acute ischemic stroke
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1) Age = 18 years old 2) Preoperative DSA or CTA confirmed anterior circulation artery occlusion (internal carotid artery, M1 main artery of middle cerebral artery), which is the responsible lesion for cerebral infarction. 3) The National Institutes of Health Stroke Scale (NIHSS) scores = 6. 4) The onset treatment time is less than 24 hours. 5) The time from onset to treatment is = 6 hours, and the ASPECTS score based on NCCT is = 6 points; 6 hours = time from onset to treatment = 24 hours, ASPECTS based on NCCT = 7 points or meets the DIFUSSE 3 study criteria (low perfusion volume/infarct core>1.8 and maximum infarct core = 70 ml) or the DON study criteria (age = 80 years: NIHSS = 10, infarct volume<21ml; age<80 years: NIHSS = 10, infarct volume<31ml; NIHSS = 20, infarct volume 31-51ml). 6) The patient's family members have informed consent and signed the surgical consent form.
Exclusion criteria
Exclusion criteria: 1) The mRS score before onset is = 2. 2) ASPECTS score of less than 6 in NCCT. 3) Head CT confirmed intracranial hemorrhage. 4) Patients with advanced disease or life expectancy<6 months. 5) Contrast agent allergy. 6) Breastfeeding or pregnant women. 7) Intracranial aneurysm or arteriovenous malformation. 8) Expected inability to complete follow-up.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 90d mRS 0-2;First pass success;The incidence of symptomatic intracranial hemorrhage ;90d mortality rate; | — |
Secondary
| Measure | Time frame |
|---|---|
| mTICI 3;90d mRS;puncture recanalization time;Incidence of distal vascular embolism;NHISS 5-7 days after surgery; | — |
Countries
China
Contacts
The First People’s Hospital of Zhangjiagang City.