Cerebral Aneurysm, Cerebral Vasospasm, Subarachnoid Hemorrhage
Conditions
Keywords
cerebral aneurysm, subarachnoid hemorrhage, cerebral vasospasm, computed tomographic perfusion, computed tomographic angiography
Brief summary
Cerebral vasospasm is a devastating complication of subarachnoid hemorrhage after cerebral aneurysm rupture leading to cerebral ischemia and potentially cerebral infarction. The current gold standard diagnostic imaging study for cerebral vasospasm is catheter cerebral angiography, an invasive diagnostic procedure carrying a complication rate of 1-2% per procedure. Computed tomographic perfusion imaging (CTP) and computed tomographic angiography (CTA) are noninvasive diagnostic imaging studies frequently utilized in the evaluation of embolic and thrombotic cerebral infarct. The investigators hypothesize that CTP and CTA may be utilized as screening tools for cerebral vasospasm following aneurysmal subarachnoid hemorrhage requiring treatment and provide prognostic information.
Interventions
None listed
Sponsors
Study design
Eligibility
Inclusion criteria
* subarachnoid hemorrhage after aneurysm rupture
Exclusion criteria
* renal insufficiency * pregnancy * contrast reaction
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| CT perfusion parameters | at time of catheter angiogram |
Secondary
| Measure | Time frame |
|---|---|
| Disposition at discharge | At time of hospital discharge |
| vessel narrowing by CT angiography | at time of catheter angiogram |
Countries
United States