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Efficacy and Safety of ultra-early intensive hypotension after mechanical thrombolectomy in patients with acute anterior circulation ischemic Stroke: a prospective, multicenter, randomized controlled, blind outcome evaluation study

Efficacy and Safety of ultra-early intensive hypotension after mechanical thrombolectomy in patients with acute anterior circulation ischemic Stroke: a prospective, multicenter, randomized controlled, blind outcome evaluation study

Status
Unknown
Phases
Phase 3
Study type
Interventional
Source
ChiCTR
Registry ID
ChiCTR2200057770
Enrollment
Unknown
Registered
2022-03-17
Start date
2022-10-14
Completion date
Unknown
Last updated
2024-09-23

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Acute ischemic stroke (AIS)

Interventions

Intensive BP lowering group:For the intensive management group, the target SBP range is <130 mmHg. Antihypertensive treatment will be initiated in patients randomized to this group as soon as possible
Conventional BP lowering group:For the standard management group, the target SBP range is <180 mmHg. Antihypertensive treatment will only be deemed compulsory when SBP exceeds 180 mmHg. If SBP reaches

Sponsors

Sichuan University, West China Hospital
Lead Sponsor

Eligibility

Sex/Gender
All
Age
18 Years to No maximum

Inclusion criteria

Inclusion criteria: 1. Age >=18 years; 2. Clinical diagnosis as AIS induced by occlusion of large vessels of anterior circulation (including ICA, the M1/M2/M3 segment of the MCA or the A1/A2 segment of ACA) confirmed by digital subtraction angiography (DSA), without occlusion of posterior circulation; 3. EVT within 6 hours from onset (time from onset to puncture =2b) after EVT; 5. Postoperative BP >130mmHg occurs within 6 hours after then end of thrombectomy; 6. Written informed consent (or signed by proxy).

Exclusion criteria

Exclusion criteria: Participants who meet one or more of the following criteria will be excluded: 1. ASPECTS value =70% or even occlusion in ipsilateral or contra-lateral, intracranial or extracranial large arteries after EVT; 8. Pre-stroke mRS>=2: 9. Occurrence of ICH, cerebral hernia, END or other outcome events before randomization.

Design outcomes

Primary

MeasureTime frame
Incidence of adverse outcomes;

Secondary

MeasureTime frame
Intracranial hemorrhage ;Brain oedema;Early neurological dererioration;all cause death within 7 days after randomization or until discharge;

Countries

China

Contacts

Public ContactWu Bo

West China Hospital, Sichuan University

dr.bowu@hotmail.com+86 189 8060 2142

Outcome results

None listed

Source: ChiCTR (via WHO ICTRP) · Data processed: Feb 13, 2026