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Real-World Efficacy and Safety of Dual Antiplatelet Therapy versus Aspirin Monotherapy in Perioperative Carotid Endarterectomy

Real-World Efficacy and Safety of Dual Antiplatelet Therapy versus Aspirin Monotherapy in Perioperative Carotid Endarterectomy

Status
Active, not recruiting
Phases
Unknown
Study type
Observational
Source
ChiCTR
Registry ID
ChiCTR2500111376
Enrollment
Unknown
Registered
2025-10-30
Start date
2025-11-01
Completion date
Unknown
Last updated
2025-11-03

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

Conditions

Carotid artery stenosis

Interventions

Sponsors

Zhongshan Hospital Affiliated to Fudan University
Lead Sponsor

Eligibility

Sex/Gender
All
Age
18 Years to 85 Years

Inclusion criteria

Inclusion criteria: 1.Aged between 18 and 85 years; 2.Carotid artery stenosis >=70% (asymptomatic) or >=50% (symptomatic), as confirmed by ultrasound, CTA, or MRA; 3.Scheduled for carotid endarterectomy (CEA) with perioperative antiplatelet therapy using either aspirin or aspirin combined with clopidogrel; 4.No known history of allergy or resistance to the relevant medications; 5.Provision of signed informed consent

Exclusion criteria

Exclusion criteria: 1. History of intracranial hemorrhage; HAS-BLED score >=3; platelet count 1.5; or other conditions indicating a high risk of bleeding; 2.Severe systemic diseases, including advanced malignant tumors, end-stage liver disease (Child-Pugh C), end-stage renal disease (eGFR 10 mg/day prednisone equivalent), immunosuppressants, biologic agents (e.g., IL-1ß antibodies), PCSK9 inhibitors, or participation in another clinical trial within the past 6 months; 5.Significant hematologic disorders: including primary thrombocytopenia, leukemia, severe anemia (Hb < 80 g/L), or active hemorrhagic diseases; 6.Pregnant or lactating women; 7.Individuals with limited study compliance, including those with psychiatric disorders, cognitive impairment, or other conditions preventing completion of follow-up and biospecimen collection; 8.Any other conditions deemed unsuitable for CEA surgery.

Design outcomes

Primary

MeasureTime frame
Incidence of hemorrhagic events;

Secondary

MeasureTime frame
Incidence of ischemic events;

Countries

China

Contacts

Public ContactLixin Wang

Zhongshan Hospital Affiliated to Fudan University

wang.lixin@zs-hospital.sh.cn+86 138 1671 8580

Outcome results

None listed

Source: ChiCTR (via WHO ICTRP) · Data processed: Feb 4, 2026