Comparative Study of Embolic Agents in Patients With Subdural Hemorrhage Undergoing Middle Meningeal Artery (MMA) Embolization
研究概览
地位
详细说明
Participants will be sequentially enrolled into one of three treatment arms based on the embolic material used during their MMA embolization:
Cohort/Arm 1: Particles (polyvinyl alcohol or similar microspheres) Cohort/Arm 2: Liquid embolics (Onyx, n-BCA, or equivalent) Cohort/Arm 3: Phenox coils (Avenir UNO Helical Coil) Participants will remain on study through their standard 30- and 90-day follow-up visits.
With a target of 30 patients (10 per arm), the study will provide preliminary data on radiographic efficacy (primary: hematoma resolution/thickness reduction), safety (complications, recurrence, adverse events, reinterventions), and exploratory outcomes (symptom/functional improvement, procedural metrics, influence of comorbidities/antithrombotics).
研究类型
注册 (估计的)
阶段
- 不适用
联系人和位置
学习联系方式
- 姓名:Alycia Abler Clinical Research Project Manager
- 电话号码:(701) 417-2002
- 邮箱:alycia.abler@sanfordhealth.org
学习地点
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South Dakota
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Sioux Falls、South Dakota、美国、57105
- Sanford USD Medical Center
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参与标准
资格标准
适合学习的年龄
- 成人
- 年长者
接受健康志愿者
描述
Inclusion Criteria:
- Adult patients (≥ 18 years)
- Undergoing Middle Meningeal Artery Embolization (MMAE) for chronic subdural hematoma (cSDH)
- Able to provide informed consent or have a legally authorized representative (LAR) do so
Exclusion Criteria:
- Ineligible for MMAE procedure, as deemed by the treating physician, for any indication (e.g. pregnancy)
- Non-chronic subdural hematoma (cSDH) indications for Middle Meningeal Artery Embolization (MMAE), including acute subdural hematoma with symptom onset < 72 hours or mixed acute/chronic without predominant chronic features
- Pregnancy or breastfeeding
- Known severe allergy or contraindication to embolic materials (e.g. particles, liquids like Onyx/n-BCA, or coils)
- Inability to undergo angiography (e.g. severe renal impairment contraindicating contrast)
- Inability or unwillingness to complete follow-up visits at 30 and 90 days
学习计划
研究是如何设计的?
设计细节
- 主要用途:治疗
- 分配:不适用
- 介入模型:单组作业
- 屏蔽:无(打开标签)
武器和干预
参与者组/臂 |
干预/治疗 |
|---|---|
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实验性的:MMA Embolization
Participants will be sequentially assigned one of three MMAE treatment strategies (particles, liquid embolics, or coils) in the order they become eligible and agree to participate.
Radiographic and clinical outcomes will be compared.
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Participants will be sequentially enrolled into one of three clinically accepted MMAE treatment strategies (interventions) to compare radiographic and clinical outcomes.
Participants will be sequentially enrolled into one of three clinically accepted MMAE treatment strategies (interventions) to compare radiographic and clinical outcomes.
Participants will be sequentially enrolled into one of three clinically accepted MMAE treatment strategies (interventions) to compare radiographic and clinical outcomes.
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研究衡量的是什么?
主要结果指标
结果测量 |
措施说明 |
大体时间 |
|---|---|---|
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Change in hematoma size
大体时间:Baseline, 90 days
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The primary objective aims to compare the radiographic efficacy of three embolic materials (particles, liquid embolics, Phenox coils) in MMA embolization for cSDH to evaluate change in hematoma size.
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Baseline, 90 days
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次要结果测量
结果测量 |
措施说明 |
大体时间 |
|---|---|---|
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Complications
大体时间:Baseline, 90 days
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The secondary objectives aim to evaluate the safety profile of the embolic materials, to support overall comparative effectiveness.
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Baseline, 90 days
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Recurrence Rates
大体时间:Baseline, 90 days
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The secondary objectives aim to evaluate the the safety profile of the embolic materials, to support overall comparative effectiveness.
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Baseline, 90 days
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Adverse Events
大体时间:Baseline, 90 days
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The secondary objectives aim to evaluate the the safety profile of the embolic materials, to support overall comparative effectiveness.
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Baseline, 90 days
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Re-Intervention Rates
大体时间:Baseline, 90 days
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The secondary objectives aim to evaluate the the safety profile of the embolic materials, to support overall comparative effectiveness.
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Baseline, 90 days
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合作者和调查者
研究记录日期
研究主要日期
学习开始 (估计的)
初级完成 (估计的)
研究完成 (估计的)
研究注册日期
首次提交
首先提交符合 QC 标准的
首次发布 (实际的)
研究记录更新
最后更新发布 (实际的)
上次提交的符合 QC 标准的更新
最后验证
更多信息
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