ASSET: Acupoint Stimulation and Endovascular Treatment of Ischemia Stroke
Study Details
Study Description
Brief Summary
In this prospective randomized controlled trial, the subjects will be assigned to group transcutaneous electrical acupoint stimulation (TEAS) and group control (no intervention). The postoperative outcomes including NIHSS (National Institute of Health stroke scale) score, morbidity and mortality will be evaluated during hospital stay and by one year after surgery.
Condition or Disease | Intervention/Treatment | Phase |
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N/A |
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
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Experimental: transcutaneous electrical acupoint stimulation Electrodes are placed at acupoints and connected to the stimulator. Electrical stimulation is given during surgery. |
Device: transcutaneous electrical acupoint stimulation
Electrodes are placed at acupoints and connected to the stimulator. Electrical stimulation is given during surgery.
Other Names:
|
No Intervention: Control Electrodes are placed at acupoints and connected to the stimulator. But no stimulation is given during surgery. |
Outcome Measures
Primary Outcome Measures
- number of patients with major in-hospital postoperative complications [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
Secondary Outcome Measures
- mortality by 30 days after surgery [from end of surgery to 30 days after surgery, in a total of 30 days]
- NIHSS by 30 days after surgery [from end of surgery to 30 days after surgery, in a total of 30 days]
National Institute of Health stroke scale (NIHSS ), of which minimum and maximum values are 0 and 42 respectively, and higher scores mean a worse outcome.
- mortality by 3 months after surgery [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 [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
- mortality by 6 months after surgery [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 [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
- duration of postoperative in-hospital stay [from end of surgery to discharge from hospital, in an average of 7 days]
- serum interleukin-6 level at the end of the surgery [at end of the surgery]
- serum tumor necrosis factor-α level at the end of the surgery [at end of the surgery]
- episodes of hypotension during surgery [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
Eligibility Criteria
Criteria
Inclusion Criteria:
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age ≥18 years
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patients with ischemia stroke
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patients scheduled for endovascular treatment
Exclusion Criteria:
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patients with endotracheal intubation
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patients with intracranial hemorrhage
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patients with posterior circulation infarction
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patients with Glasgow score less than 8
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patients with National Institute of Health stroke scale (NIHSS) less than 10
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patients with agitation or epilepsy
Contacts and Locations
Locations
No locations specified.Sponsors and Collaborators
- Zhihong LU
Investigators
None specified.Study Documents (Full-Text)
None provided.More Information
Publications
- 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.
- 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]
- 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.
- XJH-A-20200730