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Acute ischaemic stroke (AIS) results in high rates of neurological morbidity and mortality, especially in patients with large vessel occlusion (LVO). Endovascular therapy (EVT) has been approved as the most effective treatment for patients with LVO , but about half patients undergoing EVT did not achieve good outcome. The mechanisms of poor prognosis are complex. How to accurately identify serological biomarkers related to patients' clinical prognosis is an important research topic nowadays.
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| endovascular treatment | Procedure | all patients with anterior circulation large vessel occlusion will receive endovascular treatment. |
| Measure | Description | Time Frame |
|---|---|---|
| Dynamic changes in serum biomarkers after endovascular treatment | These biomarkers will be identified based on proteomic methods | from the baseline to immediately, 30 minutes, 6 hours, and 24 hours after endovascular treatment |
| Measure | Description | Time Frame |
|---|---|---|
| favourable functional outcome, defined as modified Rankin Scale (mRS) 0-2 | mRS ranges from 0-6, high score means poor outcome | 90±7 days |
| excellent functional outcome, defined as modified Rankin Scale (mRS) 0-1 |
| Measure | Description | Time Frame |
|---|---|---|
| the association between cerebral circulation time (CCT) and clinical outcomes | CCT is defined as the time from the appearance of contrast at the siphon segment of the internal carotid to the end of the arterial phase during DSA on the anteroposterior and lateral image in anterior circulation LVO; clinical outcomes include changes in NIHSS and mRS | 24±8 hours, 10±2 days, 90±7 days |
Inclusion Criteria:
Exclusion Criteria:
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Patients with acute anterior circulation large vessel occlusion within 24 hours of onset who will receive endovascular treatment
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| General Hospital of Northern Theater Command | Recruiting | Shenyang | 110840 | 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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mRS ranges from 0-6, high score means poor outcome
| 90±7 days |
| distribution of modified Rankin Scale (mRS) score | mRS ranges from 0-6, high score means poor outcome | 90±7 days |
| early neurological improvement, defined as 4 or more decrease in National Institute of Health stroke scale (NIHSS) | NIHSS ranges from 0-22, with high score meaning severe neurological deficit. | 24±8 hours |
| changes in National Institute of Health stroke scale (NIHSS) | NIHSS ranges from 0-22, with high score meaning severe neurological deficit. | 24±8 hours |
| symptomatic intracranial hemorrhage (sICH) | sICH is defined as an increase in 4 or more points on the NIHSS | 24±8 hours |
| occurence of new stroke or other vascular events | 90±7 days |
| the association between serum biomarkers and clinical outcomes | serum biomarkers include those in different timepoints or their dynamic changes; clinical outcomes include changes in NIHSS and mRS | 24±8 hours, 10±2 days, 90±7 days |
| the association between serum biomarkers and status of vessel recanalization | serum biomarkers include those in different timepoints or their dynamic changes; the status of vessel recanalization is determined by modified thrombolysis in cerebral infarction | 24±8 hours, 10±2 days, 90±7 days |
| D009422 |
| Nervous System Diseases |
| D014652 | Vascular Diseases |
| D002318 | Cardiovascular Diseases |