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The purpose of this study is to assess the efficacy and safety of Self-expanding Intracranial Stent (Tonbridge), by comparing the data obtained from Self-expanding Intracranial Stent (Zhuhai Tonbridge Medical Tech. Co., Ltd.) and LVIS/LVIS Jr. (MicroVention Europe SARL) for endovascular treatment of intracranial aneurysms.
This is a prospective, multi-center, randomized, open, parallel positive controlled, non-inferiority trial. This clinical trial is conducted at more than 2 centers in China, and patients who intend to be treated with stent-assisted coiling for intracranial aneurysms are enrolled. Eligible patients are randomized into experimental group using Self-expanding Intracranial Stent (Tonbridge) or control group using LVIS and LVIS Jr. (MicroVention) in a 1:1 ratio. The purpose of this study is to evaluate the effectiveness and safety of the Self-expanding Intracranial Stent (Tonbridge).
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| experimental group | Experimental | Self-expanding Intracranial Stent (Tonbridge) |
|
| control group | Active Comparator | LVIS and LVIS Jr. (MicroVention) |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Self-expanding Intracranial Stent (Tonbridge) | Device | Stent assisted coiling with Self-expanding Intracranial Stent (Tonbridge). |
|
| Measure | Description | Time Frame |
|---|---|---|
| Successful occlusion rate of aneurysms at 6 months | Successful occlusion is defined as complete occlusion or neck remnant (Raymond-Roy class I or Ⅱ), which is diagnosed by cerebrovascular DSA at 6 months post-procedure. | 6 months±30 days post-procedure |
| Measure | Description | Time Frame |
|---|---|---|
| Device success rate | Device success is that the stent is delivered to the target vessel successfully and covers the aneurysm neck effectively without stent migration or misplacement, etc. Device success is diagnosed by intraoperative cerebrovascular DSA. | intra-procedure |
| Immediate successful occlusion rate of aneurysms |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Jianmin Liu | Changhai Hospital | Principal Investigator |
| Chuanzhi Duan | Southern Medical University, China | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| The First Affiliated Hospital of Wannan Medical College | Wuhu | Anhui | China | |||
| Guangdong Provincial People's Hospital |
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| LVIS and LVIS Jr. (MicroVention) | Device | Stent assisted coiling with LVIS and LVIS Jr. (MicroVention). |
|
Successful occlusion is defined as complete occlusion or neck remnant (Raymond-Roy class I or Ⅱ), which is diagnosed by intraoperative cerebrovascular DSA. |
| intra-procedure |
| Recurrence rate of aneurysms at 6 months | Recurrence is defined as increased contrast agent filling into the aneurysm sac at post-operative review compared to immediate post-procedure. | 6 months±30 days post-procedure |
| Retreatment rate | Retreatment is defined as during the study period any additional treatment of the target aneurysm after the original procedure. | 180±30 days, 360±30 days post-procedure |
| Operation satisfaction rate | The 5-point Likert scale is used to evaluate the operation satisfaction from three aspects: push performance, retracting performance and release performance. "Operation satisfaction rate" is defined as the proportion of investigational devices or comparators with Likert score≥12 points. | intra-procedure |
| Incidence of parent artery stenosis (>50%) in target area | Parent artery stenosis in target area is defined as stenosis degree >50%, which is diagnosed by postoperative cerebrovascular DSA at 6 months, CTA or MRA at 12 months. | 180±30 days, 360±30 days post-procedure |
| Incidence of parent artery occlusion in target area | Parent artery occlusion in target area is diagnosed by postoperative cerebrovascular DSA at 6 months, CTA or MRA at 12 months. | 180±30 days, 360±30 days post-procedure |
| Incidence of stroke | Stroke includes hemorrhagic stroke and symptomatic ischemic stroke. | 30±7 days, 360±30 days post-procedure |
| All-cause mortality | "All-cause mortality" is the proportion of subjects who die due to any cause. | 30±7 days, 360±30 days post-procedure |
| Incidence of adverse events | "Incidence of adverse events" is the proportion of subjects with adverse events using the investigational device or the comparator. | 180±30 days, 360±30 days post-procedure |
| Incidence of serious adverse events | "Incidence of serious adverse events" is the proportion of subjects with serious adverse events using the investigational device or the comparator. | 180±30 days, 360±30 days post-procedure |
| Incidence of device deficiency | Device deficiency is the unreasonable risk that may endanger human health and life safety in the normal use of medical devices during clinical trials, such as labeling errors, quality problems and malfunctions. | intra-procedure, 180±30 days post-procedure |
| Guangzhou |
| Guangdong |
| China |
| Zhujiang Hospital of Southern Medical University | Guangzhou | Guangdong | China |
| Zhuhai People's Hospital | Zhuhai | Guangdong | China |
| Tongji Hospital Tongji Medical College of HUST | Wuhan | Hubei | China |
| Xiangya Hospital of Central South University | Changsha | Hunan | China |
| General Hospital of Eastern Theater Command | Nanjing | Jiangsu | China |
| General Hospital of Northern Theater Command | Shenyang | Liaoning | China |
| Qilu Hospital of Shandong University | Jinan | Shandong | China |
| First Hospital of Shanxi Medical University | Taiyuan | Shanxi | China |
| Sichuan Academy of Medical Sciences·Sichuan Provincial People's Hospital | Chengdu | Sichuan | China |
| The First Affiliated Hospital Zhejiang University School of Medicine | Hangzhou | Zhejiang | China |
| The First Affiliated Hospital of Chongqing Medical University | Chongqing | China |
| Changhai Hospital of Shanghai | Shanghai | China |
| ID | Term |
|---|---|
| D002532 | Intracranial Aneurysm |
| ID | Term |
|---|---|
| D020765 | Intracranial Arterial Diseases |
| D002561 | Cerebrovascular Disorders |
| D001927 | Brain Diseases |
| D002493 | Central Nervous System Diseases |
| D009422 | Nervous System Diseases |
| D000783 | Aneurysm |
| D014652 | Vascular Diseases |
| D002318 | Cardiovascular Diseases |
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