Efficacy and Safety of Bailout Intracranial Angioplasty or Stenting After Thrombectomy for Acute Intracranial Atherosclerotic Large Vessel Occlusion (ANGEL-REBOOT 2)

Trial statusNot yet recruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18+
SponsorFeng Gao

About this trial

A multicenter, randomized, open-label, blinded-endpoint trial with a concurrent prospective observational cohort to compare bailout intracranial angioplasty or stenting versus standard therapy on functional outcome, stroke recurrence, and mortality in patients with acute intracranial atherosclerotic stenosis-related large vessel occlusion after thrombectomy.

Eligibility criteria

Qualifiers

Age≥18 years.

Time interval from symptom onset to puncture ≤24 hours.

National Institute of Health Stroke Scale (NIHSS) Score ≥6 before randomisation.

Pre-stroke modified Rankin Scale (mRS) of 0-2.

Disqualifiers

Any sign of intracranial hemorrhage (ICH, except microbleeds) on baseline brain imaging.

CT or MR imaging evidence of intracranial tumor (except small meningiomas or cerebral aneurysms < 3mm in diameter).

Any indication of intracranial vessel perforation during thrombectomy..

Presence of tandem lesion in the extracranial segment of the internal carotid artery or vertebral artery, or intracranial arterial stenosis with distal vessel occlusion..

Trial design

Treatments tested in this trial

  • Bailout Intracranial Angioplasty or Stenting
  • Standard Thrombectomy

Treatment groups

420 Participants
are divided into 2 treatment groups

Sponsors and collaborators

Feng Gao

Lead sponsor

Beijing Tiantan Hospital

Sponsor institution