Predictive Multimodal MRI Factors in Subacute Cerebral Artery Occlusiontreated by Thrombectomy (PIMISUTT) (PIMISUTT)
Predictive Multimodal MRI Factors in Subacute Cerebral Artery Occlusiontreated by Thrombectomy (PIMISUTT
Our study aims to measure metabolic and functional parameters of the infarcted territory by multimodal cerebral MRI in patients diagnosed with unilateral proximal occlusion of the middle cerebral artery and treated by thrombectomy in order to correlate those parameters to clinical outcome (evaluated by modified Rankin score) at 3 months.
We aim to find early radiologic predictive factors for favorable clinical outcome in this population of patients.
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
The treatment of acute ischemic stroke in the setting of intracranial large artery occlusion and especially middle cerebral artery occlusion (MCAO) with intravenous tissue plasminogen activator (IV-tPA) is associated with low rates of recanalization and high rates of neurological morbidity and functional dependence.
In the last few years, endovascular intervention (mechanical thrombectomy) has proven its safety and its efficacy on clinical outcome in patients diagnosed with MCAO and is now commonly recommended.
However, in this population of patients treated by thrombectomy, very few predictive factors, except for the post-procedural recanalization score (TICI), do exist to foresee the variability of clinical outcome.
Tissue viability of the infarcted territory can be approached by the measure of metabolic and morphological parameters (Na+, H+, phosphore, diffusion imaging) which can be non-invasively done by multimodal MRI, as suggest by recently published studies.
Our study plans to measure these parameters between 12 and 24 hours after acute ischemic stroke in patients with MCAO treated by thrombectomy in order to correlate those parameters to clinical outcome at 3 months (modifier Rankin Score).
Study Type
Study Type
Enrollment (Estimated)
Enrollment
Phase
Phase
- Not Applicable
Contacts and Locations
Study Contact
Study Contact
- Name: Guillaume HERPE, Dr
- Phone Number: 05 49 44 33 89
- Email: guillaume.herpe@chu-poitiers.fr
Study Contact Backup
- Name: Céline DELETAGE
- Phone Number: +33 05 49 44 38 54
- Email: celine.deletage@chu-poitiers.fr
Study Locations
-
-
-
Poitiers, France
- Recruiting
- CHU Poitiers
-
Contact:
- Guillaume HERPE, Dr
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Patients aged ≥ 18 years old
- Hospitalized at the Poitiers University Hospital
- Acute middle cerebral artery occlusion diagnosed by CT-scan or MRI
- NIHSS score ≥ 6 at admission
- To be treated by thrombectomy with or without fibrinolysis
- Written information delivered to the patient or his relatives concerning the study and its benefit and risk
Exclusion Criteria:
- Patients or relatives whom a loyal information about the study cannot be given
- Patient with cognitive impairments before MRI.
- Patients who cannot undergo MRI because of contraindications
- Patients too deteriorated to tolerate one hour long exam
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Prevention
- Allocation: N/A
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: Multimodal MRI
|
Multimodal MRI will be realized between 12 and 24 hours after thrombectomy
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
|
Correlation between modified Rankin score at 3 months and multimodal MRI data
Time Frame: Month 3
|
Month 3
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
|
Discharge National Institute of Health Stroke Score (NIHSS)
Time Frame: Month 3
|
Month 3
|
|
National Institute of Health Stroke (NIHSS) score at 3 months
Time Frame: Month 3
|
Month 3
|
|
Change in NIHSS score at 3 months compared to post-thrombectomy
Time Frame: Month 3
|
Month 3
|
Collaborators and Investigators
Sponsor
Sponsor
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Estimated)
Primary Completion
Study Completion (Estimated)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- PIMISUTT
- 2020-A021118-31 (Registry Identifier: ID-RBC)
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
product manufactured in and exported from the U.S.
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