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Optimizing cardiac out-Put To Increase cerebral penumbral perfusion in large Middle cerebral Artery ischemic Lesion

Optimizing cardiac out-Put To Increase cerebral penumbral perfusion in large Middle cerebral Artery ischemic Lesion - OPTIMAL-Study

Status
Recruiting
Phases
Unknown
Study type
Interventional
Source
DRKS
Registry ID
DRKS00007805
Enrollment
300
Registered
2015-02-16
Start date
2015-02-16
Completion date
Unknown
Last updated
2025-04-07

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

Conditions

I63.4 I63.0

Interventions

Group 1: stroke patients with ischemic infarction (>30% of the territory of the middle cerebral artery)
optimization of MAP>80mmHg
volume substitution or, if necessary, catecholamine (noradrenaline) administration in order to increase MAP >80mmHg Group 2: stroke patients with ischemic infarction (>30% of the territory of the midd
standard monitoring plus monitoring of cardiac output
optimization of MAP and cardiac output (MAP>80mmHg, cardiac output >3.0 and <4.5)
volume substitution or, if necessary, catecholamine (noradrenaline, dobutamine) administration in order to optimize hemodynamic parameters

Sponsors

Klinik für Neurologie, Universitätsklinikum Freiburg
Lead Sponsor

Eligibility

Sex/Gender
All
Age
18 Years to 85 Years

Inclusion criteria

Inclusion criteria: age >18 or <85years; ischemic infarction via computer tomography or magnetic resonance tomography; =30% of the territory of middle cerebral artery; begin of symptoms <12hours

Exclusion criteria

Exclusion criteria: i.v.-thrombolysis with rtPA; intracerebral hemorrhage; pre-existing disablement according to a modified Rankin score >2; malignant disease

Design outcomes

Primary

MeasureTime frame
Clinical outcome after 3 months (modified Rankin Scale)

Secondary

MeasureTime frame
Clinical outcome after 6 months (modified Rankin Scale); in-hospital mortality; length of in-hospital stay; symptomatic cerebral hemorrhage; final infarction volume

Countries

Germany

Contacts

Public ContactHannah Fuhrer

Klinik für Neurologie, Universitätsklinikum Freiburg

hannah.fuhrer@uniklinik-freiburg.de076127050010

Outcome results

None listed

Source: DRKS (via WHO ICTRP) · Data processed: Feb 26, 2026