Overview

Intraventricular Rt-PA in Patients With Intraventricular Hemorrhage

Status:
Completed
Trial end date:
2004-09-01
Target enrollment:
0
Participant gender:
All
Summary
This is a study to evaluate how recombinant tissue plasminogen activator (rt-PA) is utilized in patients with intraventricular hemorrhage (IVH). rt-PA is a drug that has been shown to dissolve blood, and may allow intraventricular catheters to be more effective for a longer period of time.
Phase:
Phase 2
Accepts Healthy Volunteers?
No
Details
Lead Sponsor:
Johns Hopkins University
Treatments:
Plasminogen
Tissue Plasminogen Activator
Criteria
Inclusion criteria:

- Intraventricular hemorrhage (IVH) confirmed by CT scan

- More than 12 hours post bleed

- Hematoma size stable by CT scan

- Post-IVH catheter CT scan

- Able to begin study within 24 hours of bleed

Exclusion criteria:

- Infratentorial bleed

- Supratentorial bleed greater than 30 cc

- Unclipped aneurysm suspected

- Arteriovenous malformation suspected

- Any severe, complicating illness (e.g., AIDS or DNR)

- Cardiovascular parameters that could confound study (e.g., myocardial infarction,
pulmonary emboli, systemic fibrinolysis)

- Active internal bleeding

- Requirement for heparin doses greater than 10,000 U/day

- Concurrent coumadin

- Known allergy to rt-PA

- Pregnancy