Effect of Minimally Invasive Surgical Assisted by Robots on Intraventricular Hemorrhage
- Conditions
- Clarify the Therapeutic Differences Between Robot Assisted Endoscopic Clearance and Traditional Puncture and External Drainag
- Registration Number
- NCT06486480
- Lead Sponsor
- Jin Hu
- Brief Summary
Clarify the therapeutic differences between robot assisted endoscopic clearance and traditional puncture and external drainage, and establish a new minimally invasive surgical diagnosis and treatment strategy for intraventricular hemorrhage
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- NOT_YET_RECRUITING
- Sex
- All
- Target Recruitment
- 143
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Age range from 18 to 80 years old;
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The time from onset to first CT confirmation of intraventricular hemorrhage is less than 24 hours;
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Before enrollment, CT confirmed that the intraventricular hemorrhage score (modified Graeb score) was ≥ 8 points, and the total score of bilateral lateral ventricles was ≥ 5 points;
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If there is concurrent cerebral hemorrhage but the hematoma volume is less than 30ml;
⑤ First CT to surgery time<72 hours;
⑥ GCS ≤ 14.
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① Suspected (unless excluded by angiography or CTA/MRA/MRI) or untreated rupture of cerebral aneurysm, Moyamoya disease, intracranial AVM rupture, or tumor;
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Patients with a GCS score of 3 and/or fixed dilated pupils and/or no spontaneous breathing;
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Patients with pre-existing neurological disorders that affect neurological function assessment prior to onset;
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Coagulation dysfunction;
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Patients who require long-term anticoagulant treatment;
⑥ Use dabigatran, apixaban, and/or rivaroxaban (or drugs of the same class) before symptoms appear; ⑦ Platelet count<100 × 109/L, INR>1.4;
⑧ Pregnancy (positive serum or urine pregnancy test);
⑨ Subtentorial hemorrhage or brainstem hemorrhage;
⑩ Patients who have previously participated in other interventional clinical studies and participated in observational, natural history, and/or epidemiological studies that do not involve intervention are eligible;
⑪ Subjects who are expected to not survive until the 180th day of visit; No written informed consent was given by the subjects or legal representatives.
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Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Primary Outcome Measures
Name Time Method 6-month mRS score 180 days MRS Scores 6 months after onset
- Secondary Outcome Measures
Name Time Method 30 day mortality rate 0-30 days Mortality at 30 days after onset