Risk Factors of Conversion From Local to General Sedation in Endovascular Stroke Therapy (AMAS)

Fondation Ophtalmologique Adolphe de Rothschild

Status: Terminated

Conditions: Acute Stroke

Study type: Observational

Funder types: NETWORK

Identifiers

NCT02895776

GTR_2015_23

Details and patient eligibility

About

Thrombectomy is now the standard of care of revascularization in acute ischaemic stroke. Data tend to show that final neurologic outcome is superior if the thrombectomy procedure was performed under conscious sedation.

The Rothschild Foundation is a high output centre with more than 400 thrombectomy procedures every year.

We report a rate of 5% of these procedures requiring general anesthesia despite conscious sedation being the standard of care. This study aims to identify clinical factors associated with a risk of conversion of a conscious sedation to a general anesthesia.

Enrollment: 28 patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• patients undergoing thrombectomy for ischemic stroke
• age ≥ 18 years old

Exclusion criteria

• patient already under general anesthesia
• general sedation required
• haemorrhagic softening diagnosed before the beginning of procedure
• patient refusal to participate in the study

Trial design

28 participants in 2 patient groups

General Sedation

Description:

Case patients: Endovascular Acute Stroke Therapy scheduled to be performed under local sedation and finally performed under General anesthesia

local sedation

Description:

Control patients: Endovascular Acute Stroke Therapy scheduled to be performed, and actually performed under conscious Sedation