About this trial
The aim of the study is to proof the effectiveness of Histoacryl® on preventing recurrence or progression of subdural hematoma after embolization of the middle meningeal artery.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
18 years old or older
Confirmed diagnosis of chronic subdural hematoma (CSDH) or recurrent subdural hematoma (SDH)
Completed documented informed consent
Willingness and presumed capability to participate in follow-up visits for up to 6 months (180±30 days)
Disqualifiers
Extensive cerebral infarction, brain tumor, or space-occupying lesion requiring treatment
Need craniotomy
Any sign of anatomical variations that could make MMA embolization unsafe (e.g., prominent MMA-opthalmic artery anastomoses)
Coagulation dysfunction with INR>1.8 and/or platelet count <80x109 /L
Trial population
A description of the population from which the groups or cohorts will be selected (for example, primary care clinic, community sample, residents of a certain town).
Trial design
Cohort
Prospective
Treatments tested in this trial
Histoacryl®
DeviceHistoacryl® is used by direct needle puncture, transcatheter approach, or transendoscopic approach in vascular embolization for the described purposes.
Treatment groups
Trial outcomes
Primary outcomes
Recurrence or progression of subdural hematoma
Recurrence will be described as maximum thickness of SDH exceeding 10 mm, recurrence of symptoms or the patient requiring reoperation, meaning a second burr-hole drainage due to SDH. \*\*Progression will be described as maximum thickness of SDH increasing over 3 mm compared to the baseline.
Secondary outcomes
Efficacy (1. Time)
Time period from symptoms to embolization
Efficacy (2. Time)
Time period from burr-hole drainage to embolization
Efficacy (3. Time)
Time period from embolization to recurrence
Efficacy (4. Hematoma thickness)
Change in hematoma thickness
Sponsors and contacts
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