CSF Leak
Conditions
Brief summary
This project seeks to test whether a cell-seeded collagen hydrogel dressing can reduce CSF leak after skull base surgery. Normally, patients at risk for CSF leak are treated with a commercial collagen matrix called Duragen. In this study, our sterile, cGMP manufactured collagen hydrogel dressing will be seeded with the stromal vascular fraction (SVF) mechanically isolated from lipoaspirate taken intra-operatively. This SVF contains pro-regenerative adipose stem cells (ASCs). The ASC-seeded hydrogel will be used as a supplement to Duragen to reinforce the skull base closure. The goal is to establish safety as well as to secondarily evaluate for effectiveness in reducing CSF leak postoperatively.
Interventions
Duragen combined with collagen hydrogel and patient's stem cells
Sponsors
Study design
Eligibility
Inclusion criteria
* Age \>/= 18 * Planned for skull base surgery * Able to understand and willing to sign a written informed consent form
Exclusion criteria
* active skull base infection * no plan for DuraGen repair by operating surgeon
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Rate of CSF leak | 6 months active participation (date of surgery + 6 months follow up via chart review) |
Secondary
| Measure | Time frame |
|---|---|
| Need for reoperation | 6 months active participation (date of surgery + 6 months follow up via chart review) |
| Postoperative hematoma | 6 months active participation (date of surgery + 6 months follow up via chart review) |
| Length of hospital stay | 6 months active participation (date of surgery + 6 months follow up via chart review) |
| Need for rehospitalization | 6 months active participation (date of surgery + 6 months follow up via chart review) |
| Death | 6 months active participation (date of surgery + 6 months follow up via chart review) |
| Postoperative infection | 6 months active participation (date of surgery + 6 months follow up via chart review) |