Acute Ischemic Stroke
Conditions
Keywords
Acute Ischemic Stroke, Microbubbles, Transcranial Doppler ultrasound, TIBI, Symptomatic Intracranial Hemorrhage, modified Rankin Scale, Recanalization, Perflutren
Brief summary
The study is designed to examine the safety, tolerability, and activity of a combination of microbubbles (perflutren lipid microsphere \[Definity®\]) and continuous monitoring with 2 MHz transcranial Doppler ultrasound (TCD) as an adjunctive therapy to tissue plasminogen activator (tPA) treatment in subjects with acute ischemic stroke.
Interventions
Sponsors
Study design
Eligibility
Inclusion criteria
* Measurable focal neurological deficit (National Institutes of Health Stroke Scale \[NIHSS\] score \> 4 points) * tPA eligible * Occlusion of the middle cerebral artery
Exclusion criteria
* Right to left cardiac shunt * Uncontrolled hypertension * Absent temporal windows
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Incidence of symptomatic intracranial hemorrhage | 72 hours |
Secondary
| Measure | Time frame |
|---|---|
| Complete recanalization of the occluded artery (TIBI 4-5) | End of treatment |
| NIHSS score of 0-2 | 24 hours |
| Favorable outcome (modified Rankin Scale or NIHSS 0-1) | 3 months |