Chronic Subdural Hematoma Chronic Subdural Hematoma
Conditions
Interventions
None listed
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: -18 years old or older - Confirmed diagnosis of chronic subdural hematoma or recurrent subdural hematoma - Completed documented informed consent - Willingness and presumed capability to participate in follow-up visits for up to 6 months
Exclusion criteria
Exclusion criteria: - Extensive cerebral infarction, brain tumor, or space-occupying lesion requiring treatment - Need craniotomy - Any sign of anatomical variations that could make MMA embolization unsafe - Coagulation dysfunction with INR>1.8 and/or platelet count <80*109/L - Allergic reactions to Histoacryl and essential medicines to do angiography - Women who are pregnant, lactating, or who are of childbearing age and plan on becoming pregnant during the study - Participation in another clinical trial
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Recurrence or progression of subdural hematoma within 3 months following the index procedure | — |
Secondary
| Measure | Time frame |
|---|---|
| Efficacy -Time period from symptoms to embolization, from burr-hole drainage to embolization and from embolization to recurrence -Change in hematoma thickness at V4: 3 months and V5: 6 months compared to baseline -Change in midline shift at V4: 3 months and V5: 6 months compared to baseline -Cognitive assessment assessed by MMSE at V1: preoperatively, V3: discharge, V4: 3 months and V5: 6 months -Quality of life assessed by EQ-5D scale from 0 (worst health) to 100 (best health) at V1: preoperatively, V3: discharge, V4: 3 months and V5: 6 months Safety -Rate of (Serious) Adverse Events at V3: discharge, V4: 3 months and V5: 6 months -Duration of Hospital stay after index procedure -Rate and duration of rehospitalization Handling of Histoacryl -Volume -Targeted arteries (main trunk of MMA / frontal branches / parietal branches) -Injection time -Intraoperative complications/AEs (catheter breakage or entrapment, etc) | — |
Contacts
Kyoto University Hospital