Patient for MEchanical Thrombectomy
NCT03045146 ·Status: COMPLETED
-
Comparison of Ultrasound Cerebral Perfusion Imaging With Routine Perfusion CT
NCT07324421 ·Status: RECRUITING ·Phase: NA
-
CT Based Definition of a Tissue Window for Acute Stroke Thrombolysis
NCT00463281 ·Status: COMPLETED
-
Visualization of Cerebral Arteries Using Contrast-Enhanced Transcranial Ultrasound in Stroke Patients
NCT00282841 ·Status: TERMINATED ·Phase: NA
-
Acute Stroke Thrombectomy: Does CT Perfusion Accurately Predict Infarct on MRI After Recanalization
NCT02988492 ·Status: COMPLETED ·Phase: NA
-
Feasibility of AmbulanCe-based Telemedicine (FACT) Study
NCT02119598 ·Status: COMPLETED
-
Cerebral Hemodynamics During Early Verticalization After (Successful) Thrombectomy Poststroke
NCT04573114 ·Status: UNKNOWN
-
Efficacy and Safety of Thrombectomy in Stroke With Extended Lesion and Extended Time Window
NCT03094715 ·Status: TERMINATED ·Phase: NA
-
Mechanical Thrombectomy Of Acute Occlusion In Ischemic Stroke
NCT03144960 ·Status: UNKNOWN ·Phase: NA
-
Prospective Evaluation of Carotid Free-floating Thrombus
NCT02405845 ·Status: COMPLETED ·Phase: NA
-
IMPACT- 24Bt Post Mech. Thrombectomy and/or rtPA TRIAL IMPlant Augmenting Cerebral Blood Flow 24 Hours From Stroke Onset
NCT01874093 ·Status: TERMINATED ·Phase: PHASE3
-
CT or MRI in Work up for i.v. Thrombolysis: a Single-centre Study
NCT02780843 ·Status: COMPLETED ·Phase: NA
-
The Dutch Acute Stroke Trial (DUST): Prediction of Outcome With Computed Tomography (CT) - Perfusion and CT-angiography
NCT00880113 ·Status: UNKNOWN
-
Contrast Enhanced Sonothrombolysis and Sonolysis in Stroke - a Swedish Study (CE-5S)
NCT03290053 ·Status: TERMINATED ·Phase: PHASE3
-
Data Collection of Patients Admitted to the Stroke Unit
NCT04956185 ·Status: RECRUITING
-
Thrombolysis in stRoke With Unknown onSet Based on noncontrasT CT
NCT03634748 ·Status: COMPLETED
-
Evaluation of Acute Post-thrombectomy Complications for Stroke
NCT04197830 ·Status: COMPLETED
-
Thrombectomy Versus Best Medical Management in Large Vessel Occlusion Stroke Patients Presenting Beyond 24 Hours and With Presence of Collateral Flow on CT Angiography
NCT06654375 ·Status: RECRUITING ·Phase: NA
-
Clinical Mismatch in the Triage of Wake Up and Late Presenting Strokes Undergoing Neurointervention With Trevo
NCT02142283 ·Status: COMPLETED ·Phase: NA
-
Delay AvoIding Primary Evaluation for ThRombectomy of Acute StrokE Patients With Large Vessel OCclusion in the Angiography SuiTe
NCT06825897 ·Status: RECRUITING ·Phase: NA
-
Large Stroke Therapy Evaluation
NCT03811769 ·Status: TERMINATED ·Phase: NA
-
Emergent Microsurgical Intervention in Acute Stroke Patients After Mechanical Thrombectomy Failure Trial
NCT05153642 ·Status: UNKNOWN ·Phase: NA
-
Study on the Performance of a Machine Learning Algorithm Recognizing and Triaging Large Vessel Occlusions Using Non-contrast CT Scans
NCT06216457 ·Status: NOT_YET_RECRUITING