Simple surgical trick may cut repeat brain surgery in older adults

NCT ID NCT07549893

Recruiting now Disease control Sponsor: University College, London Source: ClinicalTrials.gov ↗

First seen Jun 25, 2026 · Last updated Aug 05, 2026 · Updated 3 times

Summary

Chronic subdural hematoma is a common brain bleed in older adults, often treated with burr-hole surgery. But about 1 in 10 patients need another operation because it comes back. This pilot study tests whether surgeons can safely coagulate small arteries feeding the hematoma during the standard surgery, using routine CT scans. Thirty adults will take part to see if the extra step is feasible and safe, not yet to prove it works.

What this could mean

Our plain-language read of the trial. This is informational only — not medical advice or a prediction.

Active substance: middle meningeal artery coagulation during burr-hole surgery
What this could lead to: If successful, this could lead to a simple surgical addition that lowers the chance of chronic subdural hematoma coming back after standard drainage.
What could go wrong: This is a very small, early feasibility study with only 30 participants and no control group. It is not designed to prove effectiveness, and the procedure carries risks like thermal injury or bleeding.

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Conditions

The condition(s) this trial relates to.

Hematoma, Subdural, Chronic

As listed by the trial registrant

The condition terms exactly as the trial's registrant entered them.

CHRONIC SUBDURAL HEMATOMAS

Contacts and locations

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Study contacts

Contact

Email: •••••@•••••

Locations

National Hospital for Neurology and Neurosurgery
RECRUITING

London, United Kingdom

Contact Email: •••••@•••••

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