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NCT07235514Recruiting

Anesthesia Management in Endovascular Therapy for Ischemic Stroke - 2

General Anesthesia Versus Procedural Sedation in Endovascular Therapy for Anterior Circulation Large Vessel Occlusion Stroke: A Multicenter Prospective Randomized Trial

Source: ClinicalTrials.gov · Last updated 2 Sept 2026

Brief summary (registry, in English)

The goal of this clinical trial is to learn what is the best anesthetic management in participants with severe stroke that require a medical intervention called mechanical thrombectomy (MT) done to open the occluded brain vessel. The main question it aims to answer is: • Is general anesthesia (GA) better than procedural sedation (PS) for improving functional performance and decrease dependance in daily life 3 months after stroke? GA (a non-arousable state induced by anesthetic medications that require respiratory assistance) or PS (a state of reduced arousal induced by lesser dose of anesthetic medications that do not require respiratory assistance) are both used for MT. GA enables strict immobility that could facilitate the conduct of MT but lessen blood pressure and blood flow in the brain. PS provides less drop in blood pressure but MT could be more difficult due to possible movement and breathing may be decreased. Researchers will compare GA with PS to see which one is better for MT success and for the functional consequences of stroke. Participants will be treated with GA or PS for the intervention of MT and will be followed by researchers during their hospital stay and asked by a telephone interview how is their functional status 3 months after stroke.

Status (registry)
Recruiting
Study type
Interventional
Enrollment
958 (estimated)
First submitted
2 Oct 2025
Start date
24 Mar 2026
Primary completion date
24 Jun 2029
Lead sponsor
University Hospital, Clermont-Ferrand
Diseases
Stroke
NCT number
NCT07235514

What you commit to

  • Study type: Interventional
  • Planned participants: 958
  • From 24 Mar 2026 to the primary completion date, 24 Jun 2029
  • 16 sites in 1 country
  • Visits and tests: ask the trial team, the registry does not list them

Built from the registry fields of ClinicalTrials.gov. It describes the study, not your situation.

Who cannot take part

Copied verbatim from ClinicalTrials.gov and grouped by topic. Only the trial team decides who can take part.

Other illness

  • Posterior circulation stroke
  • Associated cerebral hemorrhage
  • Stroke complicating another acute illness or postoperative stroke
  • Allergy to anesthetic medication

Other

  • Coma or altered vigilance defined as a score ≥ 2 on the level of consciousness 1A subscale of the NIHSS
  • Premorbid disability defined as a mRS \> 2
  • Emesis at arrival in angiosuite
  • Pregnant or breast-feeding women
  • Adult under the protection of the law

Who the study is looking for

  • Age ≥18 years
  • Acute ischemic stroke with an occlusion of the intracranial internal carotid artery and/or the proximal middle cerebral artery (M1-M2) with or without association of extracranial occlusion of the cervical internal carotid artery (tandem lesion)
  • Eligible for mechanical thrombectomy according to international guidelines
  • Informed and signed consent of patient, or if he is unable to consent the consent of patient's relative or emergency procedure in the absence of relative
  • National health insurance

Age in the registry: 18 years to - · Sex: All · Does not accept healthy volunteers

Full criteria on ClinicalTrials.gov

Sites (16)

Sites in registry order. Pick your city on the disease page to sort them by distance.

SiteCityCountrySite status
Le Centre Hospitalier Universitaire d'Angers
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AngersFranceActive, not recruiting
Le Centre Hospitalier Universitaire Morvan de Brest de Brest
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BrestFranceNot yet recruiting
CHU de Clermont-Ferrand
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Clermont-FerrandFranceRecruiting
Le centre hospitalier universitaire de Lille
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LilleFranceRecruiting
Les Hospices Civils de Lyon
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LyonFranceRecruiting
L'Assistance Publique-Hôpitaux de Marseille
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MarseilleFranceRecruiting
Le centre hospitalier universitaire de Montpellier
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MontpellierFranceNot yet recruiting
Le Centre Hospitalier Universitaire de Nantes
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NantesFranceRecruiting
L'Assistance Publique - Hôpitaux de Paris
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ParisFranceRecruiting
Le Centre Hospitalier Universitaire de La Réunion
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Saint-DenisFranceNot yet recruiting
Le Centre Hospitalier Universitaire de Saint-Etienne
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Saint-EtienneFranceNot yet recruiting
Le Centre Hospitalier Universitaire de Strasbourg
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StrasbourgFranceActive, not recruiting
L'hôpital Foch
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SuresnesFranceNot yet recruiting
Le Centre Hospitalier Universitaire de Bordeaux
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TalenceFranceActive, not recruiting
Le Centre Hospitalier Universitaire de Toulouse
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ToulouseFranceRecruiting
Le Centre Hospitalier Universitaire de Tours
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ToursFranceNot yet recruiting

This page is information, not medical advice. Discuss any trial with your doctor.