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Balloon Guide Catheter Test for Stroke Clot Removal in Carotid Artery Blockages

Tests a balloon catheter during clot removal in adults with stroke.

Plain-language title generated from the registry record
Registry title: Balloon Guide Catheter to Optimize Outcomes in Stroke Thrombectomy of the Internal Carotid Artery

Key facts

Where
Beijing, Fuzhou, and Zhangzhou, ChinaSee the 3 sites

Where in China

  • Xuanwu Hospital, Capital Medical UniversityBeijing, ChinaTaking people
  • Fujian Medical University Union HospitalFuzhou, ChinaTaking people
  • Zhangzhou Municipal HospitalZhangzhou, ChinaTaking people

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Trial details

Who runs it
Xuanwu Hospital, Beijing
Trial code
NCT07192029
Record updated
17 November 2025
Original description
To investigate whether using balloon guide catheter with flow arrest during mechanical thrombectomy, compared to non-flow arrest, improves the rate of first pass expanded Thrombolysis in Cerebral Infarction score (eTICI 2c-3) reperfusion for acute ischemic stroke due to internal carotid artery occlusionRead full original descriptionShow less

Balloon Guide Catheter to Optimize Outcomes in Stroke Thrombectomy of the Internal Carotid Artery: a Randomized Controlled Trial

To investigate whether using balloon guide catheter with flow arrest during mechanical thrombectomy, compared to non-flow arrest, improves the rate of first pass expanded Thrombolysis in Cerebral Infarction score (eTICI 2c-3) reperfusion for acute ischemic stroke due to internal carotid artery occlusion

Inclusion: age ≥18 years; Clinical diagnosis of acute ischemic stroke with internal carotid artery occlusion confirmed by imaging (CTA/MRA/DSA), including isolated intracranial internal carotid artery (I-type), internal carotid artery intracranial segment involving middle cerebral artery (L-type), or internal carotid artery intracranial segment involving middle and anterior cerebral arteries (T-type) (including tandem embolic occlusions of the internal carotid artery C1 or common carotid artery); Baseline NIHSS≥6, and meeting local guidelines for mechanical thrombectomy; Time from onset or last known normal to randomization within 24 hours and proceeding to mechanical thrombectomy; Signed informed consent (or by legal representative).

Exclusion: Prior stent implantation in the target vessel that would impede the use or removal of mechanical thrombectomy devices; Pre-stroke mRS score >2; Intracranial hemorrhage shown on imaging; Subjects allergic to contrast agents; Known or suspected internal carotid artery occlusion caused by dissection or atherosclerosis; Vascular tortuosity preventing the use of balloon guide catheter; Any other circumstances impeding mechanical thrombectomy implementation; Acute occlusion of multiple vascular territories in bilateral anterior circulation or in both the anterior and posterior circulations confirmed by CTA/MRA; Pregnant subjects; Subjects refusing to cooperate or unable to tolerate interventional procedures; Subjects whose expected lifetime are less than 90 days; Midline shift or herniation with ventricular mass effect; Subjects deemed unable to participate in follow-up by investigators; Other situations deemed unsuitable for balloon guide catheter use by investigators.

ClinicalTrials.gov NCT07192029