The Purpose of This Study is to Determine Whether CerebroFlo™ EVD Catheter is Effective During the Treatment of IVH
Study Details
Study Description
Brief Summary
The primary goal of this study is to assess the occurrence of flushing interventions to address occlusions during the treatment of interventricular hemorrhage (spontaneous primary IVH or secondary IVH due to ruptured aneurysm).
| Condition or Disease | Intervention/Treatment | Phase |
|---|---|---|
|
N/A |
Detailed Description
Potential study candidates will be screened for inclusion and exclusion criteria after informed consent has been provided by the Legally Acceptable Representative and/or the study candidate.
Once enrolled in the study, data will be collected from those subjects with elevated intracranial pressure (ICP), interventricular hemorrhage, or hydrocephalic shunt infections as a result of the use of the EVD catheter.
Pre-insertion and peri-removal CT scans and neurological assessment data will also be collected.
Data will be collected for subjects beginning from the time of hospital admission through discharge and followed by the 30 Day and 90 Day Follow up Visits.
Study Design
Arms and Interventions
| Arm | Intervention/Treatment |
|---|---|
| Experimental: Intraventricular Hemorrhage Subjects Intervention: Cerebrospinal Fluid (CSF) reduction Extra Ventricular Drainage (EVD) catheters will be used for cerebrospinal fluid drainage |
Device: CerebroFlo™ EVD Catheter
The CerebroFlo™ EVD Catheter is indicated for temporary insertion into a ventricular cavity of the brain for external drainage of cerebrospinal fluid (CSF) in those patients with elevated intracranial pressure (ICP), intraventricular hemorrhage, or hydrocephalic shunt infections.
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Outcome Measures
Primary Outcome Measures
- Number of flushing interventions to address occlusions [study device implantation through study device removal]
The number of flushing interventions from initial catheter placement through catheter removal, an average of 10 days, to address occlusions.
Secondary Outcome Measures
- Change of hemorrhage volume [Device implantation through to 90-Day follow-up]
Change of hemorrhage volume as assessed on pre- and post-insertion of the CerebroFlo device as assessed on CT scan
- Assessment of Glasgow Coma Score (GCS) [Device implantation through to 90-Day follow-up]
Assessment of Glasgow Coma Score (GCS) at Admission, Discharge, 30-Day and/or 90-Day timepoints The Glasgow Coma Scale is divided into three components which are scored separately: ocular response (assessment 1-4 points), motor response (assessment 1-6 points) verbal response (evaluation of 1-5 points). Scores for each component are added together to get the total that will range between a minimum of 3 points (which corresponds to a patient who does not open his eyes and no motor response to stimulation or verbal response) and a maximum value of 15 points (corresponding to a patient with open eyes, obeying orders and maintaining a consistent language). It has been considered that the GCS score between 15 and 13 points corresponds to a slight alteration of consciousness, a score of 12-9 points with moderate impairment and 8 points or less with a serious deterioration in level of consciousness.
- Assessment of Modified Rankin Score (mRS) [Device implantation through to 90-Day follow-up]
Assessment of Modified Rankin Score (mRS) at Admission, Discharge, 30-Day and/or 90-Day timepoints The Modified Rankin Score (mRS) is a 6 point disability scale with possible scores ranging from 0 to 5. Lower scores correlate with less disability/dependence
- Assessment of National Institute of Health Stroke Scale (NIHSS) [Device implantation through to 90-Day follow-up]
Assessment of National Institute of Health Stroke Scale (NIHSS) at Admission, Discharge, 30-Day and/or 90-Day timepoints NIH Stroke Scale/Score (NIHSS) is a 15-item neurologic examination stroke scale used to evaluate the effect of acute cerebral infarction on the levels of consciousness, language, neglect, visual-field loss, extraocular movement, motor strength, ataxia, dysarthria, and sensory loss. A trained observer rates the patent's ability to answer questions and perform activities. Ratings for each item are scored with 3 to 5 grades with 0 as normal, and there is an allowance for untestable items.
Eligibility Criteria
Criteria
Inclusion Criteria:
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Subject and/or legally authorized representative has reviewed the IRB- approved consent form, has been properly consented per the protocol and has documented their consent to participate in the study by signing the IRB-approved consent form.
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Subject is ≥ 18 years of age at the time of consent.
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Subjects with intraventricular hemorrhage (spontaneous primary IVH or secondary IVH due to ruptured aneurysm) who have had CerebroFlo™ EVD Catheter(s) placed without complication.
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Subjects who require only one EVD Catheter at initial admission
Exclusion Criteria:
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Subjects with a scalp infection present.
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Subjects with uncorrectable coagulopathy due to prior administration of anticoagulants at the time the CerebroFlo™ EVD Catheter(s) is placed.
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Subjects known to have a bleeding diathesis.
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Subjects in which the CerebroFlo™ EVD Catheter(s) is placed directly into a hematoma
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Evidence of catheter-associated hemorrhage from insertion of the CerebroFlo EVD Catheter(s) on post-placement CT scan.
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Subject is pregnant
Contacts and Locations
Locations
| Site | City | State | Country | Postal Code | |
|---|---|---|---|---|---|
| 1 | Stanford University | Palo Alto | California | United States | 94304 |
| 2 | University of Colorado Anschutz Medical Campus | Aurora | Colorado | United States | 80045 |
| 3 | AdventHealth Orlando | Orlando | Florida | United States | 32803 |
| 4 | Our Lady of the Lake Regional Medical Center | Baton Rouge | Louisiana | United States | 70808 |
| 5 | Wright State University/Premier Health | Dayton | Ohio | United States | 45409 |
| 6 | University of Texas Health Science Center | San Antonio | Texas | United States | 78229 |
| 7 | University of Utah Health | Salt Lake City | Utah | United States | 84123 |
| 8 | Virginia Commonwealth University Department of Neurosurgery | Richmond | Virginia | United States | 23298 |
Sponsors and Collaborators
- Integra LifeSciences Corporation
Investigators
- Principal Investigator: Ramesh Grandhi, MD, University of Utah Health
- Study Director: Jason Marzuola, MSN, Integra Life Sciences
Study Documents (Full-Text)
None provided.More Information
Publications
- Aten Q, Killeffer J, Seaver C, Reier L. Causes, Complications, and Costs Associated with External Ventricular Drainage Catheter Obstruction. World Neurosurg. 2020 Feb;134:501-506. doi: 10.1016/j.wneu.2019.10.105. Epub 2019 Oct 25. Review.
- Crites L. Reducing Catheter-Related Complications with New Anti-thrombiogenic PICC. JAVA. 2015:20(4):256.
- Fargen KM, Hoh BL, Neal D, O'connor T, Rivera-Zengotita M, Murad GJ. The burden and risk factors of ventriculostomy occlusion in a high-volume cerebrovascular practice: results of an ongoing prospective database. J Neurosurg. 2016 Jun;124(6):1805-12. doi: 10.3171/2015.5.JNS15299. Epub 2015 Oct 30.
- C-CERFLO-001