Effect of Minimally Invasive Surgical Assisted by Robots on Intraventricular Hemorrhage

June 27, 2024 updated by: Jin Hu
Clarify the therapeutic differences between robot assisted endoscopic clearance and traditional puncture and external drainage, and establish a new minimally invasive surgical diagnosis and treatment strategy for intraventricular hemorrhage

Study Overview

Study Type

Interventional

Enrollment (Estimated)

143

Phase

  • Early Phase 1

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

  • Adult
  • Older Adult

Accepts Healthy Volunteers

No

Description

Inclusion Criteria:

  • Age range from 18 to 80 years old;

    • The time from onset to first CT confirmation of intraventricular hemorrhage is less than 24 hours;

      • Before enrollment, CT confirmed that the intraventricular hemorrhage score (modified Graeb score) was ≥ 8 points, and the total score of bilateral lateral ventricles was ≥ 5 points;

        • If there is concurrent cerebral hemorrhage but the hematoma volume is less than 30ml;

          ⑤ First CT to surgery time<72 hours;

          ⑥ GCS ≤ 14.

Exclusion Criteria:

  • ① Suspected (unless excluded by angiography or CTA/MRA/MRI) or untreated rupture of cerebral aneurysm, Moyamoya disease, intracranial AVM rupture, or tumor;

    • Patients with a GCS score of 3 and/or fixed dilated pupils and/or no spontaneous breathing;

      • Patients with pre-existing neurological disorders that affect neurological function assessment prior to onset;

        • Coagulation dysfunction;

          • Patients who require long-term anticoagulant treatment;

            ⑥ Use dabigatran, apixaban, and/or rivaroxaban (or drugs of the same class) before symptoms appear; ⑦ Platelet count<100 × 109/L, INR>1.4;

            ⑧ Pregnancy (positive serum or urine pregnancy test);

            ⑨ Subtentorial hemorrhage or brainstem hemorrhage;

            ⑩ Patients who have previously participated in other interventional clinical studies and participated in observational, natural history, and/or epidemiological studies that do not involve intervention are eligible;

            ⑪ Subjects who are expected to not survive until the 180th day of visit; No written informed consent was given by the subjects or legal representatives.

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Primary Purpose: Treatment
  • Allocation: Randomized
  • Interventional Model: Parallel Assignment
  • Masking: Single

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Experimental: Robot assisted endoscopy group
Using robot assisted endoscopy to clear intraventricular hemorrhage
More advanced surgical auxiliary instruments are used to improve surgical accuracy
Other Names:
  • External ventricular drainage
Active Comparator: External ventricular drainage group
Using External ventricular drainage to clear intraventricular hemorrhage
More advanced surgical auxiliary instruments are used to improve surgical accuracy
Other Names:
  • External ventricular drainage

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
6-month mRS score
Time Frame: 180 days
MRS Scores 6 months after onset
180 days

Secondary Outcome Measures

Outcome Measure
Measure Description
Time Frame
30 day mortality rate
Time Frame: 0-30 days
Mortality at 30 days after onset
0-30 days

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start (Estimated)

January 1, 2025

Primary Completion (Estimated)

December 31, 2026

Study Completion (Estimated)

December 31, 2026

Study Registration Dates

First Submitted

June 27, 2024

First Submitted That Met QC Criteria

June 27, 2024

First Posted (Actual)

July 3, 2024

Study Record Updates

Last Update Posted (Actual)

July 3, 2024

Last Update Submitted That Met QC Criteria

June 27, 2024

Last Verified

June 1, 2024

More Information

Terms related to this study

Additional Relevant MeSH Terms

Other Study ID Numbers

  • HSSJWK202406

Drug and device information, study documents

Studies a U.S. FDA-regulated drug product

No

Studies a U.S. FDA-regulated device product

No

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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