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Carotid Stenting in Patients With High Risk Carotid Stenosis (Soft Plaque)

Randomized Trial of Proximal-versus Distal Cerebral Protection on Micro Embolization During Carotid Artery Stenting in Patients With High Risk Lipid Palque

Status
Completed
Phases
NA
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT01274676
Acronym
MOMA
Enrollment
53
Registered
2011-01-11
Start date
2009-02-28
Completion date
2010-02-28
Last updated
2011-01-11

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

Conditions

Carotid Stenosis

Keywords

stenting, carotid plaque, stenosis, angioplasty

Brief summary

Stenting is an alternative to traditional surgery in the treatment of carotid stenosis.The intra and/or postprocedural cerebral embolization remains the most frequent complication. Thanks to the systematic use of cerebral protection systems, these complications have reduced.A debate concerning which cerebral protective device should be more effective is still ongoing.

Interventions

DEVICEcarotid stenting with MOMA

The MOMA system is an endovascular catheter for proximal protection during carotid stenting. The system allows a concomitant balloon occlusion of both external and common carotid arteries leading to blood flow reversal within the internal carotid artery.

DEVICECarotid stenting with filter wire EZ

The filter wire EZ a distal protection system that is placed in he distal internal carotid artery before carotid stenting. The filter should entrap almost all the debries that are generated during endovascular procedure. At the end of the procedure the filter is retrieved throught a dedicated retrieval catheter.

Sponsors

Centro Cardiologico Monzino
Lead SponsorOTHER

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
NONE

Eligibility

Sex/Gender
ALL
Age
18 Years to 85 Years
Healthy volunteers
No

Inclusion criteria

-patients with monolateral, significant, soft carotid stenosis

Exclusion criteria

* patients with controlateral carotid occlusion * patients with critic stenosis of the external carotid

Design outcomes

Primary

MeasureTime frame
number of Microembolization signals (MES) detected with transcranal doppler6 different phases of carotid stenting (lesion wiring; predilation; stent crossing of the lesion; stent deployment; stent post dilation; device tetruieval/deflation

Secondary

MeasureTime frameDescription
Clinical successIn hospital and 30 daysAssesment of any clinical and neurological complication (death, any stroke, TIA; myocardial infarction).

Countries

Italy

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026