Predicting Delayed Cerebral Ischemia Using Micro- and Macrovascular Parameters in Subarachnoid Hemorrhage Patients

Status: Recruiting
Location: See location...
Study Type: Observational
SUMMARY

Delayed cerebral ischemia (DCI) following aneurysmal subarachnoid hemorrhage (aSAH) results from a complex combination of macro- and microvascular processes. Besides cerebral vasospasms (CVS), DCI is caused by microthrombosis, neuroinflammation, microvascular dysfunction and cortical spreading depolarization.The glycocalyx plays an essential role in regulation of inflammation, oxidative stress and thrombosis, and could be involved in the pathophysiology of DCI. This study is a single-center prospective observational pilot (phase 1) and correlation (phase 2) study recruiting patients with an aneurysmal subarachnoid hemorrhage. The primary aim of the study is to evaluate the feasibility of performing measurements of the glycocalyx using side-stream darkfield (SDF) imaging sublingually and on the conjunctiva, and by sampling blood for analysis of markers of glycocalyx shedding. Moreover, the objective is to determine characteristic Doppler waveform morphologies in DCI patients by means of thorough analysis of transcranial Doppler (TCD) measurements. The secondary objective is to determine whether changes in glycocalyx integrity correlate with the development of DCI and whether these changes are associated with increased inflammation and with variation in TCD signals. Finally, changes in glycocalyx integrity, in TCD waveform morphology and in levels of inflammatory markers will be correlated with patient outcome at 6 weeks and 6 months after ictus.

Eligibility
Participation Requirements
Sex: All
Minimum Age: 18
Healthy Volunteers: f
View:

• age ≥ 18 years

• confirmed aneurysmal subarachnoid hemorrhage on CTA or DSA

• inclusion within 72 hours after ictus

Locations
Other Locations
Netherlands
Maastricht University Medical Center
RECRUITING
Maastricht
Contact Information
Primary
Roel Haeren, MD, PhD
roel.haeren@mumc.nl
+31433874041
Time Frame
Start Date: 2023-01-01
Estimated Completion Date: 2024-12-31
Participants
Target number of participants: 30
Related Therapeutic Areas
Sponsors
Collaborators: Neuroplast, Glycocheck, NovaSignal Corp.
Leads: Maastricht University Medical Center

This content was sourced from clinicaltrials.gov