Digital Angiography-Derived Fractional Flow Assessment for Intracranial Stenosis
NCT07309705 · Status: ACTIVE_NOT_RECRUITING · Type: OBSERVATIONAL · Enrollment: 400
Last updated 2025-12-30
Summary
The goal of this observational study is to learn whether a digital angiography derived fractional flow reserve (DPR) measurement can improve the prediction of stroke risk in adults with symptomatic intracranial atherosclerotic stenosis, defined as 50 to 99 percent narrowing.
The main questions it aims to answer are:
Does DPR identify patients who are at higher risk of recurrent stroke despite receiving standard medical treatment? Is DPR more accurate than traditional angiographic stenosis measurements for assessing the functional severity of intracranial arterial disease?
Participants will undergo routine digital subtraction angiography as part of their clinical evaluation. Their angiographic images will be analyzed using a computational method to estimate blood flow impairment, and they will be followed for up to 12 months to monitor stroke related outcomes.
Conditions
- Intracranial Atherosclerosis ICAS
- Hemodynamic
- Stroke
Interventions
- DRUG
-
Standardized medical therapy targeting vascular risk factors and stroke prevention
Dual antiplatelet treatment and management of vascular risk factors, in accordance with AHA/ASA guidelines
Sponsors & Collaborators
-
Suining Hospital of Traditional Chinese Medicine
collaborator UNKNOWN -
Nanfang Hospital, Southern Medical University
collaborator OTHER -
The First Affiliated Hospital of Zhengzhou University
collaborator OTHER -
Xuanwu Jinan Hospital
collaborator UNKNOWN -
The First Affiliated Hospital of University of Science and Technology of China
collaborator OTHER -
First Affiliated Hospital of Chongqing Medical University
collaborator OTHER -
Jiangmen Central Hospital
collaborator OTHER -
Hebi People's Hospital
collaborator UNKNOWN -
Shanghai Sixth People's Hospital Anhui Branch
collaborator UNKNOWN -
Xuanwu Hospital, Beijing
lead OTHER
Eligibility
- Min Age
- 18 Years
- Max Age
- 80 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2025-12-01
- Primary Completion
- 2027-01-01
- Completion
- 2028-01-01
Countries
- China
Study Locations
More Related Trials
-
External Counterpulsation Therapy for Severe Steno-occlusive Intracranial Stenosis
NCT03921827 ·Status: COMPLETED ·Phase: NA
-
Cerebral Autoregulation in Patients With Symptomatic Cerebral Atherosclerotic Stenosis
NCT05028855 ·Status: RECRUITING
-
Research on Ultrasound Diagnostic Criteria for Intracranial and Extracranial Arterial Serial Stenosis
NCT06947720 ·Status: NOT_YET_RECRUITING
-
Risk Prediction Model for Cerebrovascular Events in Carotid Artery Stenosis
NCT06452173 ·Status: ENROLLING_BY_INVITATION
-
The Coexistence of Atherosclerotic Intracranial Arterial Stenosis With Intracranial Aneurysms
NCT02795078 ·Status: UNKNOWN
-
Predictors and Prognostic Factors on the Acute Ischemic Stroke
NCT03122002 ·Status: TERMINATED
-
Morphologic Evolution and Remodeling of Intracranial Atherosclerosis: A Longitudinal Study by 3D-rotational Angiography
NCT03295773 ·Status: RECRUITING
-
Innovative Application of Pressure Gradient Measurement in Internal Carotid Stenosis in Patients Undergoing CAS
NCT06123767 ·Status: NOT_YET_RECRUITING ·Phase: NA
-
Comprehensive Assessment of Atherosclerotic Ischemic Stroke Risk and Development of a Prediction Model
NCT06315153 ·Status: ACTIVE_NOT_RECRUITING
-
Stenting vs. Aggressive Medical Management for Preventing Recurrent Stroke in Intracranial Stenosis
NCT00576693 ·Status: COMPLETED ·Phase: PHASE3
-
A Randomized Clinical Trial on Urgent Angioplasty for IntraCranial Atherosclerotic Stenosis-related Large-Vessel Occlusion After Mechanical Thrombectomy
NCT06702657 ·Status: NOT_YET_RECRUITING ·Phase: NA
-
Cerebral Atherosclerosis Research With Positron Emission Tomography
NCT07041372 ·Status: ENROLLING_BY_INVITATION
-
Study of Predictive Factors Related to Prognosis of Patients With Ischemic Stroke Due to Large-artery Atherosclerosis
NCT04847752 ·Status: RECRUITING
-
Intensive Drug Therapy for Ischemic Stroke Caused by Severe Intracranial Arterial Stenosis
NCT05996978 ·Status: COMPLETED
-
Balloon Angioplasty for Symptomatic Intracranial Artery Stenosis
NCT03703635 ·Status: UNKNOWN ·Phase: NA
-
Extracranial Carotid & Intracranial Arterial Stenosis in Ischemic Stroke
NCT04162587 ·Status: UNKNOWN
-
Predictive Value for Stroke
NCT00451529 ·Status: UNKNOWN
-
MRI Biomarkers of Effective Tissue Reperfusion After Thrombectomy of an Acute Proximal Occlusion of the Anterior Circulation
NCT04952077 ·Status: UNKNOWN ·Phase: NA
-
Arterial Wall Shear Stress After Intracranial Artery Recanalization
NCT06290271 ·Status: RECRUITING
-
The Efficacy and Safety of Intracranial Stent (Tonbridge) in Endovascular Treatment of Intracranial Atherosclerotic Stenosis
NCT05593224 ·Status: UNKNOWN ·Phase: NA
-
Comparison of Cerebral Artery Pressure Gradient and Cerebral Blood Flow Measured by Arterial Spin Labeling
NCT05623943 ·Status: COMPLETED
-
Blood Pressure Variability and the Prognosis of Ischemic Stroke With Intracranial Artery Stenosis
NCT01665235 ·Status: UNKNOWN ·Phase: NA
-
Plaque and Brain Inflammation in Symptomatic Carotid Stenosis: Role of the Ficolin-2
NCT05850247 ·Status: RECRUITING ·Phase: PHASE2
-
Drug Eluting Stenting and Aggressive Medical Treatment for Preventing Recurrent Stroke in Intracranial Atherosclerotic Disease Trial
NCT04948749 ·Status: RECRUITING ·Phase: NA
-
Endovascular Treatment and RIPC in Acute Ischemic Stroke
NCT04581759 ·Status: UNKNOWN ·Phase: NA