Evaluation of Direct Transfer to Angiography Suite vs. Computed Tomography Suite in Endovascular Treatment: Randomized Clinical Trial (ANGIOCAT) (ANGIOCAT)
Stroke, Acute
About this trial
This is an interventional treatment trial for Stroke, Acute focused on measuring Endovascular treatment, Large Vessel Occlusion
Eligibility Criteria
Inclusion Criteria:
- Large vessel occlusion suspected acute stroke codes (RACE>4) within 6 hours from stroke onset which are prenotified from emergency medical system.
- Confirmed NIHSS>10 at arrival.
- Good pre-stroke functional status (mRS≤2)
- Angiography suite available.
- Endovascular treatment team available (Neurologist, Interventionist, anesthesiologist, Nursery, Technicians…)
Exclusion Criteria:
- Hemodynamically unstable patients who requires of advanced vital support.
- Patients with an advanced disease that conditions a life expectancy lower than 6 months.
- Participation in other clinical trial with a drug or device which could influence in the outcome.
- Patients with neurological or psychiatric disease that could confound future evaluations.
- Lack of disponibility for 90 days tracing.
Sites / Locations
- Vall d'Hebron University Hospital
Arms of the Study
Arm 1
Arm 2
Active Comparator
No Intervention
Direct Transfer to Angio Suite
Direct Transfer to CT Scan
After a fast neurological evaluation, patient will be direct transferred to angiography suite where endovascular treatment (EVT) team will be waiting for it. It will be done a cone beam-CT and if the image don't contraindicate endovascular treatment it will be performed and the large vessel occlusion will be confirmed by arteriography. If intravenous treatment have not been previously administered, it will be able to start in parallel.
After a fast neurological evaluation, patient will be transferred to CT suite where usual image protocol will be performed (CT and CT-angio). Within 6 hours from onset CT perfusion could be required to take detections. Once interpreted image results, it will be decided intravenous and/or endovascular treatment.