Carotid artery stenting (CAS) prevents stroke but carries risks of perioperative cerebral embolism. Transcranial Doppler (TCD) ultrasound can detect microemboli during CAS and may offer therapeutic benefits through ultrasound-enhanced thrombolysis. Trials like SONOBUSTER and SONOBIRDIE suggest TCD reduces new brain infarctions during carotid procedures. The TCD-ICAS trial will investigate whether TCD application during and after CAS reduces perioperative cerebral emboli and improves outcomes.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
PREVENTION
Masking
SINGLE
Enrollment
232
TCD treatment (1.6 MHz, 0.274 MPa) from femoral artery puncture until 30-60 minutes after procedure completion
Department of Neurology, General Hospital of Northern Theater Command
Shenyang, China
RECRUITINGnumber of new Magnetic Resonance Imaging - Diffusion Weighted Imaging lesions
Time frame: 24 (±8) hours
total volume of new Magnetic Resonance Imaging - Diffusion Weighted Imaging lesions
Time frame: 30±3 days
number of new Magnetic Resonance Imaging - Diffusion Weighted Imaging lesions >0.5 mL
Time frame: 30±3 days
composite of ischemic stroke, transient ischemic attack (TIA), or death
Time frame: 30±3 days
intracranial hemorrhage on neuroimaging
Time frame: 24 (±8) hours
serious adverse events
Time frame: 24 (±8) hours
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.