Proximal Balloon Protection during Carotid Stenting in Carotid Stenosis
Official title: Evaluation of Balloon Guide Catheter as Proximal Protection During Carotid Artery Stenting: A Randomized Study (EMBO-PROTECT)
Run by Instituto de Investigación Marqués de Valdecilla · NCT07576790 · Data updated 2026-11-12
This study tests whether using a balloon guide catheter to protect the brain during carotid stenting reduces tiny brain injuries and stroke symptoms.
Quick facts
| Study type | Interventional |
|---|---|
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 126 (estimated) |
| Sponsor | Instituto de Investigación Marqués de Valdecilla Academic / other |
| Locations | 1 site (Santander, Cantabria) |
| Status | Recruiting |
| Started | July 1, 2026 |
| Main results expected | July 1, 2027 |
| Study ends | December 31, 2027 |
| Registry record updated | November 10, 2026 |
| Trial ID | NCT07576790 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Adults (18+) with symptomatic or asymptomatic carotid artery stenosis who are candidates for carotid stenting.
✕Probably not a fit
Patients with unsuitable vascular anatomy, contraindications to MRI, or those not receiving dual antiplatelet therapy may not benefit.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This prospective, randomized study compares carotid artery stenting with proximal embolic protection via a balloon guide catheter to stenting without this protection. The goal is to see if the protected approach lowers the rate of new diffusion-weighted MRI-detected microembolisms and any symptomatic thromboembolic events. Participants are adults with symptomatic or asymptomatic carotid stenosis who are candidates for stenting. Safety and efficacy are assessed through imaging and clinical outcomes. The trial is conducted at a single center in Santander, Spain.
Why it matters
Potential benefit: If successful, the approach could reduce brain injury risk during carotid stenting and improve patient safety.
How similar studies have gone: Previous research on embolic-protection approaches in carotid interventions has shown mixed results; this study specifically tests proximal protection with a balloon guide catheter.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Age ≥ 18 years * Symptomatic or asymptomatic carotid artery stenosis * Candidate for carotid artery stenting * Written informed consent provided Exclusion Criteria: * Vascular anatomy unsuitable for balloon guide catheter placement * Severe renal failure * Previous disabling stroke or symptomatic intracranial hemorrhage * Evidence of carotid thrombus * Severe common carotid artery lesion * Chronic atrial fibrillation on oral anticoagulation * Acute coronary syndrome within 30 days * Contraindications to anticoagulant or antiplatelet therapy * Contraindications to MRI * Contrast media allergy * Lack of prior dual antiplatelet therapy
Where it's running
-
Hospital Universitario Marqués de Valdecilla
Santander, Cantabria, Spain Recruiting
Study contacts
- Study coordinator: veronica vidal
- Email: veronica.vidal@idival.org
- Phone: 942203389
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.