Efficacy of a Minimally Invasive Therapy Adjuvant to the Standards of Care by Cyanoacrylate Embolization (LEADH)
Chronic Subdural Hematoma
About this trial
This is an interventional other trial for Chronic Subdural Hematoma focused on measuring Cyanoacrylate, Embolization, Middle meningeal artery, Recurrence of chronic subdural hematoma
Eligibility Criteria
Inclusion Criteria:
- Patient with a more than 10 mm CSH confirmed by NCCT
- CSH localized to convexity
- Patient aged 18 years or more at the time of the enrollment
- Patient beneficiary from health insurance
Exclusion Criteria:
- Any contraindication as required per angiogram procedure (severe renal failure, allergy…)
- Pre-existing severe disability resulting in baseline mRS score > 4
- Life expectancy of less than 6 months due to another cause than CSH
- Patient under legal protection or deprived of liberty by a judicial or administrative decision
- Pregnant or breastfeeding women
Sites / Locations
- CHU Amiens-PicardieRecruiting
- CHU Bordeaux
- CHU BrestRecruiting
- CHU CaenRecruiting
- CHU NancyRecruiting
- CHU Nantes
- Hôpital Pitié Salpêtrière
- CHU Tours
- CHU Martinique
Arms of the Study
Arm 1
Arm 2
Arm 3
Arm 4
Other
Other
Experimental
Experimental
Medical treatment alone
Surgical treatment alone
Medical treatment associated with an embolization of the MMA
Surgical treatment associated with an embolization of the MMA
Medical treatment without embolization of the MMA.
Surgical treatment without embolization of the MMA.
Medical treatment + embolization under local anesthesia or conscious sedation. The embolization will be carried out by femoral or radial arterial guided by pre-embolization cervical CTA. The middle meningeal artery will be catheterized then embolized by cyanoacrylates until the occlusion of the MMA.
Surgical treatment + embolization under local anesthesia or conscious sedation. The embolization will be carried out by femoral or radial arterial guided by pre-embolization cervical CTA. The middle meningeal artery will be catheterized then embolized by cyanoacrylates until the occlusion of the MMA.