Health Condition 1: G00-G99- Diseases of the nervous system
Conditions
Interventions
None listed
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Age more than 18 years. Aneurysmal SAH originating from vessel in anterior cerebral circulation
Exclusion criteria
Exclusion criteria: Patient refusal Hemodynamically unstable patient requiring more than one inotropic infusions. Aneurysmal SAH originating from vessel in posterior cerebral circulation. Before scheduled intraarterial vasodilator therapy, patients having undergone decompressive craniectomy for management of cerebral swelling.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| To study changes in Cerebral Blood Flow Volume (CBF Vol) and Cerebral Flow velocities (FV) before and after intra-arterial vasodilator therapy in patients with anterior circulation aneurysmal sub arachnoid hemorrhage.Timepoint: Baseline, 5 min, 10 min, 15 min, 20 min, 25 min, 30 min, 2 hrs, 4 hrs and 24 hrs | — |
Secondary
| Measure | Time frame |
|---|---|
| To assess cerebral auto regulatory status with TCD using transient hyperemic response ratio (THRR) before and after intra-arterial vasodilator therapy.Timepoint: Baseline, 5 min, 10 min, 15 min, 20 min, 25 min, 30 min, 2 hrs, 4 hrs and 24 hrs;To compare changes in CBF Vol and FV of affected intracranial vessel to extracranial internal carotid artery (ICA) before and after intra-arterial vasodilator therapy.Timepoint: Baseline, 5 min, 10 min, 15 min, 20 min, 25 min, 30 min, 2 hrs, 4 hrs and 24 hrs;To correlate ultrasonographic (USG) measurements of cerebral vessels to DSA based measurement.Timepoint: Baseline, 30 min | — |
Countries
India
Contacts
NIMHANS, Bangalore