Unique ID issued by UMIN | UMIN000054121 |
---|---|
Receipt number | R000061779 |
Scientific Title | Computed Tomography Perfusion Tissue Time to Maximum Predict Delayed Cerebral Ischemia Following Aneurysmal Subarachnoid Hemorrhage |
Date of disclosure of the study information | 2024/04/11 |
Last modified on | 2024/04/11 14:41:54 |
Computed Tomography Perfusion Tissue Time to Maximum Predict Delayed Cerebral Ischemia Following Aneurysmal Subarachnoid Hemorrhage
Computed Tomography Perfusion Tissue Time to Maximum Predict Delayed Cerebral Ischemia Following Aneurysmal Subarachnoid Hemorrhage
Computed Tomography Perfusion Tissue Time to Maximum Predict Delayed Cerebral Ischemia Following Aneurysmal Subarachnoid Hemorrhage
Computed Tomography Perfusion Tissue Time to Maximum Predict Delayed Cerebral Ischemia Following Aneurysmal Subarachnoid Hemorrhage
Japan |
Subarachnoid hemorrhage
Neurosurgery |
Others
NO
Delayed ischemia is known to occur 3-18 days after the onset of subarachnoid hemorrhage. However, patients with cerebral vasospasm do not always develop delayed ischemia, and although there are various reports on the prediction of delayed ischemia, there is still no biomarker that has achieved a certain level of consensus. Using time-to-maximum analysis by RAPID software with perfusion CT, which has recently attracted attention in the endovascular treatment field, we will search for predictors of delayed cerebral ischemia during cerebral vasospasm after subarachnoid hemorrhage using time-to-maximum analysis and investigate their predictive ability.
Efficacy
We defined delayed cerebral ischemia as a new cerebral infarction occurring 3-18 days after the onset of subarachnoid hemorrhage. The primary endpoint was the ability of RAPID Software's time to maximam analysis values using perfusion CT performed after 8-12 days of onset to predict the development of delayed cerebral ischemia.
Observational
Not applicable |
Not applicable |
Male and Female
All patients with subarachnoid hemorrhage who underwent endovascular treatment or craniotomy at Japanese Red Cross Kumamoto Hospital during the 2-year period from May 12, 2021 to May 11, 2023
Exclusions were made for individuals with a fifth grade of the World Federation of Neurosurgical Societies (WFNS) Grade and those who had undergone parent artery occlusion, as their inclusion might compromise the accuracy of cerebral perfusion assessment. Within our institution, all patients afflicted with aSAH underwent CT perfusion imaging between days 8 and 12 following the onset of SAH. Following day 14 post-SAH, either CT or MRI was performed, with the date of SAH onset denoted as day 0. Nevertheless, patients who, for any conceivable reason, did not undergo CT perfusion imaging at any point during their clinical trajectory or did not undergo evaluation for DCI, were subject to exclusion.
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1st name | Todaka |
Middle name | |
Last name | Tatemi |
Japanese Red Cross Kumamoto Hospital
Department of Neurosurgery
861-8520
2-1-1 Nagamineminami, Kumamoto City, Kumamoto Prefecture, Japan
096-384-2111
tsuboki.si@gmail.com
1st name | Tsuboki |
Middle name | |
Last name | Shimpei |
Kameda Medical Center
Department of Neuroendovascular surgery
296-8602
929 Higashi-cho, Kamogawa City, Chiba Prefecture, Japan
04-7092-2211
si.tsuboki@gmail.com
Japanese Red Cross Kumamoto Hospital
Todaka Tatemi
Noshing
Other
Japanese Red Cross Kumamoto Hospital, Ethical Review Board
2-1-1 Nagamineminami, Kumamoto City, Kumamoto Prefecture, Japan
096-384-2111
tsuboki.si@gmail.com
NO
2024 | Year | 04 | Month | 11 | Day |
Unpublished
58
No longer recruiting
2024 | Year | 01 | Month | 29 | Day |
2024 | Year | 03 | Month | 27 | Day |
2024 | Year | 03 | Month | 27 | Day |
2025 | Year | 12 | Month | 31 | Day |
Retrospective observational analysis
2024 | Year | 04 | Month | 11 | Day |
2024 | Year | 04 | Month | 11 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/icdr_e/ctr_view.cgi?recptno=R000061779