Acute Ischaemic Stroke
Conditions
Keywords
Ischaemic Stroke, Main artery occlusion, Endovascular treatment, Intravenous Thrombolytic Therapy
Brief summary
This study will compare two ways of treatment for acute ischemic stroke: an endovascular treatment (EVT), defined as intraarterial thrombolysis and/or mechanical thrombectomy as a first choice treatment versus intravenous thrombolytic therapy (IVT) only or followed by EVT in patients with acute ischemic stroke due to a main brain artery occlusion within 4.5 hours after onset. Patients treated with IVT only or with IVT followed by EVT will be analyzed separately.
Interventions
Sponsors
Study design
Eligibility
Inclusion criteria
* 80 or less years old patients with acute stroke produced by a main artery occlusion * NIHSS National Institutes of Health Stroke Scale score greater than 6 (severe neurological impairment) * Patients receiving EVT or IVT within 4.5 hours after onset
Exclusion criteria
* EVT or IVT contraindication * Previous neurological impairment, severe concomitant disease or poor prognosis. * Pregnancy or breastfeeding * Known hypersensitivity to any study drugs * Severe organic disease for which there is not risk compensation.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Death within 90 days after onset | 90 days |
| Symptomatic intracranial haemorrhage | 7 days |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Stroke recovery rate after discharge | From onset to discharge | Recovery defined as a 10-fold decrease in NIHSS or NIHSS (7 days after onset or at discharge) |
| Functional recovery | 4.5 hours after onset | Modified Rankin Score (RMS) value |
Countries
Spain