Results of the Use of Two Stentrievers Simultaneosly Compared With One as a Primary Treatment in Acute Ischemic Stroke
Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18+
SponsorFundación EPIC
About this trial
Several studies have demonstrated that simultaneous treatment with two stentrievers (STs) as rescue treatment is very effective, with high recanalization rates even in this group of patients where other revascularization techniques have failed. There has been no observed increase in hemorrhagic complications. Recently, a prospective study has been published where treatment with two ST has been shown to be effective and safe if used as a first-choice treatment (not as rescue) with a successful recanalization rate (eTICI 2c/3) after the first pass of 69%. These results have been reinforced after the publication of a randomized study that confirms, in vitro, the superiority of using two ST over one.
Eligibility criteria
Qualifiers
A new disabling focal neurological deficit compatible with acute cerebral ischemia.
Any age. Informed consent obtained from the patient or representative.
NIHSS score ≥ 6.
Pre-existing functional clinical status less than or equal to 2 according to the mRS clinical scale.
Disqualifiers
Those described in the usual protocols for mechanical thrombectomy of each hospital.
Pre-existing functional clinical status greater than 2 according to the mRS clinical scale
Patients with tandem lesions of dissection or arteriosclerotic origin located in the extracranial internal carotid artery.
Initiation of treatment with a different technique than the one described.
Trial design
Treatments tested in this trial
- Double stentriever
- Single stentriever
Treatment groups
200 Participants
are divided into 2 treatment groupsSponsors and collaborators
Source ClinicalTrials.gov