Cerebral Infarction Clinical Trial
Official title:
Lower Limb Ischaemic Per-conditioning in Acute Cerebral Infarction (<H6): Multicenter Randomized Study With Stratification on IV Thrombolysis and PROBE Design (Prospective Randomized Open Trial With Blinded End-Point)
Cerebral infarction is the most common form of stroke (80% of strokes). Stroke is the first
cause of acquired disability, and the 2nd cause of dementia and death. The only approved
treatment in the first 4.5 hour is intravenous rt-PA thrombolysis (Actilyse ®) whose
objective is recanalization of occluded artery and reperfusion of the brain parenchyma. Few
patients are treated (1-5%) and they keep disability in 50-60% of cases. This handicap is
mainly correlated to the final infarct size. The objective of neuroprotective treatments is
to reduce the final size of the cerebral infarction.
The per-conditioning remote ischemic (Per-CID) showed a neuroprotective effect in cerebral
ischemia by reducing the final size of cerebral infarction animal models. The per-CID
corresponds, in cases of cerebral ischemia, to iterative ischemia realization of a member
with a cuff. In humans, the per-CID has shown a cardioprotective effect in a randomized
control trial involving 250 patients within 6 first hours of myocardial infarction and
candidate for primary angioplasty.
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