Patients undergoing endovascular reperfusion therapy for cerebral infarction due to acute occlusion of the main cerebral artery (internal carotid artery or middle cerebral artery)
Conditions
Interventions
None listed
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Patients who satisfy the following (1) to (6) (1) Patients who undergo endovascular reperfusion therapy within 24 hours of onset for cerebral infarction caused by occlusion of the main artery (internal carotid artery or middle cerebral artery M1, M2, or beyond) (2) TD-NIRS measurement is performed in the usual medical examination (3) 18 years of age or older (4) Independent in daily life before onset (mRS 2 or less) (5) Cerebral infarction severity at presentation with NIHSS > 4 (6) Patients who have obtained written consent from the patient or a surrogarate
Exclusion criteria
Exclusion criteria: Patients who satisfy the following (1) or (2) (1) Patients who are currently participating in another clinical trial (2) Patients who are judged by the physician to be unsuitable for the clinical trial (3) Pregnant patients
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Relationship between TD-NIRS measurements and cases of functional independence (modified Rankin Scale 0-2) after 3 months in effective reperfusion cases | — |
Secondary
| Measure | Time frame |
|---|---|
| Relationship between TD-NIRS measurements and Preoperative ischemia severity (NIHSS) Ischemic core volume and penumbra volume and their ratio on preoperative CT perfusion imaging Percentage of good collateral perfusion on preoperative CT angiography and cerebral angiography Degree of reperfusion (expanded TICI grade) and presence of early venous drainage on cerebral angiography at the end of the procedure Number of procedures performed in patients with complete reperfusion on cerebral angiography Ischemic core volume and penumbra volume and their ratios in the immediate postoperative CT perfusion images Infarct expansion within 24 hours after surgery Symptomatic intracranial hemorrhage within 24 hours after surgery Early improvement of neurological symptoms within 24 hours after surgery | — |
Countries
Japan
Contacts
Kyoto Prefectural University of Medicine Neurosurgery