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CompletedNCT03209804SMAVMHRUpdated Mar 13, 2020

Surgical Management of Cerebral Arteriovenous Malformations Within Hybrid Operation Room

An interventional study of hybrid operating techniques in Intracranial Arteriovenous Malformations, sponsored by Ministry of Science and Technology of the People´s Republic of China. Completed at 4 sites in China. Open to participants aged 18 Years to 70 Years. Per ClinicalTrials.gov, last updated 2020-03-13.

Sponsored by Ministry of Science and Technology of the People´s Republic of China · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
519
Allocation
Non-randomized
Ages
18 Years to 70 Years
Sex
All
01

Study summary

To evaluate the clinical benefits and risks of hybrid operating techniques in management of cerebral arteriovenous malformations.

Read the detailed description

Purpose: Have an evaluation of clinical benefits and risks of hybrid operating techniques in management of cerebral arteriovenous malformations(AVMs). Meanwhile, as a new cooperative interventional modality, optimized workflows, technical key knots and operation routines will be explored in the study.

Objects: Patients with cerebral arteriovenous malformations, coincident with inclusion and exclusion criterion and admitted in participating organizations.

Methods: Patients will be distributed into 2 groups, including traditional therapy group(control group) and hybrid operating group(trial group), and conduct with traditional neurosurgical management or one-stage hybrid operating management correspondingly. Residual rate of AVM is considered to be the primary observing indicator, and morbidity rate of post-operative complications, post-operative mortality rate, and morbidity rate of neural functional deterioration are secondary indicators.The information of operations will be recorded in detail as evidence of optimization of workflow and technical key knots.

02

Conditions studied

  • Intracranial Arteriovenous Malformations

Keywords

  • Intracranial Arteriovenous Malformations
03

In context

Hemangioma

141 studies on the registry are indexed under Hemangioma; 16 are open to participants now.

This study's enrollment of 519 is above the median of 50 across 80 interventional studies indexed under Hemangioma.

Browse Hemangioma studies →

Lead sponsor

Ministry of Science and Technology of the People´s Republic of China is the lead sponsor of 21 studies on the registry; 1 is open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 70 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • newly ruptured AVM with stable hematoma, selective operation is practical;
  • with rupture history;
  • recurrent epilepsy, failed in AED management;
  • giant AVM with deterioration of neurological functions;
  • 1-4 grade AVM (Spetzler-Martin grading system) with no symptom and not located in eloquent area.

Exclusion criteria

Exclusion Criteria:

  • >70 in age, with low rupture risk;
  • newly ruptured AVM with unstable hematoma, engaged in emergency operation;
  • ≥5 grade in Spetzler-Martin grading system;
  • AVM located in hypothalamus, brainstem, cerebellopontine angle;
  • cannot tolerant the operation;
  • patient or relative refuses to participate the trail.
05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Non-randomized
Intervention model
Parallel assignment
Masking
Single (Outcomes assessor)
Enrollment
519 participants (actual)

Study arms

  • Other
    Traditional neurosurgical techniques

    Unsimultaneous endovascular interventional embolisation/radiotherapy followed by microsurgical resection, as traditional clinical routines.

    Procedure: hybrid operating techniques

  • Experimental
    Hybrid operating techniques

    A one-stage hybrid operation combining endovascular intervention and microsurgical techniques will be conducted simultaneously

    Procedure: hybrid operating techniques

Interventions

  • Procedurehybrid operating techniques

    A one-stage cooperation of existing endovascular interventional techniques and microsurgical techniques, including microsurgical resection, endovascular embolization, balloon occlusion.

    Also known as: endovascular interventional embolisation, endovascular interventional balloon occlusion, microsurgical resection

06

What researchers measure

Primary outcomes

  1. Instant residual rate of AVMs

    The instant post-operative residual rate of AVMs

    Time frame: up to 1 week after operation

  2. 3 months' residual rate of AVMs

    3 months' residual rate after AVM operation

    Time frame: the date of 3rd month after operation, ±1 week

  3. 6 months' residual rate of AVMs

    6 months' residual rate after AVM operation

    Time frame: the date of the 6th month after operation, ±1 week

  4. 1 year's residual rate of AVMs

    1 year's residual rate after AVM operation

    Time frame: the date of the 12th month after operation, ±1 week

Secondary outcomes

  1. Morbidity rate of post-operative complications

    Include intracranial hemorrhage or infarction, infection of central neural system, infection of respiratory system, cranial nerve deficits, and other symptomatic complications

    Time frame: 7 days after operation

  2. Post-operative mortality rate

    operation related mortality

    Time frame: 48 hours after operation

  3. Morbidity rate of neural functional deterioration-48 hours after operation

    The score of modified Rankin Scale increases ≥2

    Time frame: the assessing time points is 48 hours after operation

  4. Morbidity rate of neural functional deterioration-1 week after operation

    The score of modified Rankin Scale increases ≥2

    Time frame: 1 week after operation

  5. Morbidity rate of neural functional deterioration-3 months after operation

    The score of modified Rankin Scale increases ≥2

    Time frame: the 3rd month after operation, ±1 week

  6. Morbidity rate of neural functional deterioration-6 months after operation

    The score of modified Rankin Scale increases ≥2

    Time frame: the 6th month after operation, ±1 week

  7. Morbidity rate of neural functional deterioration-12 months after operation

    The score of modified Rankin Scale increases ≥2

    Time frame: the 12th month after operation, ±1 week

07

Study locations

4 sites
  • Beijing Tiantan Hospital Capital Medical University
    Beijing, Beijing 0086, China
  • General Hospital of PLA
    Beijing, Beijing 100039, China
  • Rocket Army General Hospital of PLA
    Beijing, Beijing 100088, China
  • Beijing Hospital
    Beijing, Beijing 100730, China
08

References and documents

Individual participant data

Plan to share: Undecided

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Mar 13, 2020, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT03209804
Lead sponsor
Ministry of Science and Technology of the People´s Republic of China
Collaborators
Beijing Municipal Science & Technology Commission
Responsible party
Shuo Wang (liuxingju, Beijing Tiantan Hospital) — Principal investigator
First posted
Jul 6, 2017
Start date
Jun 2016
Primary completion
Dec 2019
Completion
Jan 16, 2020
Last update
Mar 13, 2020

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Mar 2020. You cannot join it, but the record below documents what was studied.

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