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Comparing Sedation Methods During Stroke Clot Removal Treatment

Compares sedation with general anesthesia in adults with vertebrobasilar stroke undergoing endovascular treatment.

Plain-language title generated from the registry record
Registry title: Mode of Sedation During Endovascular Treatment of Vertebrobasilar Stroke

Key facts

Where
Heidelberg, GermanySee the site

Where in Germany

  • Department of Neurology, University Hospital HeidelbergHeidelberg, GermanyTaking people

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Trial details

Who runs it
University Hospital Heidelberg
Trial code
NCT05525325
Record updated
30 April 2026
Original description
Optimal anesthetic mode is not established for patients with vertebrobasilar stroke undergoing endovascular treatment. We want to investigate whether a procedural sedation mode approach is feasible compared to general anesthesiaRead full original descriptionShow less

Mode of Sedation During Endovascular Treatment of Vertebrobasilar Stroke

Optimal anesthetic mode is not established for patients with vertebrobasilar stroke undergoing endovascular treatment. We want to investigate whether a procedural sedation mode approach is feasible compared to general anesthesia

Inclusion: Decision for thrombectomy according to local protocol for acute recanalizing stroke treatment; Age 18 years or older, either sex; National Institutes of Health Stroke Scale (NIHSS) ≥ 4; Acute ischemic stroke in the posterior circulation with isolated or combined occlusion of vertebral artery (VA) and basilar artery (BA); Informed consent by the patient him-/herself or his/her legal representative obtainable within 72 h of treatment (deferred consenting procedure).

Exclusion: Intracerebral hemorrhage; Severe hemodynamic instability (e.g. due to decompensated cardiac insufficiency); Coma on admission (Glasgow Coma Scale ≤ 8); Severe respiratory instability, loss of airway protective reflexes or vomiting on admission, where primary intubation and general anesthesia is deemed necessary; Intubated state before randomization.

ClinicalTrials.gov NCT05525325