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Status unknownNCT04095819Updated Sep 19, 2019

Middle Meningeal Artery (MMA) Embolization Compared to Traditional Surgical Strategies to Treat Chronic Subdural Hematomas (cSDH)

An interventional study of Middle Meningeal Artery procedure and Traditional Surgery in Chronic Subdural Hematoma, sponsored by Atlantic Health System. Status unknown at 1 site in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2019-09-19.

Sponsored by Atlantic Health System · Not applicable, Interventional, and Treatment

The sponsor has not verified this record recently (last verified Sep 2019), so the status shown — last known as Recruiting — may be out of date.
Phase
Not applicable
Study type
Interventional
Enrollment
50
Allocation
Randomized
Ages
18 Years and older
Sex
All
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Study summary

Chronic Subdural Hematoma (cSDH) is a common hematologic problem particularly in older patients. The purpose of this study is to evaluate the safety and efficacy of middle meningeal artery (MMA) embolization compared to traditional surgical strategies for patients presenting with chronic subdural hematoma (cSDH). Although MMA embolization is minimally-invasive procedure that is routinely used for the treatment of tumors or vascular formations (1), this study investigates the use of an established procedure for a new disease state.

Read the detailed description

The purpose of the research study is to evaluate the safety and efficacy of a new, less-invasive procedure to treat chronic subdural hematoma (cSDH). A subdural hematoma occurs when blood collects on the brain's surface beneath the skull. Subdural hematomas can be life-threatening. They usually result from a head injury. This study will compare the new procedure to conventional surgical treatment of chronic subdural hematoma (cSDH). The new procedure is called middle meningeal artery embolization (MMA).

Current or conventional treatment of chronic subdural hematoma (cSDH) involves surgery (burr hole drainage and craniotomy) to access and remove the cause of the bleeding that is causing the subdural hematoma.

The new procedure, MMA embolization, involves guiding a catheter that is inserted into a blood vessel to the area of the brain that is supplying blood to the subdural hematoma. Particles or a special type of glue will be released to stop the bleeding that is causing the subdural hematoma. This technique has been used to treat other brain conditions, for example, (to treat tumors or malformation of blood vessels).

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Conditions studied

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In context

Hematoma, Subdural

99 studies on the registry are indexed under Hematoma, Subdural; 29 are open to participants now.

This study's planned enrollment of 50 is below the median of 100 across 73 interventional studies indexed under Hematoma, Subdural.

Browse Hematoma, Subdural studies →

Lead sponsor

Atlantic Health System is the lead sponsor of 61 studies on the registry; 10 are open to participants now.

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

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Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Age 18 or older
  • Participant or Surrogate must be English speaking
  • Subjects must have a diagnosis of chronic or acute-on subdural hematoma based on brain imaging, as documented by an
  • One or more symptoms attributable to chronic SDH including headache cognitive impairment, gait instability, seizure, or mild focal neurologic deficit.
  • In opinion of Investigator or the subject's referring physician, the subject has failed conservative management.

Exclusion criteria

Exclusion Criteria:

  • The Subdural hematoma is causing mass effect significant enough to cause marked or progressive neurologic impairment
  • Any requirement for urgent surgical evacuation is necessary
  • Life expectancy is less than 6 months in the opinion of the subject's primary physician
  • Markedly tortuous vasculature precluding safe endovascular access, as assessed on angiogram
  • Acute subdural hematomas
  • Health insurance doesn't cover MMA embolization or performing Surgeon and follow up visits are considered out of network.
  • Pregnancy
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Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
50 participants (estimated)

Study arms

  • Experimental
    Middle Meningeal Artery Embolization

    Middle Meningeal Artery Embolization

    Procedure: Middle Meningeal Artery procedure

  • Active comparator
    Traditional Surgery

    Craniotomy/Burr hole

    Procedure: Traditional Surgery

Interventions

  • ProcedureMiddle Meningeal Artery procedure

    Seal off the blood supply to the middle meningeal artery to prevent growth of the Subdural Hematoma

  • ProcedureTraditional Surgery

    Drainage of Subdural Hematoma using Craniotomy or Burr Hole

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What researchers measure

Primary outcomes

  1. Change in size of SDH

    Changes in size of SDH will be recorded in maximum diameter within 6 months.

    Time frame: 6 months

Secondary outcomes

  1. Change in Neurological status

    Changes in Neurological status after the procedure and through study completion

    Time frame: 6 months

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Study locations

1 of 1 sites recruiting
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References and documents

Publications

  • Fuentes AM, Khalid SI, Mehta AI. Predictors of Subsequent Intervention After Middle Meningeal Artery Embolization for Treatment of Subdural Hematoma: A Nationwide Analysis. Neurosurgery. 2023 Jan 1;92(1):144-149. doi: 10.1227/neu.0000000000002151. Epub 2022 Sep 21. PubMed 36129273 ↗

Individual participant data

Plan to share: No

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Sep 19, 2019, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT04095819
Lead sponsor
Atlantic Health System
Responsible party
Ronald Benitez, MD (Director of Endovascular Surgery, Atlantic Health System) — Principal investigator
First posted
Sep 19, 2019
Start date
Jun 19, 2019
Primary completion
Apr 19, 2022 (estimated)
Completion
Apr 19, 2022 (estimated)
Last update
Sep 19, 2019

Study contacts

Benitez
Contact
rbenitez@ansdocs.com
973-285-7800
Elena Lobur, RN
Contact
elena.lobur@atlantichealth.org
908-522-2045

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is status unknown, as verified in Sep 2019. You cannot join it, but the record below documents what was studied.

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