Can a forehead light sensor spot hidden brain oxygen drops during carotid surgery?
NCT ID NCT07816081
First seen Sep 11, 2026 · Last updated Sep 11, 2026
Summary
Carotid endarterectomy removes plaque from the neck artery, and surgeons clamp the artery briefly during the operation. In awake patients, doctors check hand strength and speech to decide if a shunt is needed. This study tests whether a forehead sensor that measures brain oxygen can detect the same problem, which could help patients who are asleep under general anaesthesia. Researchers will hide the sensor readings from the surgical team and compare them with the awake test in 150 adults.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- cerebral oximetry using near-infrared spectroscopy
- What this could lead to
- If the oxygen readings match the awake test well, doctors could one day use a forehead sensor to spot reduced brain blood flow in patients who are asleep and cannot be tested by talking to them.
- What could go wrong
- The study is observational and single-centre, so it cannot prove the sensor improves outcomes. The 20% threshold comes from earlier research and may not hold up, and the oximeter readings are hidden from the surgical team, so they cannot guide care during this study.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Participants
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About 150 people
The number the study aims to enrol. It can still change while the study runs.
- Expected to start
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Jan 2027
An estimate. Start dates often move.
- Expected to finish
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Feb 2028
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
Who is studied
Consecutive adults with carotid artery stenosis scheduled for elective carotid endarterectomy under regional anaesthesia at a single tertiary referral centre in Hanoi, Vietnam.
- Ages
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18 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Age 18 years or older. * Internal carotid artery stenosis of at least 50% if symptomatic, or at least 70% if asymptomatic, measured by NASCET criteria, with an indication for carotid endarterectomy. * Elective surgery planned under regional anaesthesia using combined superficial cervical plexus and carotid sheath block. * Able to cooperate with awake neurological testing and with cognitive assessment. * Written informed consent. Exclusion Criteria: * Emergency or urgent surgery within 48 hours of an acute stroke. * Inability to cooperate with testing, including aphasia, dementia, a baseline Montreal Cognitive Assessment score below 18, or severe visual or hearing impairment. * Redo ipsilateral endarterectomy, simultaneous bilateral endarterectomy, or a combined procedure such as concomitant coronary artery bypass grafting. * Bilateral forehead skin lesions preventing sensor placement. * Known allergy or contraindication to lidocaine. * General anaesthesia planned from the outset.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
1 site. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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Centre of Anaesthesiology and Surgical Intensive Care, Bach Mai Hospital
Hanoi, Phuongmai, 10000, Vietnam
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