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Intraoperative Laser Speckle Contrast Imaging of Cerebral Blood Flow

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Know the risks and potential benefits of clinical studies and talk to your health care provider before participating. Read our disclaimer for details.
 
ClinicalTrials.gov Identifier: NCT04865718
Recruitment Status : Recruiting
First Posted : April 29, 2021
Last Update Posted : April 29, 2021
Sponsor:
Information provided by (Responsible Party):
University of Texas at Austin

Brief Summary:
The purpose of this research study is to evaluate the ability of laser speckle contrast imaging to visualize blood flow in real time during neurosurgery. Real-time blood flow visualization during surgery could help neurosurgeons better understand the consequences of vascular occlusion events during surgery, recognize potential adverse complications, and thus prompt timely intervention to reduce the risk of stroke. The current standard for visualizing cerebral blood flow during surgery is indocyanine green angiography (ICGA), which involves administering a bolus of fluorescent dye intravenously and imaging the wash-in of the dye to determine which vessels are perfused. Unfortunately, ICGA can only be used a few times during a surgery due to the need to inject a fluorescent dye, and provides only an instantaneous view of perfusion rather than a continuous view. Laser speckle contrast imaging does not require any dyes or tissue contact and has the potential to provide complementary information to ICGA. In this study we plant to collect blood flow images with laser speckle contrast imaging and to compare the images with ICGA that is performed as part of routine care during neurovascular surgical procedures such as aneurysm clipping.

Condition or disease Intervention/treatment
Aneurysm, Brain Arteriovenous Malformation of Brain Neurovascular Disorder Diagnostic Test: ICGA imaging

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Study Type : Observational
Estimated Enrollment : 20 participants
Observational Model: Case-Only
Time Perspective: Cross-Sectional
Official Title: Intraoperative Laser Speckle Contrast Imaging of Cerebral Blood Flow
Actual Study Start Date : June 27, 2019
Estimated Primary Completion Date : December 2022
Estimated Study Completion Date : December 2022


Group/Cohort Intervention/treatment
neurovascular surgery group
Subjects undergoing neurovascular surgery including aneurysm clipping
Diagnostic Test: ICGA imaging
subjects undergoing intraoperative ICGA imaging




Primary Outcome Measures :
  1. blood flow visible in laser speckle contrast images [ Time Frame: during surgical procedure ]
    Ability of laser speckle contrast images to reveal blood flow during surgery



Information from the National Library of Medicine

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Ages Eligible for Study:   18 Years and older   (Adult, Older Adult)
Sexes Eligible for Study:   All
Sampling Method:   Non-Probability Sample
Study Population
This study will enroll adults planned for craniotomy procedures such as planned resections for brain tumor or neurovascular procedure such as aneurysm or arteriovenous malformation
Criteria

Inclusion Criteria:

  • Adults (18 years or older).
  • Size of craniotomy at least 2 cm.
  • Possibility of intraoperative ICGA.
  • Able to render written informed consent.

Exclusion Criteria:

  • Patients unable to legally consent.
  • Patients with impaired cognitive function.

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT04865718


Contacts
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Contact: Andrew Dunn, PhD 512-232-2808 adunn@utexas.edu
Contact: Kristina Adrean, RN 512-324-9999 ext 10025 kadrean@ascension.org

Locations
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United States, Texas
Dell Seton Medical Center Recruiting
Austin, Texas, United States, 78701
Contact: Kristina Adrean    512-324-9999 ext 10025    kadrean@ascension.org   
Sponsors and Collaborators
University of Texas at Austin
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Responsible Party: University of Texas at Austin
ClinicalTrials.gov Identifier: NCT04865718    
Other Study ID Numbers: 2018040045
First Posted: April 29, 2021    Key Record Dates
Last Update Posted: April 29, 2021
Last Verified: April 2021
Individual Participant Data (IPD) Sharing Statement:
Plan to Share IPD: No

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Studies a U.S. FDA-regulated Drug Product: No
Studies a U.S. FDA-regulated Device Product: No
Additional relevant MeSH terms:
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Intracranial Aneurysm
Intracranial Arteriovenous Malformations
Aneurysm
Arteriovenous Malformations
Vascular Diseases
Cardiovascular Diseases
Congenital Abnormalities
Vascular Malformations
Cardiovascular Abnormalities
Intracranial Arterial Diseases
Cerebrovascular Disorders
Brain Diseases
Central Nervous System Diseases
Nervous System Diseases
Central Nervous System Vascular Malformations
Nervous System Malformations