Unique ID issued by UMIN | UMIN000024199 |
---|---|
Receipt number | R000027860 |
Scientific Title | Safety and efficacy of laser-induced thrombolysis in thromboembolism of major cerebral arteries |
Date of disclosure of the study information | 2016/11/01 |
Last modified on | 2019/04/01 11:35:12 |
Safety and efficacy of laser-induced thrombolysis in thromboembolism of major cerebral arteries
Safety and efficacy of laser-induced thrombolysis
Safety and efficacy of laser-induced thrombolysis in thromboembolism of major cerebral arteries
Safety and efficacy of laser-induced thrombolysis
Japan |
Thromboembolism of major cerebral arteries
Neurosurgery |
Others
NO
Investigation of safety and efficacy of laser-induced thrombolysis in thromboembolism of major cerebral arteries
Safety,Efficacy
Safety
Serious adverse effects related with device.
Thromboembolism in a previously uninvolved territory.
Vascular perforation and intramural arterial dissection
Hemorrhage within 24 h after operation
Death within 4 weeks after operation
Efficacy
(TICI) grades 2b and 3 flow
Interventional
Single arm
Non-randomized
Open -no one is blinded
Uncontrolled
1
Treatment
Device,equipment |
Laser-induced thrombolysis
20 | years-old | <= |
Not applicable |
Male and Female
1. Patients had occlusions of major cerebral arteries, which were treatable by laser induced thrombolysis within 8 h of stroke symptom onset and with ineligibility for or failure to respond to intravenous rt-PA.
2. The occlusions of major cerebral arteries (intracranial internal carotid artery, frontal cerebral artery, middle cerebral artery (M1, M2), basilar artery, vertebral artery) confirmed angiographically as (TIMI) grades 0, 1.
3. mRS score 0-2 before onset.
4. Symptom of acute stroke
5.NIHSS score 4-24
6.TICI 0,1
7. Voluntary written consent by themselves or legally acceptable representative is given.
1. Treatment by intravenous t-PA administration within 12 weeks of IC
2. Sudden improvement of symptom of stroke
3. NIHSS score > 24 or coma
4. Women with pregnancy (possible), or lactating
5. Impossible access for vessels
6. Bleeding, in the tendency to bleeding, and family history and past history of bleeding disorders
7. Treatment of oral coagulant and PT-INR > 3.0
8.
9. APTT twice more than upper limit of normal.
10. Platelet count < 3,000 /uL
11. Uncontrolled neurological and psychological disorders
12. Hypersensitivity of contrast agent
13. Uncontrolled hypertension (maximum pressure >185 mmHg or minimum pressure > 110 mmHg)
14. One of below conditions in CT scan
Midline sift
Low density area more than one third
Intracranial hemorrhage
AVM
Aneurysm
Complete occlusion of carotid artery
15. Stenosis of arteries to be impossible for laser induced thrombolysis
16. Previous injury of artery
17. Within 90 day of alive
18. Treatment with any investigational compound within 12 weeks before IC
19. Blood sugar =< 50 mg/dL or > 400 mg/dL
20. Seizure
21. Failure of reopening by previous thrombectomy
22. Any serious medical or psychiatric illness that could, in the opinion of the investigator, potentially interfere with the completion of treatment according to this protocol.
23. Cerebral hemorrhage after t-PA treatment in CT scan
24.Leakage of the contrast agent before laser treatment
20
1st name | Teiji |
Middle name | |
Last name | Nakayama |
Hamamatsu Medical Center Hospital
Emergent Medical Center
432-8580
328 Tomizuka Nakaku Hamamatsu, Japan
053-453-7111
nakayama@hmedc.or.jp
1st name | Teiji |
Middle name | |
Last name | Nakayama |
Hamamatsu Medical Center Hospital
Emergent Medical Center
432-8580
328 Tomizuka Nakaku Hamamatsu, Japan
053-453-7111
nakayama@hmedc.or.jp
Hamamatsu univeristy hospital
Japan agency for medical research and development
Japanese Governmental office
IRB in Hamamatsu Medical Center Hospital
328 Tomizuka Nakaku Hamamatsu, Japan
053-453-7111
chiken@hmedc.or.jp
NO
2016 | Year | 11 | Month | 01 | Day |
Unpublished
3
Completed
2016 | Year | 11 | Month | 01 | Day |
2016 | Year | 02 | Month | 22 | Day |
2017 | Year | 03 | Month | 30 | Day |
2018 | Year | 08 | Month | 24 | Day |
2019 | Year | 03 | Month | 31 | Day |
2016 | Year | 09 | Month | 28 | Day |
2019 | Year | 04 | Month | 01 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000027860