Research on Hybrid Operation Technique in the Treatment of Complex Brain Arteriovenous Malformations
NCT03774017 · Status: UNKNOWN · Phase: NA · Type: INTERVENTIONAL · Enrollment: 1200
Last updated 2018-12-12
Summary
Complex brain arteriovenous malformations (bAVMs) in ≥3 Spetzler-Martin grades have long been challenges among cerebrovascular diseases. None of the traditional methods, such as microsurgical operation, endovascular intervention, or stereotactic radiotherapy, can completely eliminate complex bAVMs without a risk of neural function deterioration. The multistaged hybrid operation solved part of the challenge but remained risky in the installment procedures and intervals. The one-staged hybrid operation was applied in the surgical treatment of cerebrovascular diseases and proved to be a potentially safe and effective method for curing complex bAVMs. However, lacking the support of high-level evidence, its advantages remain unclear. This study was proposed to validate the benefits and risks of one-staged hybrid operation in the treatment of complex bAVMs, as well as its indications, key technologies, and workflows.
Conditions
- Cerebrovascular Disease
- Arteriovenous Malformations
- Complex; Primary
Interventions
- PROCEDURE
-
one-staged hybrid operation
An integrated procedure that consists of microsurgery, intraoperative DSA, endovascular intervention techniques and other assistance tools. All the procedures are performed in a one-staged operation without any intermission or any transfer of patients.
- PROCEDURE
-
Traditional microsurgical operation
The classical mode of operations in neurosurgery. The operation is performed with neurosurgical instruments and microscope. Some of assisting tools can be used in the operation, such as neuro-navigation, Doppler probe, neural electrophysiological monitoring and so on. But neither the intraoperative DSA nor endovascular intervention techniques is used in the operation
Sponsors & Collaborators
-
Ministry of Science and Technology of the People´s Republic of China
lead OTHER_GOV
Principal Investigators
-
Shuo Wang, MD · Beijing Tiantan Hospital
Study Design
- Allocation
- NON_RANDOMIZED
- Purpose
- TREATMENT
- Masking
- SINGLE
- Model
- PARALLEL
Eligibility
- Max Age
- 70 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2016-01-01
- Primary Completion
- 2020-10-01
- Completion
- 2020-12-31
Countries
- China
Study Locations
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