Lumbar Drain vs Extraventricular Drain to Prevent Vasospasm in Subarachnoid Hemorrhage
Recruiting now · Not applicable
Conditions studied: Vasospasm, Intracranial, Subarachnoid Hemorrhage
In brief
Vasospasm is a common complication after rupture of intracranial aneurysms causing devastating neurologic deficits and death. Vasospasm has been directly associated with the amount of subarachnoid blood inside the basal cisterns. Prior literature has attempted to refine treatment of ruptured intracranial aneurysms but does not have clear guidelines on the optimal method to drain subarachnoid blood. Two methods, extraventricular drain (EVD) and lumbar drain (LD) have been compared retrospectively yet remain controversial as to which method is optimal in reducing subarachnoid blood and preventing vasospasm. This study would be a prospective randomized trial in which patients would be assigned to EVD or LD and observed to see if one method of intervention is associated with preventing clinical vasospasm, decreasing subarachnoid blood, shortening overall ICU stay, and reducing the need for a permanent ventriculoperitoneal shunt. The conclusions of this study may identify an optimal treatment modality to benefit all future patients with ruptured intracranial aneurysms.
Key facts
- Study ID
- NCT03065231
- Run by
- University of California, San Diego
- People needed
- 100
- Starts
- 2017-01-01
- Expected to finish
- 2027-01-04
- Last updated by the study team
- 2025-03-04
Who can join
Age: 18 and older, up to 110. Sex: any. Healthy volunteers: not accepted.
You may qualify if…
- patients received at the UCSD Medical Center with grade II, III, IV subarachnoid hemorrhage or patients with aneurysmal SAH with radiographic evidence.
You may not qualify if…
- patients under the age of 18, excluding minors from this study
Where it is running
- UCSD Medical Center — San Diego, California, United States (enrolling)
Full record on ClinicalTrials.gov
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