Stroke, Ischemic
Conditions
Brief summary
Cerebral Endovascular Stenting of medically refractory Intracranial Stenotic Blood Vessels with Recurrent Ischemic Strokes patients
Detailed description
Fifty patients were enrolled with 25 underwent Intracranial Stenting 25 received optimal medicall treatment without stenting and comparative study of primary outcome was conducted
Interventions
Large Intracranial Vessels with ICSD underwent catheter lab and IC stent is inserted
Optimum Medical treatment
Sponsors
Study design
Intervention model description
Two armed medical study
Eligibility
Inclusion criteria
1. Patients age between 30-80 years. 2. Symptomatic ICAS: presented with TIA or stroke, attributed to 70%-99% stenosis of a major intracranial artery: Internal carotid artery (ICA), middle cerebral artery (MCA) \[M1segment\], vertebral artery (VA), or basilar artery (BA). 3. Patient with recurrent TIA or stroke despite medical therapy, including anti-coagulation or antiplatelet and control of all vascular risk factors (DM, HTN and Hyperlipidemia).
Exclusion criteria
1. Patients previously stented at the target lesion or had extracranial stenosis. 2. Patient with acute stroke (within two weeks from the onset). 3. Complete occlusion of the artery on the imaging assessment. 4. Massive cerebral infarction (more than half the MCA territory), intracranial hemorrhage, epidural or subdural hemorrhage, and intracranial brain tumor on CT or MRI scans. 5. Contraindications to antithrombotic and/or anticoagulant therapies.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Clinical improvement of IC stented patients in comparison to medically treated | 3 months | clinical assessment by National Institute of Health Stroke Scale (NIHSS) for clinical impr |
| Functional improvement of IC stented patients in comparison to medically treated | 3 months | Functional assessment by modified Rankin Scale (mRS) for functional improvement |
| Blood flow velocity accrossed Stenotic Large IC Vessels in comparison to medically treated | 3 months | Transcranial doppler (TCD) assessment of Mean Flow Velocity (MFV) across IC vessels |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| No Recurrent Ischemic stroke in stented ICSD patients | 6 months | Clinical Assessment |