Status:

RECRUITING

Detecting Cardiac Thrombi in Acute Ischemic Stroke on Cardiac CT Versus Transoesophageal Echocardiography

Lead Sponsor:

Academisch Medisch Centrum - Universiteit van Amsterdam (AMC-UvA)

Conditions:

Ischemic Stroke

Cardioembolic Stroke

Eligibility:

All Genders

18+ years

Brief Summary

Rationale: Cardiac CT acquired during the acute stroke imaging protocol (acute cardiac CT) has recently been shown to have a superior diagnostic yield than transthoracic echocardiography, which is cu...

Eligibility Criteria

Inclusion

  • Age 18 years or older
  • Clinical diagnosis of acute ischemic stroke
  • Written informed consent from patient or representative
  • Radiological diagnosis of cardiac thrombus in the LA, including the LAA, on cardiac CT acquired during the initial stroke imaging protocol.

Exclusion

  • Patients with a diagnosis other than acute ischemic stroke, such as: transient ischemic attack, intracerebral haemorrhage, subarachnoid haemorrhage, epilepsy, tumor.
  • Absolute contraindication for TEE:
  • Perforated viscus
  • Esophageal stricture
  • Esophageal tumor
  • Esophageal perforation, laceration
  • Esophageal diverticulum
  • Active upper GI bleed
  • Absolute contraindication for repeat cardiac CT
  • Documented previous severe reaction to iodinated contrast media, including anaphylaxis, angioedema and bronchospasm.
  • Severely impaired kidney function defined as estimated glomerular filtration rate of 30 mL/min/1.73 m2.

Key Trial Info

Start Date :

August 19 2024

Trial Type :

OBSERVATIONAL

Allocation :

ESTIMATED

End Date :

October 1 2026

Estimated Enrollment :

39 Patients enrolled

Trial Details

Trial ID

NCT06585228

Start Date

August 19 2024

End Date

October 1 2026

Last Update

February 3 2025

Active Locations (1)

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1

Amsterdam University Medical Center (UMC)

Amsterdam, North Holland, Netherlands, 1105AZ