Impact of Aspiration Thrombectomy During Carotid Stenting
1 other identifier
interventional
80
1 country
2
Brief Summary
The purpose of this study is to determine whether aspiration thrombectomy following carotid stent deployment will reduce the number of procedure related signals as identified by diffusion weighted MRI of the brain.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for not_applicable
2 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
February 1, 2012
CompletedFirst Submitted
Initial submission to the registry
March 1, 2012
CompletedFirst Posted
Study publicly available on registry
March 12, 2012
CompletedPrimary Completion
Last participant's last visit for primary outcome
February 1, 2016
CompletedApril 21, 2015
April 1, 2015
4 years
March 1, 2012
April 17, 2015
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Number of new, ischemic foci
Foci of restricted diffusion will be classified by their number, location, and size
18-48 hours post procedure
Secondary Outcomes (1)
Ischemic zone area
18-48 hours post stenting
Study Arms (2)
Distal Embolic Protection Only
EXPERIMENTALCarotid stenting with distal embolic protection only
Distal embolic protection and aspiration thrombectomy
ACTIVE COMPARATORAspiration thrombectomy following stent deployment and prior to removal of distal embolic protection
Interventions
Standard of care use of an embolic protection device
Eligibility Criteria
You may qualify if:
- ICA stenosis greater than 50 percent by carotid angiography
- Documented hemispheric ischemic stroke, TIA, amaurosis fugax, or retinal stroke in the last six months ipsilateral to the stented lesion
You may not qualify if:
- Subject less than 40 years of age
- Pregnant subjects
- Asymptomatic carotid stenosis
- Total occlusion of target carotid artery
- Inability to deploy distal protection device or stent in target vessel
- Allergy to both aspirin and approved thienopyridine anti-platelet drugs (clopidogrel/ticlopidine)
- Multiple carotid stenoses in same vessel that cannot be covered by single stent
- Ipsilateral intracranial stenosis requiring treatment
- Isolated common carotid stenosis
- Stenosis less than 50 percent by angiography
- Chronic or paroxysmal atrial fibrillation not treated with warfarin or dabigatran.
- Life expectancy less than 30 days
- Active bleeding diathesis
- Suspected Myocardial Infarction within 72 hours prior to carotid stenting
- Presence of intracranial tumor arteriovenous malformations or aneurysm requiring treatment
- +9 more criteria
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Fogarty Clinical Research Inc.lead
- Abbott Medical Devicescollaborator
- Helen Kay Foundationcollaborator
- Northern Michigan Hospital Foundation's Louis A. and Sally Cannoncollaborator
Study Sites (2)
El Camino Hospital
Mountain View, California, 94040, United States
Northern Michigan Regional Hospital
Petoskey, Michigan, 49770, United States
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
James Joye, DO
Fogarty Clinical Research Inc.
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- SINGLE
- Who Masked
- PARTICIPANT
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Chief Medical Officer
Study Record Dates
First Submitted
March 1, 2012
First Posted
March 12, 2012
Study Start
February 1, 2012
Primary Completion
February 1, 2016
Last Updated
April 21, 2015
Record last verified: 2015-04