Status:

RECRUITING

Correlation Between Carotid Stump Pressure and Interhemispheric rSO₂ Asymmetry During Awake Carotid Endarterectomy

Lead Sponsor:

Izmir Katip Celebi University

Conditions:

Carotid Artery Stenosis Symptomatic

Carotid Endarterectomy (CEA) Surgical Patients

Eligibility:

All Genders

18+ years

Brief Summary

This study aims to better understand how well the brain is perfused (supplied with blood and oxygen) during a specific type of surgery called carotid endarterectomy (CEA), which is performed to preven...

Detailed Description

Carotid artery stenosis accounts for approximately 15-30% of ischemic strokes, highlighting the importance of carotid endarterectomy (CEA) as a preventive surgical strategy. One of the most critical i...

Eligibility Criteria

Inclusion

  • Adults aged 18 years or older
  • Scheduled for elective carotid endarterectomy (CEA)
  • Able to tolerate surgery under regional anesthesia (superficial cervical plexus block)
  • Availability of bilateral regional cerebral oxygen saturation (rSO₂) measurements by near-infrared spectroscopy (NIRS)
  • Successful intraoperative carotid stump pressure (SP) measurement after cross-clamping
  • Provided written informed consent

Exclusion

  • Incomplete NIRS or SP recordings
  • Conversion from regional to general anesthesia
  • Intraoperative technical complications preventing monitoring
  • History of prior ipsilateral carotid endarterectomy or carotid artery stenting
  • Recent major stroke with permanent neurological deficit
  • Recent myocardial infarction within the past 3 months
  • History of traumatic brain injury within the past 6 months

Key Trial Info

Start Date :

September 1 2025

Trial Type :

OBSERVATIONAL

Allocation :

ESTIMATED

End Date :

October 1 2026

Estimated Enrollment :

60 Patients enrolled

Trial Details

Trial ID

NCT07150260

Start Date

September 1 2025

End Date

October 1 2026

Last Update

January 7 2026

Active Locations (1)

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Izmir Katip Celebi University Atatürk Training and Research Hospital

Izmir, Turkey (Türkiye)