Acute Stroke, Blood Pressure, Cerebral Hemorrhage
Conditions
Keywords
Acute Stroke, Blood Pressure, Cerebral Hemorrhage
Brief summary
A monocentric, non-randomized, prospective study in which each patient is his/her own control. The study investigates 2 methods of blood pressure measurement, within the first 24 hours after reperfusion, i) Continuous measurement of blood pressure with the Clearsight device (Edwards) and ii) intermittent blood pressure measurements with cuff.
Detailed description
Patients will be followed for 72 hours: * inclusion after reperfusion: clinical evaluation with NIHSS (National Institute of Health Stroke Score) score, measurement of blood pressure. * within 24 hours after reperfusion: blood pressure measurements * at 24 hours: NIHSS score. * Between 24 and 36 hours :cerebral scan (assessment of hemorrhagic transformations and cerebral infarction volumes). * 72 hours after reperfusion: brain scanner in case of hyperdensity on the initial scanner
Interventions
Continuous measurement of blood pressure with the Clearsight device (Edwards) around the finger, within 24 hours after reperfusion:
Standard method: 35 blood pressure measurements with cuff within 24 hours after reperfusion
Sponsors
Study design
Eligibility
Inclusion criteria
* Patient aged 18 years or older * Treated for occlusion of the internal carotid arteries and/or proximal middle cerebral arteries (M1 and M2 segments), vertebral artery, and/or basilar artery * Affiliated with or beneficiary of a Social Security plan * Having received informed information about the study and having given consent to participate in the study
Exclusion criteria
* Per-procedure hemorrhagic complications (before reperfusion is achieved) * Patient benefiting from legal protection measures * Pregnant or breastfeeding women
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Occurence of intracranial hemorrhagic complications | 36 hours after baseline | number of intracranial hemorrhagic complications (symptomatic or asymptomatic) on brain scanner, evaluated with a double centralized blind reading |
Countries
France
Contacts
Fondation Ophtalmologique A. de Rothschild