RecruitingNCT07305922

Delayed Cerebral Infarction Beyond Endoluminal Spasmolysis and Induced Hypertension


Sponsor

Region Stockholm

Enrollment

200 participants

Start Date

Dec 1, 2025

Study Type

OBSERVATIONAL

Conditions

Summary

An observational study of patients with emerging or established severe cerebral vasospasm after subarachnoid haemorrhage, employing multimodal neuromonitoring.


Eligibility

Min Age: 18 Years

Inclusion Criteria4

  • Adults 18 years or older
  • Critical care after subarachnoid haemorrhage
  • Aneurysm secured by surgical clipping or endovascular procedure
  • Suspected, emerging or established severe cerebral vasospasm

Exclusion Criteria3

  • Anticipated survival less than five days, as determined by treating clinician
  • Transcranial Doppler signal too weak
  • Pregnancy

Interventions

DRUGInduced hypertension with norepinephrine

Induced hypertension with norepinephrine and/or dobutamine to attain clinically established goals of cerebral perfusion pressure in a stepwise fashion, according to clinical routine.

DRUGEndoluminal Spasmolysis

Endoluminal spasmolysis of cerebral arteries using i.a. Nimodipine, according to clinical protocol and neurointerventionist discretion.


Locations(1)

Karolinska University Hospital

Stockholm, Sweden

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NCT07305922