Clinical trial Recruiting at 1 site Interventional Ages 18 to 80

Stent-assisted Coil Embolization for Acute Ruptured Intracranial Aneurysms

Official title: Safety and Efficacy Analysis of Stent-assisted Coil Embolization in the Treatment of Acute Ruptured Intracranial Aneurysms in the Perioperative Period.

Run by Tang-Du Hospital · NCT07683377 · Data updated 2026-11-12

This study tests whether stent-assisted coil embolization for ruptured intracranial aneurysms can be safely used in the acute period and help prevent rebleeding.

Quick facts

Study typeInterventional
Ages18 Years to 80 Years
SexAll
Enrollment174 (estimated)
SponsorTang-Du Hospital
Academic / other
Locations1 site (Xi'an, Shaanxi)
StatusRecruiting
StartedJanuary 1, 2026
Main results expectedOctober 1, 2026
Study endsAugust 1, 2027
Registry record updatedJuly 6, 2026
Trial IDNCT07683377 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Adults aged 18-80 with a single ruptured intracranial aneurysm (or a clearly responsible lesion in multiple aneurysms) with wide necks suitable for stent-assisted embolization, treated within 7 days of hemorrhage.

Probably not a fit

Patients with non-cystic aneurysms, inaccessible anatomy, or those unable to receive intravenous 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 interventional study evaluates the perioperative safety and effectiveness of stent-assisted coil embolization for acute ruptured intracranial aneurysms. Patients receive a stent and coils, with postoperative intravenous antiplatelet therapy guided by a predefined protocol. Primary endpoints include perioperative complications, new ischemic or bleeding events within 30 days, and perioperative mortality. Secondary endpoints assess immediate embolization grade, 30-day functional status, and long-term aneurysm occlusion and restenosis up to one year. The trial aims to determine if this approach provides a safe and effective option for patients requiring urgent interventional treatment.

Why it matters

Potential benefit: If successful, patients may have lower risk of rebleeding and better long-term aneurysm occlusion after an acute rupture.

How similar studies have gone: Previous research on stent-assisted coiling has shown promise in select ruptured aneurysm cases, but this trial addresses perioperative safety and efficacy in acute settings.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Patients aged 18-80 with a single ruptured cystic aneurysm at the center, or multiple aneurysms with a clear responsible lesion, only treat the responsible lesion
* Aneurysms with a wide neck, neck ≥4mm, or neck/body ratio \>1/2
* Treatment performed within 7 days of the last hemorrhage
* Patients undergoing interventional treatment using a stent, including cases of remedial stent use.5. Hunt \& Hess grade 1-3

Exclusion Criteria:

* Exclude patients who meet the inclusion criteria but fail to undergo successful SAC embolization
* Exclude non-cystic aneurysms, such as dissection, pseudoaneurysm, and distal aneurysm patients
* Patients with other cerebrovascular diseases, including AVM, DAVF, Moyamoya disease, and arterial stenosis greater than 50%
* Patients unable to use intravenous antiplatelet drugs
* Patients with poor condition prior to aneurysm rupture, mRS ≥ 2
* Exclude pregnant patients
* Exclude patients with other severe preoperative diseases, such as malignant tumors or cardiopulmonary and renal diseases
* Patients with multiple aneurysms where the responsible lesion cannot be identified and treatment is done for all

Where it's running

  • Tangdu Hospital,Fourth Military Medical University,Xi'an,Shaanxi 710038
    Xi'an, Shaanxi, China
    Recruiting

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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.