Status:

NOT_YET_RECRUITING

Cerebral Hypoperfusion at Transcranial Color-Coded Doppler.

Lead Sponsor:

Fondazione Policlinico Universitario Agostino Gemelli IRCCS

Conditions:

Cerebral Injury

Eligibility:

All Genders

18+ years

Brief Summary

Background. Cerebral ischemia is a major secondary factor contributing to worsening outcomes in patients with acute brain injuries. Transcranial Color-Coded Doppler (TCCD) is a reliable method for eva...

Eligibility Criteria

Inclusion

  • Age over 18 years
  • Patients with intraparenchymal cerebral hemorrhage, subarachnoid hemorrhage, head trauma, or hydrocephalus
  • Glasgow Coma Scale belowe 9
  • Need for invasive mechanical ventilation
  • Arterial catheter for invasive blood pressure monitoring and blood sampling
  • Presence of Doppler parameters of cerebral hypoperfusion (concurrent presence of two or more of the following conditions: PI \> 1.4, diastolic velocity \< 20 cm/s, and mean velocity \< 30 cm/s detected in at least one middle cerebral artery)

Exclusion

  • Absence of transtemporal windows bilaterally on TCCD
  • Documented severe aortic valve insufficiency
  • Heart rate less than 40 bpm
  • Patients with suspected vasospasm on TCCD

Key Trial Info

Start Date :

October 1 2024

Trial Type :

OBSERVATIONAL

Allocation :

ESTIMATED

End Date :

March 31 2026

Estimated Enrollment :

100 Patients enrolled

Trial Details

Trial ID

NCT06607211

Start Date

October 1 2024

End Date

March 31 2026

Last Update

September 23 2024

Active Locations (1)

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Fondazione Policlinico Universitario A. Gemelli IRCCS, UOSD TERAPIA INTENSIVA NEUROCHIRURGICA

Rome, Lazio, Italy, 00168