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The purpose of this study is to evaluate the efficacy and safety of stent implantation in patients with symptomatic extra- and intracranial artery stenosis and to determine its role in secondary prevention of ischemic stroke.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| 1 | Experimental |
| |
| 2 | Active Comparator |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Stent implantation (Wingspan, Coroflex, and TiTAN2) | Device | Stent Implantation: Wingspan intracranial stent with Gateway PTA balloon Catheter; Coroflex® - balloon expandable stent system and Coroflex Blue - Coronary Stent System; TiTAN2 Bio-active coating stent Standard Medical Management:including antiplatelet agents(Aspirin 75~150mg/day or Clopidogrel 75mg/day),statins(Atorvastatin 20mg/day or Simvastatin 20mg/day),risk factor lowering agents (antihypertension agents:Amlodipine 5mg/day or Benazepril 10mg/day or Valsartan 80mg/day or Nifedipine 30mg/day or Indapamide 2.5mg/day,antidiabetic agents: Metformin 0.5 tid or Glipizide 5mg tid or Acarbose 50mg tid )if necessary,interactive education program (Online medical education program, health behavior guide) . Arms: 1 |
| Measure | Description | Time Frame |
|---|---|---|
| Ischemic stroke in the supply area of stent implantation artery | 30 days and 1 year after the procedure |
| Measure | Description | Time Frame |
|---|---|---|
| Hemorrhagic stroke | 30 days and 1 year after the procedure | |
| Ischemic stroke in the supply area of non-stent implantation artery | 30 days and 1 year after the procedure | |
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Inclusion Criteria:
Exclusion Criteria:
Patients will be excluded from entry if any of the criteria listed below are met:
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| Name | Affiliation | Role |
|---|---|---|
| Liying Cui | Peking Union Medical College Hospital | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Beijing Tiantan Hospital | Beijing | Beijing Municipality | 100050 | China | ||
| Xuanwu Hospital Capital Medical University |
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|
| Standard medical treatment | Drug | Standard Medical Management:including antiplatelet agents(Aspirin 75~150mg/day or Clopidogrel 75mg/day),statins(Atorvastatin 20mg/day or Simvastatin 20mg/day),risk factor lowering agents (antihypertension agents:Amlodipine 5mg/day or Benazepril 10mg/day or Valsartan 80mg/day or Nifedipine 30mg/day or Indapamide 2.5mg/day,antidiabetic agents: Metformin 0.5 tid or Glipizide 5mg tid or Acarbose 50mg tid )if necessary,interactive education program (Online medical education program, health behavior guide) |
|
| Acute coronary syndrome |
| 30 days and 1 year after the procedure |
| All-cause death | 30 days and 1 year after the procedure |
| Transient ischemic attack | 30 days and 1 year after the procedure |
| Degree of re-stenosis of the stent implantation artery | 30 days and 1 year after the procedure |
| Beijing |
| Beijing Municipality |
| 100053 |
| China |
| Peking Union Medical College Hospital | Beijing | Beijing Municipality | 100730 | China |
| Southwest Hospital | Chongqing | Chongqing Municipality | 400038 | China |
| Daping Hospital | Chongqing | Chongqing Municipality | 400042 | China |
| Nanjing General Hospital of Nanjing Military Command | Nanjing | Jiangsu | 210002 | China |
| Jilin University | Changchun | Jilin | 130021 | China |
| Huashan Hospital Fudan University | Shanghai | Shanghai Municipality | 200040 | China |
| West China Center of Medical Sciences | Chengdu | Sichuan | 610041 | China |
| The General Hospital Under Tianjin Medical Sciences University | Tianjin | Tianjin Municipality | 300052 | China |
| ID | Term |
|---|---|
| D020521 | Stroke |
| D002546 | Ischemic Attack, Transient |
| D050197 | Atherosclerosis |
| D003251 | Constriction, Pathologic |
| ID | Term |
|---|---|
| D002561 | Cerebrovascular Disorders |
| D001927 | Brain Diseases |
| D002493 | Central Nervous System Diseases |
| D009422 | Nervous System Diseases |
| D014652 | Vascular Diseases |
| D002318 | Cardiovascular Diseases |
| D002545 | Brain Ischemia |
| D001161 | Arteriosclerosis |
| D001157 | Arterial Occlusive Diseases |
| D020763 | Pathological Conditions, Anatomical |
| D013568 | Pathological Conditions, Signs and Symptoms |
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