Status:

ACTIVE_NOT_RECRUITING

Treatment of Adult Traumatic Rib Fractures With Percutaneous Cryoneurolysis

Lead Sponsor:

Stanford University

Conditions:

Rib Fractures

Eligibility:

All Genders

18-64 years

Phase:

NA

Brief Summary

The purpose of this research study is to examine the effectiveness of using the Iovera Smart Time 190, for ultrasound-guided cryoneurolysis, in trauma patients 18-64 years old with rib fractures that ...

Detailed Description

The purpose of this research study is to examine the effectiveness of using the Iovera Smart Time 190, for minimally invasive ultrasound-guided cryoneurolysis, in trauma patients 18-64 years old with ...

Eligibility Criteria

Inclusion

  • Patients 18 to 64 years with any acute rib fracture between rib 3 and rib 9
  • Pain score equal to or greater than 5 with deep inspiration
  • Presenting and admitted to Stanford Adult Emergency Department, having a trauma consult, and being admitted to the trauma floors of Stanford Healthcare (SHC) for their inpatient stay

Exclusion

  • Radiographic evidence of metastasis to ribs
  • Glasgow Coma Scale (GCS) score \<13
  • Patients undergoing SSRF (Surgical stabilization of rib fractures)
  • Rib fractures located \< 3cm from spinous process
  • Coagulopathy (INR \>1.5, Plt \< 100)
  • Other factors precluding cryoneurolysis at the attending's discretion
  • If only ribs broken are 1,2 or 10,11,12
  • Inability to be positioned for the procedure
  • If the patient has the following conditions that the manufacturer of the Iovera device advises AGAINST using the device if present: Cryoglobulinemia, Paroxysmal cold hemoglobinuria, Cold urticaria, Raynaud's disease, open and/or infected wounds at or near the treatment site.

Key Trial Info

Start Date :

February 21 2023

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

January 1 2026

Estimated Enrollment :

40 Patients enrolled

Trial Details

Trial ID

NCT05330611

Start Date

February 21 2023

End Date

January 1 2026

Last Update

August 3 2025

Active Locations (1)

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1

Stanford Hospital and Clinics

Palo Alto, California, United States, 94305