Unique ID issued by UMIN | UMIN000016435 |
---|---|
Receipt number | R000019087 |
Scientific Title | Ultra-early emergency embolectomy for acute occlusion of the internal carotid artery and middle cerebral artery |
Date of disclosure of the study information | 2015/02/05 |
Last modified on | 2015/02/03 23:27:05 |
Ultra-early emergency embolectomy for acute occlusion of the internal carotid artery and middle cerebral artery
UEEEA
Ultra-early emergency embolectomy for acute occlusion of the internal carotid artery and middle cerebral artery
UEEEA
Japan |
acute occlusion of internal carotid artery and proximal middle cerebral artery
Neurosurgery |
Others
NO
Surgical embolectomy, first introduced in 1956, is still the most powerful treatment for achieving good recanalization. However, it is regarded as a relic since it requires a large surgical team and time-consuming steps, including anesthesia, craniotomy, and microsurgery. We establish seamless collaboration among all services involved, refine surgical techniques, and prospectively investigate the feasibility and safety of emergency surgical embolectomy and assess whether it deserves reappraisal in current acute stroke therapy
Safety,Efficacy
Confirmatory
Pragmatic
Phase II
recanalization and safety after operation
neurological outcome at 90 days
Interventional
Single arm
Non-randomized
Open -no one is blinded
Uncontrolled
1
Treatment
Maneuver |
surgical embolectomy
Not applicable |
Not applicable |
Male and Female
Surgical indications included the presence of acute hemispheric symptoms, absence of low-density area on computed tomography, evidence of internal carotid artery or proximal middle cerebral artery occlusion, and availability of resources to start surgery within 3 hours of symptom onset and National Institutes of Health Scale>10.
Patients with rapidly improving symptom were excluded. Each patient's relatives provided informed consent. They were informed that systemic thrombolysis is currently the only therapy for acute stroke with proven efficacy according to large prospective randomized studies. if informed consent was not obtained, the patients were excluded.
15
1st name | |
Middle name | |
Last name | Akihiko Hino |
SaiseikaiShigaken Hospital
department of neurosurgery
Ohashi2-4-1 ritto, Shiga
077-552-1221
hinolab2@yahoo.co.jp
1st name | |
Middle name | |
Last name | Akihiko Hino |
SaiseikaiShigaken Hospital
department of neurosurgery
Ohashi2-4-1 ritto, Shiga
077-552-1221
hinolab2@yahoo.co.jp
SaiseikaiShigaken Hospital
department of neurosurgery
none
Self funding
NO
2015 | Year | 02 | Month | 05 | Day |
Unpublished
Completed
2005 | Year | 02 | Month | 10 | Day |
2005 | Year | 02 | Month | 11 | Day |
2015 | Year | 02 | Month | 03 | Day |
2015 | Year | 02 | Month | 03 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000019087