About this trial
The purpose of this study is to determine the safety and feasibility of using inhaled nitric oxide (iNO) in patients undergoing intra-arterial mechanical thrombectomy (blood clot extraction or IAMT) for treatment of acute ischemic (non-bleeding) stroke (AIS).
Eligibility criteria
Qualifiers
Age 18 and < 80
Clinical evidence of acute ischemic (non-bleeding) stroke (AIS) with NIH Stroke Scale of 6 or higher
Non-contrast Computed tomography (CT) Head with ASPECT (Alberta Stroke Program Early CT) score 6
Symptom onset began < 16 hours from initiation of intra-arterial mechanical thrombectomy (IAMT) procedure
Disqualifiers
Hypotension at presentation, defined as systolic blood pressure (SBP) < 100 or MAP < 60; profound hypertension with SBP >185 or DBP >110mmHg unable to be controlled with IV medications
Inability to undergo a brain MRI (e.g., implanted pacemaker)
Patients who received IV tPA >4.5hrs after symptom onset
Coaguloapathy, defined as platelet count < 50,000, INR >3.0, PTT > 3x normal, use of novel anticoagulants with eGFR < 30ml/min
Trial design
Treatments tested in this trial
- iNO
Treatment groups
6
Treatment groupsSee each treatment group below.