Recruiting NCT07305922
Delayed Cerebral Infarction Beyond Endoluminal Spasmolysis and Induced Hypertension
For patients and families
In plain language
An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.
- What is being studied
- The protocol lists: Induced hypertension with norepinephrine, Endoluminal Spasmolysis.
- Who it may be relevant to
- Registry conditions: Subarachnoid Aneurysm Hemorrhage, Cerebral Vasospasm After Subarachnoid Hemorrhage. Basic parameters: from 18 years · All.
- What needs checking
- Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
- Where it takes place
- Sweden
- Next step
- Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
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Overview
An observational study of patients with emerging or established severe cerebral vasospasm after subarachnoid haemorrhage, employing multimodal neuromonitoring.
Interventions
- Drug Induced hypertension with norepinephrine
Induced hypertension with norepinephrine and/or dobutamine to attain clinically established goals of cerebral perfusion pressure in a stepwise fashion, according to clinical routine. - Drug Endoluminal Spasmolysis
Endoluminal spasmolysis of cerebral arteries using i.a. Nimodipine, according to clinical protocol and neurointerventionist discretion.
Primary outcome measures
- Mean Flow Velocity (MFV) [Time frame: Up to 12 hours post intervention]
Secondary outcome measures (1)
- Duration of MFV change after Endoluminal Spasmolysis [Time frame: Up to 12 hours]
Eligibility criteria
Inclusion criteria
- Adults 18 years or older
- Critical care after subarachnoid haemorrhage
- Aneurysm secured by surgical clipping or endovascular procedure
- Suspected, emerging or established severe cerebral vasospasm
Exclusion criteria
- Anticipated survival less than five days, as determined by treating clinician
- Transcranial Doppler signal too weak
- Pregnancy
Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.
Healthy volunteers: No
Study design
- Observational model
- Case-only
Study locations
Sweden · 1 center
- Karolinska University Hospital — Stockholm
Identifiers
NCT: NCT07305922 · 2025-4055