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CompletedNCT04479020Updated Dec 6, 2024

REcanalization of Distal Cerebral Vessels in Acute Stroke Using ApeRio®

An observational study in Acute Stroke, sponsored by Acandis GmbH. Completed at 11 sites in Germany. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2024-12-06.

Sponsored by Acandis GmbH · Observational

Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
134
Ages
18 Years and older
Sex
All
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Study summary

The purpose of the REVISAR PMCF is to collect data in clinical practice of the APERIO® and APERIO® Hybrid(17) Thrombectomy Device, which are intended to restore blood flow in the neurovasculature by removing thrombus in patients experiencing ischemic stroke. Recanalization status will be assessed at the end of the procedure using the modified TICI (Thrombolysis in cerebral infarction) score.

Read the detailed description

Study Type: prospective, multicenter, single-arm, open-label, national

Participants: 11 participating centers in Germany

PI: Dr. Franziska Dorn, University Hospital Bonn, Germany

Estimated Enrolment: A minimum of 130 patients treated with the APERIO® or APERIO® Hybrid(17) Thrombectomy Device due to thrombotic occlusions in a distal vessel of the anterior and posterior circulation (postbifurcal MCA, ACA, PCA)

Follow up: 3 months

Estimated Final Assessment: End of 2022

This is a prospective, multicenter, single-arm, open-label, national Post-Market Clinical Follow-up Study to collect comprehensive information on technical and clinical success and safety of the use of APERIO® and APERIO® Hybrid(17) Thrombectomy Device in a distal vessel of the anterior and posterior circulation (postbifurcal MCA, ACA, PCA). Aperio® and Aperio® Hybrid(17) Thrombectomy Device will be used within its approved indication.

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Conditions studied

  • Acute Stroke

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In context

Stroke

7,286 studies on the registry are indexed under Stroke; 2,007 are open to participants now.

This study's enrollment of 134 is below the median of 160 across 1,692 observational studies indexed under Stroke.

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Lead sponsor

Acandis GmbH is the lead sponsor of 11 studies on the registry; 7 are open to participants now.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

Patients treated with an APERIO® or APERIO® Hybrid(17) Thrombectomy Device due to a thrombotic occlusion in distal vessel of the anterior and posterior circulation (postbifurcal MCA, ACA, PCA).

Inclusion criteria

  • Any patient treated with the APERIO® or APERIO® Hybrid(17) Thrombectomy Device due to occlusion in distal vessel of the anterior and posterior circulation (postbifurcal MCA, ACA, PCA) according to IFU
  • Age ≥ 18 years

Exclusion criteria

Exclusion Criteria:

  • pre stroke mRS ≥ 3
  • Any contraindication according to IFU
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Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
134 participants (actual)
Target follow-up
3 Months
Patient registry
Yes

Interventions

  • DeviceMechanical Thrombectomy

    Mechanical thrombectomy requiring the use an APERIO® or APERIO® Hybrid(17) Thrombectomy device due to an thrombotic occlusion in a distal vessel of the anterior and posterior circulation (postbifurcal MCA, ACA, PCA)

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What researchers measure

Primary outcomes

  1. Primary efficacy endpoint

    Successful arterial recanalization of occluded target vessel measured by mTICI score of 2b or 3 following the use of the APERIO® and APERIO® Hybrid(17) Thrombectomy Device without any symptomatic intracranial hemorrhage and rescue therapy within 3 passes per Device mTICI describes the response of thrombolytic therapy in ischemic stroke. Higashida et al. 2003: Grade 0: no perfusion Grade 1: penetration with minimal perfusion Grade 2: partial perfusion Grade 2A: only partial filling (less than two-thirds) of the entire vascular territory is visualized Grade 2B: complete filling of all of the expected vascular territory is visualized but the filling is slower than normal Grade 3: complete perfusion

    Time frame: Immediatley after interventional procedure

  2. Primary safety endpoint

    • Symptomatic intracranial hemorrhage (sICH): ICH in periprocedural (\<48 hours) CT associated with worsening of NIHSS by ≥ 4 points within 48 hours.

    Time frame: 48 hours

  3. Primary safety endpoint

    Rates of device and procedure related (serious) adverse events ((S)AEs)

    Time frame: 90 days

  4. Primary Safety endpoint

    Mortality

    Time frame: 90 days

Secondary outcomes

  1. Good neurological outcome

    mRS (modified Ranking Scale)= 0-2 0 No Symptoms 1. No significant disability, despite symptoms, able to perform all usual duties and activities 2. Slight disability; unable to perform all previous activities but able to look after own affairs without assistance 3. Moderate disability; requires some help, but able to walk without assistance 4. Moderately severe disability; unable to walk without assistance and unable to attend to own bodily needs without assistance 5. Severe disability bedridden incontinent and requires constant nursing care and attention 6. Patient died

    Time frame: 90 days

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Study locations

11 sites
  • Schlosspark Klinik Charlottenburg
    Berlin, Germany
  • Universitätsklinikum Bonn
    Bonn, 53127, Germany
  • Universitätsklinikum Düsseldorf
    Düsseldorf, Germany
  • Klinikum Fulda gAG
    Fulda, Germany
  • Universitätsmedizin Göttingen
    Göttingen, Germany
  • Universitätsklinikum des Saarlandes
    Homburg, Germany
  • Universitätsklinikum Köln
    Köln, Germany
  • Universitätsklinikum Magdeburg A. ö. R.
    Magdeburg, Germany
  • Johannes Wesling Klinikum Minden
    Minden, Germany
  • Klinikum der Universität München
    München, 80336, Germany
  • radprax Neurozentrum Solingen
    Solingen, 42697, Germany
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Dec 6, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT04479020
Lead sponsor
Acandis GmbH
Responsible party
Sponsor
First posted
Jul 21, 2020
Start date
Jul 1, 2020
Primary completion
Jan 30, 2024
Completion
May 1, 2024
Last update
Dec 6, 2024

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Dec 2024. You cannot join it, but the record below documents what was studied.

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