Acupoint Stimulation and Cranial Endovascular Treatment (ASSET)
Effect of Transcutaneous Electrical Acupoint Stimulation on Postoperative Complications After Cranial Endovascular Treatment
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Anticipated)
Enrollment
Phase
Phase
- Not Applicable
Contacts and Locations
Study Contact
Study Contact
- Name: Minjuan Zhang
- Phone Number: 8684775343
- Email: 947391349@qq.com
Study Locations
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-
Shaanxi
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Xi'an, Shaanxi, China, 710032
- Recruiting
- Xijing hospital, Fourth military medical university
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Contact:
- Zhihong Lu
- Phone Number: 13891975018
- Email: deerlu23@163.com
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-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- age ≥18 years
- patients scheduled for cranial endovascular treatment
Exclusion Criteria:
- American Society of Anesthesiologists class Ⅲ or higher
- Hunt-Hess class Ⅲ or higher
- body mass index (BMI) < 18 kg/㎡ or > 30kg/㎡
- large or giant cerebral aneurysms with diameters greater than 15mm and minor cerebral aneurysms with diameters less than 3mm
- posterior circulation infarction
- recurrence of an cerebral aneurysms after endovascular procedures or surgical clipping
- severe abnormal coagulation function, severe liver and kidney function damage, or combined with heart and respiratory system failure
- injury or infection of the skin around the acupoint area
- participate in other clinical researchers within 3 months
- history of neurological or psychiatric diseases
- patients with implanted electrophysiological device
- use of sedative or analgesics before surgery
- patients with difficulty in communication
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Prevention
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Quadruple
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: transcutaneous electrical acupoint stimulation
Electrodes are placed at acupoints and connected to the stimulator.
Electrical stimulation is given during surgery.
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Electrodes are placed at acupoints and connected to the stimulator.
Electrical stimulation is given during surgery.
Other Names:
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No Intervention: Control
Electrodes are placed at acupoints and connected to the stimulator.
But no stimulation is given during surgery.
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
number of patients with major in-hospital postoperative complications
Time Frame: from end of surgery to discharge from hospital, in an average of 7 days
|
major complications include myocardial infarction, heart failure, respiratory failure, mechanical ventilation, cerebral infarction, delirium and coma
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from end of surgery to discharge from hospital, in an average of 7 days
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
mortality by 30 days after surgery
Time Frame: from end of surgery to 30 days after surgery, in a total of 30 days
|
from end of surgery to 30 days after surgery, in a total of 30 days
|
|
|
mortality by 3 months after surgery
Time Frame: from end of surgery to 3 months after surgery, in a total of 3 months
|
from end of surgery to 3 months after surgery, in a total of 3 months
|
|
|
number of patients with major postoperative complications by 3 months after surgery
Time Frame: from end of surgery to 3 months after surgery, in a total of 3 months
|
major complications include myocardial infarction, heart failure, respiratory failure, mechanical ventilation, cerebral infarction, delirium and coma
|
from end of surgery to 3 months after surgery, in a total of 3 months
|
|
mortality by 6 months after surgery
Time Frame: from end of surgery to 6 months after surgery, in a total of 6 months
|
from end of surgery to 6 months after surgery, in a total of 6 months
|
|
|
number of patients with major postoperative complications by 6 months after surgery
Time Frame: from end of surgery to 6 months after surgery, in a total of 6 months
|
major complications include myocardial infarction, heart failure, respiratory failure, mechanical ventilation, cerebral infarction, delirium and coma
|
from end of surgery to 6 months after surgery, in a total of 6 months
|
|
duration of postoperative in-hospital stay
Time Frame: from end of surgery to discharge from hospital, in an average of 7 days
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from end of surgery to discharge from hospital, in an average of 7 days
|
|
|
serum interleukin-6 level at the end of the surgery
Time Frame: at end of the surgery
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at end of the surgery
|
|
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serum tumor necrosis factor-α level at the end of the surgery
Time Frame: at end of the surgery
|
at end of the surgery
|
|
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episodes of hypotension during surgery
Time Frame: from start of surgery to end of surgery, in an average of 2 hours
|
hypotension is defined as mean arterial pressure decreased by more than 20% of the baseline and persisting more than 1 minute
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from start of surgery to end of surgery, in an average of 2 hours
|
|
Score of Mini-mental State Examination at 1 day after surgery
Time Frame: at 24h after the end of surgery
|
A Mini-Mental State Examination (MMSE) is a set of 30 questions that doctors and other healthcare professionals commonly use to check for cognitive impairment (problems with thinking, communication, understanding and memory).
MMSE is with a maximal score of 30.
A higher score means better cognitive function.
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at 24h after the end of surgery
|
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Score of Mini-mental State Examination at 3 days after surgery
Time Frame: at 72h after the end of surgery
|
A Mini-Mental State Examination (MMSE) is a set of 30 questions that doctors and other healthcare professionals commonly use to check for cognitive impairment (problems with thinking, communication, understanding and memory).
MMSE is with a maximal score of 30.
A higher score means better cognitive function.
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at 72h after the end of surgery
|
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visual analog scale of pain at 1 day after surgery
Time Frame: at 24h after the end of surgery
|
visual analogue scale is a scale of 10cm, 0 is for no pain, 10 is for pain that can not be tolerated.
The participant is asked to mark the scale of their pain
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at 24h after the end of surgery
|
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visual analog scale of pain at 3 days after surgery
Time Frame: at 72h after the end of surgery
|
visual analogue scale is a scale of 10cm, 0 is for no pain, 10 is for pain that can not be tolerated.
The participant is asked to mark the scale of their pain
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at 72h after the end of surgery
|
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Quality of recovery score at 3 days after surgery
Time Frame: at 72h after the end of surgery
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Quality of recovery-40 is a questionnaire consisted of 40 questions about the recovery of the patient.
Higher score means better recovery.
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at 72h after the end of surgery
|
|
Rankin's score at 3 days after surgery
Time Frame: at 72h after the end of surgery
|
Rankin's score consists of class of 6 levels and is used for evaluation of neurologic function.
Higher score means worse outcome.
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at 72h after the end of surgery
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Collaborators and Investigators
Sponsor
Sponsor
Publications and helpful links
General Publications
- Dhillon PS, Butt W, Podlasek A, McConachie N, Lenthall R, Nair S, Malik L, Hewson DW, Bhogal P, Makalanda HLD, James MA, Dineen RA, England TJ. Association between anesthesia modality and clinical outcomes following endovascular stroke treatment in the extended time window. J Neurointerv Surg. 2022 Apr 21. pii: neurintsurg-2022-018846. doi: 10.1136/neurintsurg-2022-018846. [Epub ahead of print]
- Campbell D, Deng C, McBryde F, Billing R, Diprose WK, Short TG, Frampton C, Brew S, Barber PA; MASTERSTROKE Study Group. Protocol for the MAnagement of Systolic blood pressure during Thrombectomy by Endovascular Route for acute ischemic STROKE randomized clinical trial: The MASTERSTROKE trial. Int J Stroke. 2022 Aug;17(7):810-814. doi: 10.1177/17474930211059029. Epub 2021 Nov 22.
- Samuels N, van de Graaf RA, van den Berg CAL, Uniken Venema SM, Bala K, van Doormaal PJ, van der Steen W, Witvoet E, Boiten J, den Hertog H, Schonewille WJ, Hofmeijer J, Schreuder F, Schreuder TAHCML, van der Worp HB, Roos YBWEM, Majoie CBLM, Burke JF, van Es ACGM, van der Lugt A, Roozenbeek B, Lingsma HF, Dippel DWJ; MR CLEAN Registry Investigators. Blood Pressure in the First 6 Hours Following Endovascular Treatment for Ischemic Stroke Is Associated With Outcome. Stroke. 2021 Nov;52(11):3514-3522. doi: 10.1161/STROKEAHA.120.033657. Epub 2021 Sep 20.
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Anticipated)
Primary Completion
Study Completion (Anticipated)
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 (Estimate)
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
- XJH-A-20200730
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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