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To explore the safety and feasibility of intra-arterial neuroprotective strategy in acute ischemic stroke patients who missed recanalization operation.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Intra-arterial administration of 3-n-butylphthalide | Experimental | Intra-arterial administration of 3-n-butylphthalide for 24 hours via microcatheter at 17.36 ug/min. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Intra-arterial administration of neuroprotective agents | Drug | Intra-arterial administration of 3-n-butylphthalide for 24 hours via microcatheter at 17.36 ug/min. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Proportion of server adverse events | server adverse events including femoral artery dissection, local thrombosis, seudoaneurysm, arteriovenousfistula, etc. | 48 hours |
| Measure | Description | Time Frame |
|---|---|---|
| Proportion of patients with modified Rankin Score 0 to 1 | Proportion of patients with modified Rankin Score 0 to 1 | 90 days |
| Proportion of patients with modified Rankin Score 0 to 2 | Proportion of patients with modified Rankin Score 0 to 2 |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Hui-Sheng T Chen, Ph.D. | Contact | +8613352452086 | chszh@aliyun.com |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Department of Neurology, General Hospital of Northern Theater Command | Recruiting | Shenyang | 110016 | China |
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| ID | Term |
|---|---|
| D000083242 | Ischemic Stroke |
| ID | Term |
|---|---|
| D020521 | Stroke |
| D002561 | Cerebrovascular Disorders |
| D001927 | Brain Diseases |
| D002493 | Central Nervous System Diseases |
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| 90 days |
| Modified Rankin Score | Modified Rankin Score | 90 days |
| Decrease in national institutes of health stroke scale (NIHSS) | Decrease in NIHSS scoring at 48 hours after the treatment | 48 hours |
| Proportion of symptomatic intracranial hemorrhage (sICH) | sICH was defined as 4 or more increase in NIHSS caused by hemorrhage | 48 hours |
| Proportion of intraparenchymal hemorrhage (PH1 and PH2) | Proportion of intraparenchymal hemorrhage (PH1 and PH2) within 48 hours after the treatment | 48 hours |
| Changes in cerebral edema | Cerebral edema was determined by cerebral volume or midline shift | 48 hours |
| All causes of death within 48 hours after the treatment | All causes of death within 48 hours after the treatment | 48 hours |
| Differences in serum factors levels in different artery region | Differences in serum factors levels in different Bessel region before recanalization | 0 hour |
| D009422 |
| Nervous System Diseases |
| D014652 | Vascular Diseases |
| D002318 | Cardiovascular Diseases |