Status:

RECRUITING

Prevention of Vasospasm in SAH Through CSF Treatment

Lead Sponsor:

Medical University Innsbruck

Conditions:

Subarachnoid Hemorrhage

Subarachnoid Hemorrhage, Aneurysmal

Eligibility:

All Genders

18-90 years

Phase:

NA

Brief Summary

The pathophysiological mechanisms of aneurysmal subarachnoid haemorrhage (aSAH) involve early brain injury (EBI) and delayed cerebral ischemia (DCI). Several mechanisms contribute to EBI pathogenesis...

Detailed Description

Aneurysmal subarachnoid haemorrhage (aSAH) is associated with high morbidity and mortality with an incidence of 5-9 per 100,000 population. The incidence of aSAH peaks amongst those of 40-60 years1; a...

Eligibility Criteria

Inclusion

  • Age: \>18, \<90
  • SAH HH 3 - 5
  • Cerebral saccular Aneurysm
  • Digital subtraction angiography prior to aneurysm repair
  • Aneurysm repair within 72h
  • Modified Fisher Grade 3+4
  • Presence of aneurysm needing treatment (clipping or coiling)
  • Treatment within 24 hours of symptom onset
  • External ventricular drain (clinical need)

Exclusion

  • Non-aneurysmal SAH
  • SAH HH\<3
  • Extensive intraventricular haemorrhage (unable to obtain CSF without massive aspiration of clotted blood)
  • Contraindication for digital subtraction angiography
  • Aneurysm repair \>72h after rupture
  • Signs of radiographic vasospasm upon diagnosis
  • Presence of systemic or CSF infection
  • Contraindication for oral Nimodipin
  • Pregnancy

Key Trial Info

Start Date :

January 1 2020

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

February 1 2025

Estimated Enrollment :

20 Patients enrolled

Trial Details

Trial ID

NCT04490161

Start Date

January 1 2020

End Date

February 1 2025

Last Update

November 27 2024

Active Locations (1)

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1

Medical University of Innsbruck

Innsbruck, Tyrol, Austria, 6020