Chronic ischemic stroke Circulatory System Chronic ischemic stroke
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Aged between 45 and 80 years 2. Chronic ischemic stroke (onset more than 6 months ago) over middle cerebral artery territory (NIHSS score 9-16) 3. Not suitable for surgery or carotid artery stenting
Exclusion criteria
Exclusion criteria: 1. Age less than 45 years old or more than 80 years old 2. Patients received t-PA and anticoagulation 3. Non-middle cerebral artery territory stroke or hemorrhagic stroke 4. Pregnant women 5. Patients with adventitious agents (like HIV virus) 6. Myocardial infarction (MI) within 3 months 7. Severe aortic stenosis or mitral stenosis 8. Congestive heart failure, New York Heart Association functional class (NYHA Fc.)IV 9. Malignancy or other severe disease with life span less than one year 10. Chronic kidney disease with CCr<20ml/min and end stage renal disease 11. Join other clinical trials 12. Patients can not receive regular follow-up 13. Other brain disease (tumor, degenerative disease, infective disease)
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Safety and tolerability of intracarotid artery autologous endothelial progenitor cells injection is measured through patient interviews and reviewing medical records throughout the five years of the study | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Recurrent stroke or death rate is measured by reviewing medical records at 90 days 2. Disability is measured using the modified Rankin Scale score, Barthel Index WAIS-III and CASI National Institutes of Health Stroke Scale (NIHSS) at 24 hours, 72 hours, 30 days and 90 days 3. Brain reperfusion status is measured using Magnetic resonance imaging (Arterial Spin Labeling (ASL) and Dynamic Contrast Enhancement) at 24-72 hours post-therapy and 90 days 4. Brain perfusion defects are evaluated using radionuclear medicine image (brain Tc-99m scan) 24-72 hours post therapy and 90 days 5. Adverse event rate is measured through patient interviews and reviewing medical records at 5 years | — |
Countries
Taiwan