Evaluation of Balloon Guide Catheter as Proximal Protection During Carotid Artery Stenting (EMBO-PROTECT)
Carotid Artery Stenosis (Symptomatic and Asymptomatic)
What this study involves
The registry says this study is recruiting. Individual locations may have different availability.
- Study type
- Interventional
- Phase
- Not applicable
- Age range
- 18 years - Not specified
- Sex eligible
- All sexes
- Healthy volunteers
- Not accepted
- Participants
- 126 Estimated
These are starting points, not an eligibility decision. The research team must review the full requirements.
About the research
Carotid angioplasty and stenting (CAS) is an effective treatment for carotid artery stenosis but carries a risk of cerebral embolization. This prospective randomized study evaluates the safety and efficacy of proximal embolic protection using a balloon guide catheter during CAS by comparing the incidence of diffusion-weighted MRI-detected microembolisms and symptomatic thromboembolic events between protected and unprotected procedures.
Who may be able to participate?
The list below is the sponsor’s full registry wording. It can include conditions, prior treatment, test results and other requirements. A match in search does not mean you qualify.
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
Treatment, groups and participation
The registry may describe treatments and study duration without a complete visit calendar. Ask the study team for the exact schedule, procedures, risks, costs and alternatives. Keep your usual care plan unless your treating clinician tells you otherwise.
- Assignment
- Random assignment
- Masking
- Single masked
carotid artery stenting with proximal embolic protection using a balloon guide catheter
Not reported in this registry record.
Device: balloon guide catheter
ratio to carotid artery stenting without proximal embolic protection using a balloon guide catheter.
Not reported in this registry record.
Other: No Proximal Protection Group
balloon guide catheter DEVICE
Carotid artery stenting with proximal embolic protection using a balloon guide catheter.
No Proximal Protection Group OTHER
Carotid artery stenting without proximal embolic protection
What researchers are measuring
Outcome measures describe what is being studied. They are not proof that a treatment works.
Primary measures
Incidence, number, and volume of new cerebral ischemic lesions detected by diffusion-weighted MRI within 48 hours after carotid artery stenting
Time frame: Within 48 hours after the procedure
Not reported in this registry record.
Secondary measures
Incidence of symptomatic thromboembolic events (stroke or transient ischemic attack) within 30 days
Time frame: During the procedure and within 30 days after the intervention
Not reported in this registry record.
Incidence of myocardial infarction or death within 30 days
Time frame: 30days
Not reported in this registry record.
Technical success of carotid artery stenting procedure
Time frame: 30days
Technical success defined as successful deployment of the stent with residual stenosis \<30% and restoration of adequate blood flow without the need for conversion to another technique.
Correlation between DW-MRI findings and clinical outcomes
Time frame: 30 days
Not reported in this registry record.
Review the complete result tables and limitations in the official record.
Open official results ↗Research locations (1)
The overall study status and a local site’s status can differ. Confirm that location’s availability before traveling.
1 locations
Hospital Universitario Marqués de ValdecillaSantander, Cantabria, SpainRecruiting
Study team and timeline
- Lead sponsor
- Instituto de Investigación Marqués de Valdecilla
- Study start
- Jul 1, 2026 Actual
- Primary completion
- Jul 1, 2027 Estimated
- Study completion
- Dec 31, 2027 Estimated
- First posted
- May 8, 2026 Actual
- Last updated
- Nov 10, 2026 Actual
Official study contacts
Official study title
Evaluation of Balloon Guide Catheter as Proximal Protection During Carotid Artery Stenting: A Randomized Study (EMBO-PROTECT)
Ask Wellness Clinical Research
Your message goes to WCR, including when this study is run by another organization. WCR may offer general guidance but may not operate this trial, have access to its team or be able to enroll you.
Source: ClinicalTrials.gov API v2. Information is submitted by sponsors and investigators. NLM does not approve the safety or science of all listed studies. Registry disclaimer.
Retrieved: Nov 12, 2026 · Last registry update: Nov 10, 2026
