Stroke, Systemic Infection
Conditions
Brief summary
Strokes management, secondary to proximal arterial occlusion, by endovascular thrombectomy (TM) is now well established. The immuno-inflammatory events of reperfusion after TM are discussed. Systemic inflammation is a major factor suggested to explain the limited recovery of the ischemic parenchyma. Understanding these phenomena is necessary before developing an immunomodulatory strategy.
Interventions
Patients from 2 groups will undergo blood sample (during a blood sample for there care) and inflammation parameters will be measure the day of the stroke
Sponsors
Study design
Eligibility
Inclusion criteria
GROUP AVC : Inclusion Criteria: * Adults patient (s) * Ischemic stroke by occlusion of a middle cerebral artery (proximal portion M1) * Initial diagnostic MRI infusion * TM with complete reperfusion (TICI 2b, 2c or 3) * TM performed under local anesthesia +/- anxiolysis, or sedation including propofol * mRS prior to stroke \<2 * Barthel index \<90 * Included in the HIBISCUS cohort * Patient who was informed and did not object to participating in the study OR included through the emergency procedure then collection of his non-objection or that of his trusted person as soon as possible
Exclusion criteria
* NIHSS awareness score\> or = 2 * Haemorrhagic complication before thrombectomy * Pregnant woman * Multiple vascular occlusions * Occlusions of posterior or anterior cerebral territories other than M1 * Protected major * TM performed under general anesthesia * Other vital failure than neurological failure GROUP CONTROL : Inclusion Criteria: * Adults patient (s) * mRS \<2 * Barthel index \<90 * Requiring diagnostic arteriography for routine check-up of a cerebrovascular malformation * Patient who was informed and did not object to participating in the study
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Inflammation parameters description | 1 day | Inflammatory parameters such as CRP, IL-6, IL-10, HLA-DR, TNF-alpha, polymorphonuclear chemotaxis, CD-4, T-lymphocytes will be measure in blood sample |
Countries
France