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Patients with acute ischemic stroke who have undergone endovascular thrombectomy will be eligible to be included, and thrombus will be collected after obtaining informed consent. Enrolled patients will receive a comprehensive diagnostic evaluation and the best medical treatment according to recent stroke management guidelines. The mechanism of the stroke will be classified into atherosclerotic, cardiac embolism, others and unknown causes based on diagnostic workup. Patients will be monitored in an outpatient clinic for vascular events including stroke recurrence, death, and bleeding events, which will continue for up to two years after the initial stroke event. Thrombus information related to RNA expression patterns and histological characteristics will be analyzed to classify the stroke mechanism and predict future vascular events after the initial stroke.
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| thrombus analysis | Diagnostic Test | Detailed expression pattern of RNA and histological characteristics will be investigated. |
| Measure | Description | Time Frame |
|---|---|---|
| Vascular events | major vascular events after endovascular thrombectomy, including stroke, myocardial infarction, and vascular death | two years after initial stroke |
| Measure | Description | Time Frame |
|---|---|---|
| Thromboembolic events | Any thromboembolic events after endovascular thrombectomy including ischemic stroke, transient ischemic attack, myocardial infarction or unstable angina, peripheral artery disease requiring hospitalization, venous thromboembolism, pulmonary embolism and vascular death | two years after initial stroke |
| Measure | Description | Time Frame |
|---|---|---|
| overall mortality | any death event after endovascular thrombectomy | two years after initial stroke |
Inclusion Criteria:
Exclusion Criteria:
-
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patients with acute ischemic stroke who had undergone endovascular thrombectomy and agreed to participate to the study
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Seoul National University Hospital | Recruiting | Seoul | Jong-ro Gu | 03080 | South Korea |
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| ID | Term |
|---|---|
| D002544 | Cerebral Infarction |
| D013927 | Thrombosis |
| ID | Term |
|---|---|
| D020520 | Brain Infarction |
| D002545 | Brain Ischemia |
| D002561 | Cerebrovascular Disorders |
| D001927 | Brain Diseases |
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human thrombus obtained after endovascular thrombectomy
| D002493 |
| Central Nervous System Diseases |
| D009422 | Nervous System Diseases |
| D020521 | Stroke |
| D014652 | Vascular Diseases |
| D002318 | Cardiovascular Diseases |
| D007238 | Infarction |
| D007511 | Ischemia |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D009336 | Necrosis |
| D016769 | Embolism and Thrombosis |