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Predictors of Intracranial Atherosclerotic Disease in Posterior Circulation: a Cohort Study

Predictors of Intracranial Atherosclerotic Disease in Posterior Circulation: a Cohort Study

Status
Not yet recruiting
Phases
Unknown
Study type
Observational
Source
ClinicalTrials.gov
Registry ID
NCT06453252
Enrollment
150
Registered
2024-06-11
Start date
2024-08-01
Completion date
2026-06-30
Last updated
2024-07-10

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

Conditions

Intracranial Atherosclerosis, Posterior Circulation Brain Infarction, Stroke, Ischemic

Brief summary

Early identification of intracranial atherosclerotic disease (ICAD) may impact the management of patients undergoing mechanical thrombectomy (MT). The aim of the study is to develop and validate a scoring system for pre-thrombectomy diagnosis of ICAD in posterior circulation large vessel/distal medium vessel occlusion strokes (LVOs/DMVOs).

Interventions

OTHERwe are aiming to develop a Scoring system based on certain variables derived from both groups

We are aiming to develop a Scoring system based on certain variables derived from both group

Sponsors

Emory University
CollaboratorOTHER
Sohag University
Lead SponsorOTHER

Study design

Observational model
COHORT
Time perspective
RETROSPECTIVE

Eligibility

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

Inclusion criteria

1. Adult ≥18 years 2. Patient with posterior circulation strokes who underwent mechanical thrombectomy.

Exclusion criteria

1. Patients with anterior circulation stroke. 2. Patients with intracranial hemorrhage 3. Patients without baseline radiological data. 4. Extracranial large vessel atherosclerosis related strokes.

Design outcomes

Primary

MeasureTime frameDescription
Post-procedural outcomes included any intracranial hemorrhage, symptomatic ICH (sICH)June 1st, 2025sICH is defined as local or remote parenchymal hemorrhage type 2, subarachnoid hemorrhage, and/or intraventricular hemorrhage, combined with a neurological deterioration of 4 points or more on the NIHSS from baseline or leading to death that the physician judged was causative of the deterioration) per ECASS III criteria

Secondary

MeasureTime frameDescription
90 day modified Rankin scale (mRS)June 1st, 2025a score of 0 to 4 on the modified Rankin scale (range, 0 to 6, with a score of 0 indicating no disability, 4 moderately severe disability, and 6 death) at 90 days, was changed to a good functional status (a modified Rankin scale score of 0 to 3, with a score of 3 indicating moderate disability)
90 day mortalityJune 1st, 2025

Countries

Egypt, United States

Outcome results

None listed

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