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NCT ID: NCT05796986 Recruiting - Clinical trials for Wide Neck Saccular Cerebral Aneurysms

Endovascular Treatment of Wide Neck Saccular Cerebral Aneurysms

Start date: January 1, 2022
Phase: N/A
Study type: Interventional

Intracranial aneurysm (IA) is a cerebrovascular disorder in which the weakness of a cerebral artery wall causes a localized dilation of the blood vessel. Intracranial aneurysm can develop and rupture, and about 85% of spontaneous subarachnoid hemorrhage (SAH) cases are caused by the rupture of Intracerebral aneurysm. Two treatments are available globally: microsurgical clipping and endovascular treatment. Endovascular treatment of Intracerebral aneurysms using detachable platinum coils ( was introduced in 1990 by Guido Guglielmi, an Italian neurosurgeon ) of different shapes and sizes are deposited into the aneurysm through a microcatheter, which reduces the blood flow and induces thrombus formation . Wide neck aneurysm defined by neck diameter greater than 4 mm or dome-to-neck ratio less than 2 Despite advances in endovascular techniques , the treatment of wide-necked aneurysms remains problematic . Endovascular treatment of intracranial aneurysms is associated with lower morbidity and mortality rates and faster recovery compared with traditional microsurgical clipping. In wide-necked Intracerebral aneurysms, complete coil embolization is often technically difficult owing to the risks of distal coil migration or coil impingement on the parent vessel . Complete coil embolization using a single microcatheter without a supporting device in cases of wide-necked Intracerebral aneurysm is technically difficult. Total occlusion rates have increased recently as a result of the advancement of supporting devices These may include balloon remodeling, use of three-dimensional (3D) coils (Russian Doll Technique), combined use of stents and coils (Stent assisted coiling), flow diverters, use of intrasaccular flow disruption (like WEB), Double catheter Technique or combined extra- and intrasaccular devices.

NCT ID: NCT05796778 Recruiting - Post Operative Pain Clinical Trials

Sub Omohyoid Suprascapular Nerve Block Versus Interscalene Nerve Block

Start date: April 1, 2023
Phase: N/A
Study type: Interventional

Shoulder surgery can be very painful surgery after which the use of opioids is often required. The well-known side-effects of opioids (e.g. respiratory depression, somnolence, nausea, vomiting, and pruritus) limit their use in so called 'fast track' surgery and anaesthesia programmes. the study aimed to compare the effect of sub omohyoid suprascapular nerve block versus interscalene nerve block in preventing postoperative pain and decreasing analgesic consumption in patients scheduled for shoulder surgery

NCT ID: NCT05795933 Recruiting - Bronchiolitis Clinical Trials

Efficacy of Vitamin D Supplementation for Children With Bronchiolitis

Start date: April 1, 2023
Phase: Phase 2/Phase 3
Study type: Interventional

Vitamin D plays an important role in enhancing mucosal immune defense, decreasing excessive inflammation, and increasing mucociliary clearance. Experimental studies have shown that vitamin D reduces inflammation of epithelial cells in airways infected with Respiratory Syncytial Virus and confers antiviral effects. Furthermore, several studies have shown lower serum vitamin D levels in hospitalized children with bronchiolitis. However, studies on the efficacy of Vitamin D supplementation for children with bronchiolitis are scarce with inconsistent findings. In this study, we aim to evaluate the efficacy of vitamin D supplementation in children with bronchiolitis.

NCT ID: NCT05794737 Recruiting - Colorectal Cancer Clinical Trials

Immunohistochemical Expression of Inhibin Beta A (INHBA) in Colorectal Carcinoma

Start date: January 1, 2021
Phase:
Study type: Observational

A retrospective observational study to evaluate immunohistochemical expression of Inhibin Beta A (INHBA) in 60 cases of Colorectal Carcinoma, and compare levels of its expression to different clinicopathological criteria.

NCT ID: NCT05793125 Recruiting - Clinical trials for Hypertension in Pregnancy

Pulmonary Artery Doppler And Neonatal Outcome In Hypertensive Disorders Of Pregnancy

Start date: April 3, 2023
Phase:
Study type: Observational

To correlate fetal Pulmonary artery Doppler parameters with neonatal outcome in patients diagnosed with hypertensive disorders of pregnancy.

NCT ID: NCT05793060 Recruiting - Analgesia Clinical Trials

Dexmedetomidine Versus Dexamethasone as Adjuvants to Bupivacaine for Intermediate Cervical Plexus Block

Start date: February 1, 2024
Phase: Phase 4
Study type: Interventional

Background: Many thyroidectomy patients suffer from postoperative pain that could delay early hospital discharge and place a significant burden on both the patient and the healthcare team. Bilateral intermediate cervical plexus block (ICPB) provides good analgesia for neck surgery, including thyroidectomy. However, the duration of a single-shot nerve block is usually short. Therefore, adjuvants are used in peripheral nerve blocks. Objectives: To compare the safety and efficacy of dexmedetomidine versus dexamethasone as adjuvants to bupivacaine in ultrasound-guided intermediate cervical plexus block in patients undergoing total thyroidectomy under general anesthesia. Patients and Methods: This is a randomized, double-blind, phase four, prospective clinical trial; carried out on 60 patients, who were candidates for total thyroidectomy under general anesthesia at our hospital. Patients were randomly allocated into two equal groups; group A, received bilateral ICPB with isobaric bupivacaine plus dexmedetomidine, and group B, received bilateral ICPB with isobaric bupivacaine plus dexamethasone.

NCT ID: NCT05792540 Recruiting - Depressive Disorder Clinical Trials

Clinical Study to Evaluate the Possible Efficacy of Dapagliflozin and Atorvastatin in Patients With Major Depressive Disorders

Start date: June 6, 2023
Phase: Phase 2
Study type: Interventional

Major depressive disorder (MDD) is a significant cause of disability that affects approximately 16% of the world's population and is associated with chronic inflammation. Although the mechanisms of MDD have not yet been clearly elucidated, NLRP3 inflammasomes have been implicated in the pathogenesis of depression.NLRP3 inflammasome is an intracellular multiprotein complex that consists of nod-like receptor protein 3, an adaptor protein, and a procaspase-1 precursor. It is well known that a variety of danger signals, such as pathogen-associated molecular patterns and danger-associated molecular patterns can activate NLRP3 inflammasome

NCT ID: NCT05792527 Recruiting - Clinical trials for Rheumatoid Arthritis

L-carnitine in Modulating Pain and Inflammation in Rheumatoid Arthritis

Start date: March 5, 2023
Phase: Phase 3
Study type: Interventional

This study aims at evaluating the possible efficacy and safety of L-carnitine in rheumatoid arthritis via targeting Jak/STAT pathway and TGF-β1

NCT ID: NCT05792293 Recruiting - Clinical trials for Doxorubicin Induced Cardiomyopathy

Role of Statin Therapy in Prevention of Anthracycline-Induced Cardiotoxicity

Start date: June 1, 2021
Phase: Phase 2/Phase 3
Study type: Interventional

This study aims at evaluating the role of Atorvastatin in prevention of Anthracycline induced cardiotoxicity

NCT ID: NCT05791539 Recruiting - Clinical trials for Post-thoracotomy Pain Syndrome

Comparison Between Retrolaminar Block Combined With Erector Spinae Plane Block, and Erector Spinae Plane Block Alone for Post-thoracotomy Pain

Start date: February 2, 2023
Phase: N/A
Study type: Interventional

Post-thoracotomy pain is a challenging clinical problem that may be associated with increased morbidity and mortality. The current study tests two techniques of regional anaesthesia to control post thoracotomy pain