Neurothrombectomy France

Nantes University Hospital230 enrolled

Overview

The Ischemic Brain Vascular Accident (CVA) is a major public health issue. An Early and appropriate charging anyone with stroke is essential to reduce mortality, reduce dependency and promote recovery of autonomy. Intravenous fibrinolysis in patients with cerebral infarction (NINDS 1995), is reserved for a small proportion of highly selected patients. It therefore remains a significant therapeutic challenge, especially for patients with against-indications to fibrinolysis or in whom there is no immediate benefit. For twenty years of mechanical devices have been developed to remove, as quickly as possible, the cause of intracranial arterial occlusion and allow restoration of blood flow before brain damage is irreversible. NTF The protocol is part of the evaluation process of our clinical practices recommended by the National Health Authority (HAS), in the specific context of mechanical thrombectomy performed in French centers of interventional neuroradiology working with neurovascular units (A V).

Study Type

OBSERVATIONAL

Enrollment

230

Conditions

Cerebral Artery Occlusion

Eligibility

Sex: ALLMin age: 18 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Signature of the information notice by the patient or his legal representative * Age\> 18 years * Clinical and imaging consistent with ischemic stroke whose symptoms start back within 8h * Thrombosis (TICI 0 or 1) of the carotid T, M1, M1-M2 bifurcation of the basilar artery occlusion in TANDEM ACI / M1. Exclusion Criteria: * Pregnant or lactating women * Rapid improvement of NIHSS (gain of more than 4 points) between two pre-treatment assessments. * ASPECT score \<7 on the scanner or \<5 on the diffusion-weighted imaging (DWI) * Intracranial hemorrhage on imaging * Inability of clinical evaluations at 3 months * extensive lesions of the brain stem (the presence of a complete section of the brainstem hyperintense b1000) * 0 Refusal to participate in the study

Outcomes

Primary Outcomes

clinical score for handicap (mRS)

Time frame: at 3 months

Secondary Outcomes

hemorrhagic complications on postoperative imaging

Time frame: baseline

hemorrhagic complications on postoperative imaging

Time frame: at 1 day

physiological parameter : age