Additional Neurological Symptoms Before Surgery of the Carotid Arteries - A Prospective Study (ANSYSCAP)
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Purpose
A single center observational study. Observing the time between cerebrovascular symptoms and Carotid Endarterectomy (CEA) and patient outcome. An intervention at 17 of the 29 study months aimed at reducing the delay and increasing the patient safety. Main outcome is to measure the reduction in recurrent stroke with decreased delay to CEA.
| Condition | Intervention |
|---|---|
|
Carotid Stenoses |
Other: New Guidelines |
| Study Type: | Observational |
| Study Design: | Time Perspective: Prospective |
| Official Title: | Additional Neurological Symptoms Before Surgery of the Carotid Arteries - A Prospective Study |
| Estimated Enrollment: | 350 |
| Study Start Date: | August 2007 |
| Study Completion Date: | March 2011 |
| Primary Completion Date: | March 2010 (Final data collection date for primary outcome measure) |
| Groups/Cohorts | Assigned Interventions |
|---|---|
|
All
All patients enter the same group
|
Other: New Guidelines
New practical guidelines after half of the study aimed at reducing the delay and increasing the patient safety.
|
Detailed Description:
All patients with a carotid stenosis >50% according to the NASCET-criteria are included. The study does not affect the health care the patients receive. The time between symptom and surgery is compared to the outcome of the CEA after 45 days, 6 months and 1 year. An intervention in the form of new practical local and regional guidelines in January 2009 (#17 of the 29 study months) aimed at reducing the delay and increasing the patient safety.
Primary endpoints: Ipsilateral stroke, any stroke, death, any cerebrovascular event.
Secondary endpoints: To attempt to validate different risk and score systems already published by other sources. Such as can ABCD2-score be used safely to chose between acute and fast normal screening for carotid stenosis?
Eligibility| Ages Eligible for Study: | 18 Years to 90 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
| Sampling Method: | Probability Sample |
All patients with a carotid stenosis >50%, preliminary eligable for CEA in the northern region of Sweden
Inclusion Criteria:
- Carotid stenosis >50% according to NASCET criteria
Exclusion Criteria:
- Not preliminary judged as having an indication for surgery, before an extensive investigation is launched. Thus, some patients that will not undergo CEA will be included.
Contacts and Locations
More Information
Publications:
| Responsible Party: | Per Wester, Umeå University |
| ClinicalTrials.gov Identifier: | NCT00514592 History of Changes |
| Other Study ID Numbers: | EJ-0418 |
| Study First Received: | August 9, 2007 |
| Last Updated: | June 3, 2011 |
| Health Authority: | Sweden: The National Board of Health and Welfare |
Keywords provided by Umeå University:
|
Carotid stenosis Carotid endarterectomy |
Additional relevant MeSH terms:
|
Carotid Stenosis Constriction, Pathologic Carotid Artery Diseases Cerebrovascular Disorders Brain Diseases Central Nervous System Diseases |
Nervous System Diseases Arterial Occlusive Diseases Vascular Diseases Cardiovascular Diseases Pathological Conditions, Anatomical |
ClinicalTrials.gov processed this record on May 23, 2013