Clinical trial Recruiting at 1 site Interventional Ages 18 and up

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.

More Carotid Artery Stenosis (Symptomatic and Asymptomatic) trials

Quick facts

Study typeInterventional
Ages18 Years and up
SexAll
Enrollment126 (estimated)
SponsorInstituto de Investigación Marqués de Valdecilla
Academic / other
Locations1 site (Santander, Cantabria)
StatusRecruiting
StartedJuly 1, 2026
Main results expectedJuly 1, 2027
Study endsDecember 31, 2027
Registry record updatedNovember 10, 2026
Trial IDNCT07576790 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

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 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.