Effect of RIC on Cerebral Autoregulation in Patients Undergoing Cerebrovascular Stent Implantation
Remote Ischemic Conditioning
About this trial
This is an interventional treatment trial for Remote Ischemic Conditioning focused on measuring Remote Ischemic Conditioning, Cerebrovascular Stent Implantation
Eligibility Criteria
Inclusion Criteria: Age≥18 years, regardless of sex; Patients with symptomatic or asymptomatic cerebral vascular stenosis (including internal carotid artery system and vertebrobasilar system) who are candidates for elective cerebrovascular stenting. Patients or their immediate family members are able and willing to sign informed consent. Exclusion Criteria: Patients with progressive stroke; mRS≥ 2 points before admission; Patients with other surgical treatments; Patients with other serious diseases or a life expectancy of less than 3 months Patients who had contraindication of remote ischemic conditioning, such as severe soft tissue injury, fracture or vascular injury in the upper extremities, venous thrombosis in the acute or subacute stage of upper extremities; Laboratory test indicators are unqualified: aspartate aminotransferase or alanine aminotransferase is 3 times higher than the upper limit of the normal range, blood creatinine > 265umol/L (>3mg/dl), platelet < 100×109/L, international normalized ratio (INR), activated partial thromboplastin time (APTT), prothrombin time (PT) exceed the upper limit of the normal range; Pregnant or lactating women; Patients who are participating in other clinical studies, or who have participated in other clinical studies within 3 months prior to enrollment; Unwillingness to be followed up or poor adherence to treatment; Other circumstances that the investigator considers unsuitable for enrolment.
Sites / Locations
- First Hospital of Jilin University
Arms of the Study
Arm 1
Arm 2
Active Comparator
Placebo Comparator
RIC Group
Sham-RIC Group
Remote ischemic conditioning (RIC) is induced by 4 cycles of 5 min of healthy upper limb ischemia followed by 5 min reperfusion. Limb ischemia was induced by inflation of a blood pressure cuff to 200 mm Hg. RIC will be conducted twice daily for 7 consecutive days or from enrollment to discharge.
Remote ischemic conditioning (RIC) is induced by 4 cycles of 5 min of healthy upper limb ischemia followed by 5 min reperfusion. Limb ischemia was induced by inflation of a blood pressure cuff to 60 mm Hg. RIC will be conducted twice daily for 7 consecutive days or from enrollment to discharge.