Status:

TERMINATED

Induced Hypertension for Delayed Cerebral Ischaemia After Aneurysmal Subarachnoid Haemorrhage:a Feasibility Study

Lead Sponsor:

UMC Utrecht

Collaborating Sponsors:

Netherlands Organisation for Scientific Research

Conditions:

Cerebral Ischemia

Subarachnoid Hemorrhage

Eligibility:

All Genders

18+ years

Phase:

PHASE3

Brief Summary

The purpose of this study is to test the feasibility of a trial on induced hypertension to improve neurological outcome in patients with subarachnoid haemorrhage that developed the serious complicatio...

Detailed Description

Background: Delayed cerebral ischaemia (DCI) is a major complication after aneurysmal subarachnoid haemorrhage (SAH). The proportion of SAH patients who develop DCI is around 30%. Many centres around...

Eligibility Criteria

Inclusion

  • Admission to the UMC Utrecht.
  • Age 18 years or over.
  • Aneurysmal SAH, demonstrated on CT-angiography or cerebral angiography, with onset less than 72 hours before admission.
  • A level of consciousness corresponding to a Glasgow Coma Sum Score above 8, as in patients with lower Glasgow Coma Sum Scores, assessment of further deterioration may be less reliable.

Exclusion

  • Symptomatic aneurysm not yet treated by coiling or clipping. Co-existing asymptomatic cerebral aneurysms are no reason for exclusion, since previous studies found no increased risk of rupture of such aneurysms during hypertensive and hypervolemic treatment.(26)
  • Co-existing severe head injury.
  • A history of a cardiac rhythm disorder, necessitating medical treatment.
  • A history of a left ventricular pump failure, necessitating medical treatment.
  • Pregnancy.
  • Known allergy for CT-contrast agents.
  • Renal failure, defined as a serum creatinine \> 150 µmol/l, because of the risk of contrast nephropathy.

Key Trial Info

Start Date :

February 1 2009

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

April 1 2011

Estimated Enrollment :

15 Patients enrolled

Trial Details

Trial ID

NCT00841633

Start Date

February 1 2009

End Date

April 1 2011

Last Update

October 12 2011

Active Locations (1)

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UMC Utrecht

Utrecht, Utrecht, Netherlands, 3508GA