Last reviewed · How we verify

NCT06827509: BEAT

Blood Flow Evaluation After Carotid Surgical Treatment

Not yet recruiting Last updated 5 August 2025
What this trial tests

trial testing Ultrasound-based flow imaging in Carotid Endarterectomy in 40 participants. Not yet recruiting.

Timeline
1 September 2025
Primary endpoint
31 December 2025
1 April 2026

Quick facts

Lead sponsorRijnstate Hospital
StatusNot yet recruiting
Study typeOBSERVATIONAL
Enrollment40
Start date1 September 2025
Primary completion31 December 2025
Estimated completion1 April 2026

Drugs / interventions tested

Conditions studied

Sponsor

Rijnstate Hospital

Who can join

18 and older, any sex, with Carotid Endarterectomy. Patients with the condition only — healthy volunteers not accepted.

Sponsor's own description

Approximately 20% of strokes originate from the rupture of an atherosclerotic plaque in the carotid artery. Surgical revascularization, i.e. carotid endarterectomy (CEA), is the treatment of choice for patients with a symptomatic carotid stenosis each year about 3,000 procedures are performed in the Netherlands. Currently, two surgical procedures are performed in clinical practice. Most frequently an endarterectomy is performed using a length incision over the artery, followed by a patch plasty (CEAP), in order to reduce the risk of restenosis. As an alternative the eversion technique (ET) was introduced, in which transversal arteriotomy is performed and the plaque is removed from within. After reconstruction with a patch a \>50% restenosis has been described in 6-36% of patients during long-term follow-up. When using the eversion technique this is seen in 1.7-2.5%, while also the risk on adverse events seem to be lower. One of the drivers for atherosclerosis in general is a disturbance of local blood flow. This may lead to turbulence, recirculation and stasis of blood. The subsequent low Wall Shear Stress may lead to the ne formation of plaque that in turn may become instable and cause recurrent ischemic events. Recently, a breakthrough was achieved in the imaging options of flow in the carotid arteries, using Vector Flow Imaging. Using a fully programmable ultrasound machine, over 10,000 frames per second can be captured, in comparison to about 50 in regular ultrasound. This enables the tracking of particles that, after processing will provide the needed flow information. A recent study, comparing flow before and after CEAP has shown that there is significant recirculation after reconstruction. This raises the question whether this would be more optimal after ET, which would support the potential lower incidence of recurrent stenosis.

Publications & conference data

No peer-reviewed publications indexed yet for this trial.

Verify or expand the search:

Other trials of Ultrasound-based flow imaging

Trials testing the same drug.

Other recruiting trials for Carotid Endarterectomy

Currently open trials in the same condition.

Other Rijnstate Hospital trials

Trials by the same sponsor.

Verify against primary sources

Data sources for this page

Drug Landscape aggregates and links these public records for informational use only. Always verify against the primary source before clinical or regulatory decisions. Canonical URL: https://druglandscape.com/trial/NCT06827509.

Primary sources · FDA · ClinicalTrials.gov · EMA · SEC EDGAR · ChEMBL · Wikidata · full sourcing