Surgery Clinical Trial
— EndoSurofICHOfficial title:
Comparison Between Stereotactic Aspiration and Intra-endoscopic Surgery to Treat Intracerebral Hemorrhage
Views for surgery method selection of intracerebral hemorrhage are still controversial. Since the application of neuroendoscopic technique in intraventricular hemorrhage was confirmed effective and safe, some investigators have attempted to use endoscopic strategies to evacuate intracerebral hematomas. Some significant advances have also been reported in endoscopic hematoma evacuation when compared to conventional craniotomy. However, it is still crucial to implement a prospective and controlled study to evaluate the efficiency and safety of endoscopic technique in the treatment of intracerebral hemorrhage. In this study, the investigators will exclusively select some patients with intracerebral hemorrhage in the basal ganglia region. This study will compare the efficacy and safety of endoscopic surgery versus stereotactic aspiration on neurologic outcomes for patients with intracerebral hemorrhage.
Status | Unknown status |
Enrollment | 100 |
Est. completion date | November 2016 |
Est. primary completion date | May 2016 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 18 Years to 75 Years |
Eligibility |
Inclusion Criteria: - primary basal ganglion region intracerebral hemorrhage - older than 18 years - admitted within 6 h after onset of ICH Exclusion Criteria: - other type of ICH than acute primary intracerebral hemorrhage - patients who need neurosurgery - life expectancy less than 3 months due to comorbid disorders - confirmed malignant disease (cancer) - confirmed acute myocardial infarction - hepatitis and/liver cirrhosis - renal failure - infectious disease (HIV, endocarditis etc.) - current or previous hematologic disease - women of childbearing age if pregnant - participation in another study within the preceding 30 days |
Country | Name | City | State |
---|---|---|---|
China | Nanfang Hospital of Southern University | Guangzhou | Guangdong |
Lead Sponsor | Collaborator |
---|---|
Nanfang Hospital of Southern Medical University | Shenzhen People's Hospital |
China,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Mortality rate | all-cause motality rate within 90 days after the surgery | 90-day | |
Secondary | operative time | the period from skin incision to wound suture | 24 h | |
Secondary | days of ICU stay | the period between the end of the surgery to leaving the ICU | 14 day | |
Secondary | remnant blood in the hematoma after surgery | this parameter will be monitored by CT scan immediately after the surgery | 12 hour | |
Secondary | Glasgow coma score | the GCS will be evaluated by a senior doctor 28 days after the surgery | 28 day | |
Secondary | Glasgow outcome score | the GCS will be evaluated by a senior doctor 28 days after the surgery | 90-day | |
Secondary | In-hospital cost | all medical cost during the in-hospital period | 28 day | |
Secondary | rehemorrhage rate | Rehemorrhage almost occurs within 3 days after the surger. So cranial CT scan will be performed routinely 3 days later after surgery to evaluate the rehemorrhage rate | 3 day | |
Secondary | intracranial infection | If the patient underwent a period of fever, cerebral fluid will be withdrawn by means of lumbar puncture and tested to verify whether the intracranial infection occurs | 14 day |
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