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Evaluation of the Prognostic Impact of a Neuro-vascular Examination Associated with Cerebral MRI in the Acute Phase of Infectious Endocarditis (POMPEI)

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Civil Hospices of Lyon

Status

Enrolling

Conditions

Stroke
Endocarditis

Treatments

Other: Neurological assessment

Study type

Interventional

Funder types

Other

Identifiers

NCT05378126
69HCL18_0798

Details and patient eligibility

About

Infectious endocarditis (IE) is a serious condition with an annual incidence of 3 to 10 per 100,000 people. Brain infarctions complicate approximately 20-40% of endocarditis.

Brain MRI can detect the presence of recent ischemic lesions and asymptomatic microbleeds. Preoperative brain imaging is part of the recommended assessment in the management of IEs, but the type of imaging and sequences are not codified and the impact of cerebral and vascular imaging findings on the therapeutic decision remains uncertain.

The level of evidence of the recommendations remains low, especially for complicated IEs of stroke. There is very little neurological clinical data on patients with IEs. Similarly, neurologists do not systematically participate in multidisciplinary meetings during the management of an IE. It therefore seems interesting to carry out a neurological cohort of this population and to evaluate what would be the contribution of vascular neurologists in the management of infectious endocarditis.

Enrollment

110 estimated patients

Sex

All

Ages

18+ years old

Volunteers

No Healthy Volunteers

Inclusion criteria

  • Adult patients
  • Certain infectious endocarditis according to Dukes Criteria
  • Signed informed consent

Exclusion criteria

  • Hospital admission due to neurovascular emergency
  • MRI contraindications
  • Pregnant or women of childbearing age who were not using contraception (oral diagnosis),
  • Patient without health coverage,
  • Patient under legal protection.

Trial design

Primary purpose

Health Services Research

Allocation

N/A

Interventional model

Single Group Assignment

Masking

None (Open label)

110 participants in 1 patient group

Neurological cohort
Other group
Description:
All patients included in the study wil have a neurological examination
Treatment:
Other: Neurological assessment

Trial contacts and locations

1

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Central trial contact

Julia CANTERINI; Elodie ONG, Dr

Data sourced from clinicaltrials.gov

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