Hydrocephalus
Conditions
Keywords
Hydrocephalus, CSF shunts, Normal Pressure Hydrocephalus, NPH, ShuntCheck, Shunt Malfunction, Suspected shunt malfunction in adult hydrocephalus patients
Brief summary
The purpose of this study is to compare the accuracy of ShuntCheck (SC) and ShuntCheck plus Micro-Pumper (SC+MP) to radionuclide shunt patency testing (SPS) in evaluating shunt function in patients with adult hydrocephalus (AH) implanted with ventriculoperitoneal (VP) shunts when shunt obstruction is suspected and a diagnostic procedure such as radionuclide shunt patency testing (SPS) is required.
Detailed description
The primary objective is to demonstrate that the accuracy of SC and SC+MP for determining whether a VP shunt is patent or obstructed is statistically no different than the accuracy of the accepted standard test, radionuclide shunt patency study, when performed simultaneously. A secondary objective is to determine SC and SC+MP results in the presence of possible partial obstruction, which defined as subjects with radionuclide clearance measured by T1/2 of 8 to 10 minutes. A secondary objective is to compare ShuntCheck flow rate results to simultaneous radionuclide clearance as measured by T1/2. A secondary objective is to demonstrate that ShuntCheck flow rate results are statistically equivalent to simultaneous radionuclide clearance measured by T1/2
Interventions
DEVICEShuntCheck test
Non-invasive, thermal dilution test for CSF shunt flow compared to radionuclide shunt patency testing
Sponsors
Sinai Hospital of Baltimore
National Institute of Neurological Disorders and Stroke (NINDS)
NeuroDx Development
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
DIAGNOSTIC
Masking
TRIPLE (Subject, Caregiver, Investigator)
Eligibility
Sex/Gender
ALL
Age
35 Years to No maximum
Healthy volunteers
No
Inclusion criteria
1. Adult men or women \> 35 years of age; 2. Capable of providing valid signed informed consent, or has a legal guardian, health care agent, or surrogate decision maker (according to local statutes, and collectively referred to as surrogates in this protocol) capable of providing valid, signed informed consent; 3. Possess a shunt placed for AH; 4. A radionuclide shunt patency study has been ordered because of suspected shunt obstruction 5. Subject is willing and able to return to the treating physician for evaluation of the outcome of the shunt patency study
Exclusion criteria
1. Presence of multiple shunts, or presence of more than one distal shunt catheter (regardless of function) crossing the clavicle ipsilateral to the shunt with suspected obstruction; 2. ShuntCheck test would interfere with standard patient care, or emergency shunt surgery that cannot be delayed is indicated; 3. Presence of an interfering open wound or edema over any portion of the VP shunt; 4. Subject is unwilling or unable to return to the treating physician for the SPS and ShuntCheck testing.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Sensitivity and specificity of ShuntCheck vs SPS | Day 1 | The primary efficacy objective is the sensitivity and specificity of the ShuntCheck test. The performance of ShuntCheck test will be compared to the radionuclide scanning done on the day of ShuntCheck administration. Primary efficacy of the SC and SC+MP test will be determined by comparing SC and SC+MP performance to results of radionuclide scanning according to a standard 2 x 2 table, with a Positive test result defined as evidence of shunt obstruction. |
Countries
United States
Outcome results
None listed