Assessing Outcomes of Coil Embolization for Unilateral vs Bilateral Chronic Subdural Hematomas

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18+
SponsorLahey Clinic

About this trial

This is a pragmatic, prospective, multicenter, randomized controlled trial with intention to treat analysis. In which subjects will receive either unilateral or bilateral middle meningeal artery (MMA) embolization using coils for the treatment of unilateral chronic subdural hematomas (cSDH).

Eligibility criteria

Qualifiers

Subject is 18 years of age or older.

Subject has a diagnosis of chronic subdural hematoma with mass effect Determined by brain imaging (CT or MRI) and correlated clinical symptoms.

Pre-randomization modified Rankin Score (mRS) ≤3

Subdural Hematoma Size

Disqualifiers

Patients presenting with an acute SDH (e.g. patient with presenting with a SDH due to trauma); mixed density is permitted.

Subject presents with bilateral cSDHs requiring treatment (contralateral cSDH <5mm and not requiring treatment is permitted.

Subject presents with Glasgow Coma Scale < 9

Markwalder assessment >4

Trial design

Treatments tested in this trial

  • embolization therapy Bilateral
  • embolization therapy Unilateral

Treatment groups

400 Participants
are divided into 2 treatment groups

Sponsors and collaborators