Analyzing carotid graft interposition techniques after endarterectomy

The Role of Maintaining External Carotid Artery Flow in Graft Interposition After Carotid Endarterectomy

Observational Institute for Cardiovascular Diseases Dedinje · NCT06528717

This study is testing whether keeping blood flow through the external carotid artery during surgery helps patients with narrowed carotid arteries have better outcomes after their procedures.

Quick facts

Study typeObservational
Enrollment250 (estimated)
Ages50 Years to 90 Years
SexAll
SponsorInstitute for Cardiovascular Diseases Dedinje Academic / other
Locations1 site (Belgrade)
Trial IDNCT06528717 on ClinicalTrials.gov

What this trial studies

This study examines the outcomes of carotid graft interposition procedures, focusing on the impact of maintaining blood flow through the external carotid artery during surgery. It involves patients with significant carotid artery stenosis who are at high risk for stroke. The research compares results from procedures that preserve external carotid artery flow against those that do not, aiming to determine the best surgical approach for these patients. The study is observational and will analyze data from patients undergoing these procedures at a specialized cardiovascular institute.

Who should consider this trial

Good fit: Ideal candidates include patients with symptomatic carotid stenosis greater than 50% or unilateral/bilateral asymptomatic stenosis greater than 60%.

Not a fit: Patients with carotid restenosis, recent major surgery, previous brain trauma or surgery, malignant disease, epilepsy, or carotid artery aneurysm may not benefit from this study.

Why it matters

Potential benefit: If successful, this study could improve surgical outcomes and reduce stroke risk for patients undergoing carotid artery procedures.

How similar studies have performed: While there have been studies on carotid endarterectomy techniques, this specific approach of preserving external carotid artery flow is less commonly explored, making it a novel investigation.

Eligibility criteria

Show full inclusion / exclusion criteria
Inclusion Criteria:

* symptomatic carotid stenosis (\> 50%)
* unilateral asymptomatic carotid stenosis (\> 60%)
* bilateral asymptomatic carotid stenosis (\> 60%)

Exclusion Criteria:

* carotid restenosis
* "major surgery" in previous 6 months
* previous brain trauma or surgery
* malignant disease
* epilepsy
* carotid artery aneurysm

Where this trial is running

Belgrade

Study contacts

How to participate

  1. Review the eligibility criteria above with your treating physician.
  2. Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
  3. Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.
Conditions Carotid Artery DiseasesStrokeCarotid Atherosclerosis
Last reviewed 2026-06-15 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.