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A Randomized Trial of Imaging Selection Modalities for Stroke Thrombectomy (NO-SELECT)
Sponsor: Xinqiao Hospital of Chongqing
Summary
Several studies suggest that advanced multi-modal imaging with CTP should be used to screen late time window stroke patients for thrombectomy. However, NCCT is more accessible when comparing with CTP. It is unclear whether the NCCT-based ASPECTS can be used as an imaging criterion to screen patients for thrombectomy. The newly published MR CLEAN-LATE and TENSION trials used NCCT or CTA, but still relied on ASPECTS scores to evaluate and select patients for endovascular therapy. However, different trials have different time windows. The aim of this trial was to assess the clinical outcomes of stroke patients with anterior large vessel occlusion who selected by simple imaging (NCCT) comparing via standard imaging screening strategy (CTP/MRI). The hypothesis is that simple imaging is non-inferior to standard imaging selection strategy in terms of achieving favorable outcomes.
Official title: Simple Imaging Versus Standard Imaging Selection in Stroke Patients for Endovascular Treatment: the NO-SELECT Randomized Trial
Key Details
Gender
All
Age Range
18 Years - Any
Study Type
INTERVENTIONAL
Enrollment
1846
Start Date
2024-12-12
Completion Date
2027-10-31
Last Updated
2025-12-26
Healthy Volunteers
No
Conditions
Interventions
Simplified imaging strategy
NCCT and CTA will be used to screen patients for endovascular treatment
Standard imaging strategy
NCCT-ASPECTS (pc-ASPECTS), CTA, and CTP will be used to screen patients for endovascular treatment
Locations (8)
Yijishan Hospital of Wannan Medical College
Wuhu, Anhui, China
Xinqiao Hospital of Army Medical University
Chongqing, Chongqing Municipality, China
Wuyi Traditional Chinese Medicine Hospital
Jiangmen, Guangdong, China
The First Affiliated Hospital of Hainan Medical University
Haikou, Hainan, China
Huai'an First People's Hospital
Huai'an, Jiangsu, China
The 904th Hospital of CPLA
Wuxi, Jiangsu, China
Jingdezhen First People's Hospital
Jingdezhen, Jiangxi, China
Dalian Central Hospital
Dalian, Liaoning, China