Acute ischemic stroke
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: - Age 18 to 85; - Clinical signs consistent with acute anterior circulation ischemic stroke; - Pre-stroke Modified Rankin Score = 2; - NIHSS = 4 and < 25 immediately prior to enrollment; - Imaging shows Alberta Stroke Program early computed tomography (ASPECT) score =6 with computed tomography (CT) scanning or core infarct volume <50mL on magnetic resonance imaging (MRI) or CT based perfusion imaging; - Computed tomographic angiography (CTA) or magnetic resonance angiography (MRA) shows an occlusion of the intracranial carotid or the middle cerebral artery M1 division; - An appropriate signed and dated informed consent form is obtained from the patient or the patient’s legally designated representative and treating physician
Exclusion criteria
Exclusion criteria: - Known serious sensitivity to radiographic contrast agents; - Known sensitivity to nickel, titanium metals, or their alloys: - Renal failure as defined by a serum creatinine > 2·0 mg/dl (or 176·8 µmol/l) or glomerular filtration rate (GFR) 400mg/dL (22.20 mmol); - Baseline platelet count < 50,000/uL; - Presumed septic embolus; suspicion of bacterial endocarditis; - Contraindication to an angiogram for any reason; - Known history of arterial tortuosity, preexisting stent, or other arterial disease that would prevent the device from reaching the target vessel or preclude safe recovery of the device; - Presence of carotid dissection; - Imaging or clinical evidence of concomitant posterior circulation stroke or acute stroke involving both anterior circulations; - CT or MRI evidence of hemorrhage or evidence of mass effect; - Imaging evidence that suggests, in the opinion of the investigator, the subject is not appropriate for mechanical thrombectomy intervention (e.g., inability to navigate to target lesion, moderate/large infarct with poor collateral circulation)
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Modified TICI score as determined by the immediate post-procedure angiogram after three or fewer passes with the device | — |
Secondary
| Measure | Time frame |
|---|---|
| - Rate of first pass TICI 2C to 3 reperfusion - Functional independence, defined as an mRS score < 2 at 90 days | — |
Countries
Germany, Hungary
Contacts
ThrombX Medical, Inc.