About this trial
The goal of this clinical trial is to find out if patients who receive extra support stay on their cholesterol-lowering therapy and therefore have lower cholesterol levels after 4 months. Extra support means regular phone calls and close monitoring before and after carotid artery surgery. The study compares this approach to usual care.
Participants will:
Be randomly assigned to either standard care or extra support for 4 months. Receive cholesterol-lowering treatment and attend follow-up visits.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Age >17 years
Diagnosed carotid artery stenosis
Planned carotid endarterectomy
LDL cholesterol >55 mg/dL
Disqualifiers
Ongoing treatment with PCSK9 inhibitors
Carotid surgery for reasons other than stenosis (e.g., traumatic injury)
Trial design
Parallel
Treatments tested in this trial
Prompt Medication Adjustment and Intensive Follow-up
BehavioralParticipants receive prompt adjustment of lipid-lowering therapy perioperatively and 6-8 weeks after carotid endarterectomy to achieve guideline-recommended LDL-C targets, combined with intensive follow-up visits and laboratory monitoring. Intensive follow-up visits and laboratory monitoring of lipid parameters are performed at 6-8 weeks and again at 12-16 weeks postoperatively to optimize lipid management.
Standard Care
Other interventionParticipants receive standard postoperative care according to guidelines, including lipid management and routine follow-up without additional early intervention or intensive monitoring. Lipid parameters are assessed only once at 12-16 weeks postoperatively.
Treatment groups
Trial outcomes
Primary outcomes
Proportion of patients achieving the LDL-C target of <55 mg/dL
Sponsors and contacts
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Barmherzige Brüder Linz
Lead sponsor
Johannes Kepler University of Linz
Collaborator
This trial is not recruiting at the moment. You can still explore other options: