The study is a multi-center prospective cohort, controlled, phase 4 post-market registry evaluating the efficacy and radiographic outcomes associated with the use of the IRRAflow® Active Fluid Exchange System compared to standard of care external ventricular drains.
The IRRAflow system offers automated irrigation, controlled drainage, and ICP monitoring all in one system for the treatment of intracranial hemorrhage - \[Intracerebral hemorrhage (ICH), Intraventricular hemorrhage (IVH), Subarachnoid hemorrhage (SAH), Subdural hematoma (SDH)\], intracranial abscess, and ventriculitis. The analysis of the IRRAS catheter will occur prospectively if it is determined the patient meets the enrollment criteria. All patients enrolled in the trial will receive additional supportive and medical treatment by choice of the treating physician and in accordance with standard of care. Such treatment includes but is not limited to neurointensive care, neuromonitoring, and surgical or endovascular occlusion of identified sources of intracranial hemorrhage (e.g. vascular anomalies, aneurysms, etc.).
Study Type
OBSERVATIONAL
Enrollment
250
The IRRAflow system offers automated irrigation, controlled drainage and intracranial pressure (ICP) monitoring all in one system. It consists of three main parts - IRRAflow 2.0 Catheter, IRRAflow Tube Set, IRRAflow Control Unit.
Icahn School of Medicine at Mount Sinai
New York, New York, United States
RECRUITINGResidual blood volume by post bleed day 5
The residual blood volume at day 5 will be calculated to determine the efficacy of the IRRAflow system compared to other external ventricular drains (EVDs)
Time frame: Post-procedure day 5
Utility weighted modified Rankin Score
Modified Rankin Scale score at 6 months will be collected to determine patient functional outcomes at 6 months. Scores range from 0 to 6, with 0 indicating no disability and 6 indicating death
Time frame: End of study, at 6 months
Rate of blood clearance
Rate of blood clearance will be calculated based on pre- and post-procedure blood volumes
Time frame: Immediately before and after the procedure
Direct hospitalization costs
Direct hospitalization costs will be determined based on the hospital-reported cost of care for the entirety of the patient's hospital stay
Time frame: Discharge, up to 7 days post procedure
NSICU Length of Stay
Hospital quality metrics will include length of neonatal surgery intensive care unit (NSICU) stay in days
Time frame: Discharge, up to 7 days post procedure
Hospital Length of Stay (LOS)
Hospital quality metrics will include length of hospital stay in days
Time frame: Discharge, up to 7 days post procedure
Proportion of participants needing a shunt
Proportion of participants needing a shunt will be calculated to determine how many patients needed a shunt to treat their hydrocephalus
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Time frame: Discharge, up to 7 days post procedure