Status:

COMPLETED

Anesthesia Management in Endovascular Therapy for Ischemic Stroke

Lead Sponsor:

University Hospital, Clermont-Ferrand

Collaborating Sponsors:

Direction Générale de l'Offre de Soins

Conditions:

Stroke

Thrombectomy

Eligibility:

All Genders

18+ years

Phase:

NA

Brief Summary

Objective of the study: to assess whether pharmacological sedation or general anesthesia for treatment of anterior circulation ischemic stroke with endovascular mechanical thrombectomy is associated w...

Detailed Description

Since 2015, the management of anterior acute ischemic stroke (AIS) involves endovascular treatment with mechanical thrombectomy (MT). This urgent, difficult and uncomfortable procedure in frail patien...

Eligibility Criteria

Inclusion

  • Acute anterior circulation ischemic stroke (terminal portion of the internal carotid artery, middle cerebral artery), with indication for radiological mechanical thrombectomy assessed by the neurology / neuroradiology team
  • Over 18 years of age
  • Benefiting from an affiliation to the French Social Security system
  • Patient or familly informed consent. In case of patient incapacity and no family present, and due to the emergency of the procedure, the patient may be included on the sole decision of the investigator (emergency procedure with subsequent differed consent).

Exclusion

  • Altered vigilance defined by score ≥ 2 at item 1a "level of consciousness" of the NIHSS score
  • Altered previous autonomy, defined by a modified Rankin score (mRS)\> 1
  • Acute ischemic stroke of posterior circulation or anterior cerebral artery
  • Associated brain haemorrhage
  • Pregnant or nursing women
  • Patient under law protection
  • Stroke complicating another acute illness or postoperative stroke.

Key Trial Info

Start Date :

August 31 2017

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

June 30 2020

Estimated Enrollment :

332 Patients enrolled

Trial Details

Trial ID

NCT03229148

Start Date

August 31 2017

End Date

June 30 2020

Last Update

September 30 2020

Active Locations (1)

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1

CHU de Clermont-Ferrand

Clermont-Ferrand, Auvergne, France, 63003