Clinical Trial Details
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NCT03469206 : Direct Intra-arterial Thrombectomy in Order to Revascularize AIS Patients With Large Vessel Occlusion Efficiently in Chinese Tertiary Hospitals
AgesMin: 18 Years Max: N/A
Inclusion Criteria:

- a clinical diagnosis of acute ischemic stroke,

- caused by a large vessel occlusion of the anterior circulation (distal intracranial
carotid artery or middle M1/proximal M2) cerebral artery confirmed by CTA,

- CT or MRI ruling out intracranial hemorrhage,

- eligible for IVT and IAT (within 4.5 hours after symptom onset),

- a score of at least 2 on the NIH Stroke Scale,

- age of 18 years or older,

- written informed consent.

Exclusion Criteria:

- - Pre-stroke disability which interferes with the assessment of functional outcome at
90 days, i.e. mRS >2

- Any contra-indication for IVT, according to guidelines of the American Heart
Association, i.e.:

- arterial blood pressure exceeding 185/110 mmHg

- blood glucose less than 2.7 or over 22.2 mmol/L

- cerebral infarction in the previous 6 weeks with residual neurological deficit or
signs of recent infarction on neuro-imaging

- serious head trauma in the previous 3 months

- major surgery or serious trauma in the previous 2 weeks

- gastrointestinal or urinary tract hemorrhage in the previous 3 weeks

- previous intracerebral hemorrhage

- use of anticoagulant with INR exceeding 1.7

- known thrombocyte count less than 100 x 109/L

- treatment with direct thrombin or factor X inhibitors

- treatment with heparin (APTT exceeds the upper limit of normal value) in the
previous 48 hours.
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