Endarterectomy Versus Stenting in Patients With Symptomatic Severe Carotid Stenosis - 2

Recruiting now · Not applicable

Conditions studied: Stroke

In brief

Carotid stenosis caused by atherosclerosis is a significant risk factor for ischemic stroke, accounting for up to 15% of all strokes and transient ischemic attacks. Randomized clinical trials (RCTs) have demonstrated the benefits of carotid endarterectomy (CEA) in reducing stroke risk in patients with severe symptomatic carotid stenosis. Carotid artery stenting (CAS) has been developed as an alternative to CEA, offering several potential advantages, such as avoiding local surgical complications. However, unlike CEA, CAS has not been compared to medical therapy in RCTs for symptomatic carotid stenosis.

Key facts

Study ID

NCT07054060

Run by

Centre Hospitalier St Anne

People needed

600

Starts

2025-07-16

Expected to finish

2028-03-16

Last updated by the study team

2025-07-24

Who can join

Age: 18 and older. Sex: any. Healthy volunteers: not accepted.

You may qualify if…

• Patient age 18 years or over
• Hemispheric or retinal transient ischemic attack or a non-disabling stroke (or retinal infarct) within 15 days before enrolment
• Stenosis of 50% to 99% in the symptomatic carotid artery (NASCET method) for whom revascularisation is decided according to guidelines

You may not qualify if…

• Patients unwilling or unable to participate in follow-up for whatever reason
• Preexisting disability (Modified Rankin Score ≥ 3)
• Nonatherosclerotic carotid disease
• Severe tandem lesions
• Previous revascularization of the symptomatic carotid stenosis
• History of bleeding disorder
• Unstable angina
• Contraindication to dual antiplatelet therapy
• Contraindication to MRI
• Life expectancy of less than 2 years
• Percutaneaous or surgical intervention within 30 days before or after the study procedure
• Stenotic lesion on arterial workup appeared as not a factor in the selection

Where it is running

• Centre hospitalier Sainte-Anne — Paris, France (enrolling)

Full record on ClinicalTrials.gov

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