Stroke Clinical Trial
Official title:
A Novel Score to Predict Risk of Symptomatic Intracerebral Hemorrhage After Stroke Thrombectomy: Derivation, Validation and Comparison With Other Scores
This study sought to develop and validate a new risk stratification score (Henan predicting the risk of intracerebral hemorrhage score, Henan-PRIHS) based on intra-arterial contrast enhanced Flat Detector CT (IA-CEFDCT) to predict symptomatic intra-cerebral hemorrhage (sICH) after stroke thrombectomy.
Status | Completed |
Enrollment | 300 |
Est. completion date | March 30, 2020 |
Est. primary completion date | December 31, 2019 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 18 Years and older |
Eligibility | Inclusion Criteria: 1. age =18 years, 2. occlusion of internal carotid artery and/or middle cerebral artery (MCA) M1 or M2 segments confirmed by CTA or MRA or DSA, 3. baseline National Institutes of Health Stroke Scale (NIHSS) score = 4 points, 4. MT was performed within 16 hours from stroke onset, 5. baseline CT scan and IA-CEFDCT scan must be performed; 24 hours post-treatment CT scan was done and when the patient's neurological state had deteriorated. Exclusion Criteria: 1. bilateral infarcts, 2. history of hemorrhagic stroke, 3. post-procedure ICH (including SAH) due to iatrogenic complications, 4. missing clinical and demographic data, 5. poor-quality IA-CEFDCT scans (i.e., motion artifact) that limited accurate identification of the region of interest. Bridge treatment (combined intravenous thrombolysis with MT) was not excluded from this study. |
Country | Name | City | State |
---|---|---|---|
China | Shanghai 6th People's Hospital | Shanghai |
Lead Sponsor | Collaborator |
---|---|
Shanghai Jiao Tong University Affiliated Sixth People's Hospital | The First Affiliated Hospital of Zhengzhou University |
China,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Henan predicting the risk of intracerebral hemorrhage score | Grade 0 was normal or less contrast filling in affected hemisphere, grade 1 and 2 were small and medium-large area without contrast filling, respectively. | 5 days |
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