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Completed

NCT Number: NCT06521645

Effect of Acupoint Stimulation on Lactate During Cerebral Endovascular Intervention

It is advocated that neuroprotection should be increased before endovascular treatment and that the penumbra should be protected from reperfusion damage after recanalization. Monitoring lactate and pH levels in acute ischemic stroke patients who have had endovascular recanalization can be utilized to predict mortality and morbidity, especially in the first five hours after the procedure. This study aims to observe the effect of acupoint stimulation on lactate level during endovascular recanalization.

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Key information

Age range

18 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

the First Affiliated Hospital of the Air Force Military Medical University

Xi'an, Shaanxi, China

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • age ≥18 years
  • scheduled for cerebral endovascular intervention

Exclusion criteria

  • American Society of Anesthesiologists status over level three
  • history of cerebral vascular intervention
  • history of severe neurological disease (stroke, neurological degenerative disease, psychiatric disease)
  • severe hepatic or renal dysfunction
  • severe glucose disorder or thyroid dysfunction
  • contraindications to transcutaneous electrical stimulation (infection or injury of the skin area, implanted electrical devices)

Treatment and study plan

electroacupuncture

Other

electrical stimulation is given through needles inserted into the skin

Sham Needle

Other

needles are inserted shallowly into the skin

Primary outcomes

  1. arterial level of lactate at 30 minutes after recanalization

    Time frame: 30 minutes after recanalization

Secondary outcomes

  1. arterial level of lactate immediately after recanalization

    Time frame: about 1 minute after recanalization

  2. pH value at 30 minutes after recanalization

    Time frame: 30 minutes after recanalization

  3. Concentration of HCO3- at 30 minutes after recanalization

    Time frame: 30 minutes after recanalization

  4. Concentration of base excess at 30 minutes after recanalization

    Time frame: 30 minutes after recanalization

  5. partial pressure of oxygen at 30 minutes after recanalization

    Time frame: 30 minutes after recanalization

  6. partial pressure of carbon dioxide at 30 minutes after recanalization

    Time frame: 30 minutes after recanalization

  7. pH value immediately after recanalization

    Time frame: about 1 minute after recanalization

  8. Concentration of HCO3- immediately after recanalization

    Time frame: about 1 minute after recanalization

  9. Concentration of base excess immediately after recanalization

    Time frame: about 1 minute after recanalization

  10. partial pressure of oxygen immediately after recanalization

    Time frame: about 1 minute after recanalization

  11. partial pressure of carbon dioxide immediately after recanalization

    Time frame: about 1 minute after recanalization

  12. Concentration of serum interleukin-6 at 30 minutes after recanalization

    Time frame: 30 minutes after recanalization

  13. Concentration of serum tumor necrosis factor α at 30 minutes after recanalization

    Time frame: 30 minutes after recanalization

  14. Concentration of serum brain-derived neurotrophic factor at 30 minutes after recanalization

    Time frame: 30 minutes after recanalization

  15. score of modified Rankin's scale at 24 hours after recanalization

    Time frame: 24 hours after recanalization

    the minimum and maximum values of modified Rankin's scale is 0 and 5, and higher scores mean a worse outcome.

  16. incidence of stroke during hospitalization

    Time frame: From end of surgery to discharge from hospital, at an average of 5 days

  17. Incidence of death during hospitalization

    Time frame: From end of surgery to discharge from hospital, at an average of 5 days

  18. length of hospitalization

    Time frame: From end of surgery to discharge from hospital, at an average of 5 days

Sponsors and collaborators

Lead sponsor

Air Force Military Medical University, China

Other

Registry information

Official study title

The Effect of Acupoint Stimulation on Level of Lactate in Patients Undergoing Cerebral Endovascular Intervention

Acronym: ASLA

Important dates

Study start
2024
Primary completion
2024
Study completion
2024
First posted
Jul 26, 2024
Registry last updated
Jan 14, 2025

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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