Comparing general and local anesthesia for treating unruptured brain aneurysms
Official title: General Anesthesia vs Local Anesthesia for Endovascular Treatment in Patients With Unruptured Intracranial Aneurysm Using Flow Diverter: an Exploratory Randomized Clinical Trial
Run by Beijing Tiantan Hospital · NCT06416657 · Data updated 2026-11-12
This study is testing whether using local anesthesia instead of general anesthesia is a safe and effective option for adults with unruptured brain aneurysms during treatment.
Quick facts
| Study type | Interventional |
|---|---|
| Ages | 18 Years to 80 Years |
| Sex | All |
| Enrollment | 188 (estimated) |
| Sponsor | Beijing Tiantan Hospital Academic / other |
| Locations | 1 site (Beijing, Beijing Municipality) |
| Status | Recruiting |
| Started | June 1, 2024 |
| Main results expected | November 12, 2026 |
| Study ends | December 1, 2026 |
| Registry record updated | August 25, 2026 |
| Trial ID | NCT06416657 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates are adults aged 18 to 75 with untreated unruptured intracranial aneurysms that meet specific size and health criteria.
✕Probably not a fit
Patients with severe symptoms related to their aneurysms, those who are pregnant or lactating, or individuals with certain medical conditions may not benefit from this study.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This clinical trial investigates the effectiveness and safety of using general anesthesia versus local anesthesia during the placement of flow diverters for treating unruptured intracranial aneurysms. The study aims to determine if local anesthesia can be a viable alternative to general anesthesia, which is currently the standard practice. Participants will be adults aged 18 to 75 with specific criteria related to their aneurysms, and the trial will assess technical success rates and complication rates associated with each anesthesia method.
Why it matters
Potential benefit: If successful, this study could provide a safer and less invasive anesthesia option for patients undergoing treatment for unruptured intracranial aneurysms.
How similar studies have gone: Previous studies have shown the feasibility of using local anesthesia for similar procedures, indicating potential for success in this approach.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: 1. Age ≥18 years old and ≤80 years old, gender is not limited; 2. Patients with previously untreated unruptured intracranial aneurysm (UIA) clearly diagnosed by DSA, CTA, or MRA; 3. UIA maximum diameter \<15mm; 4. Baseline mRS score ≤2; 5. UIAs planned for treated with PED; 6. Patients voluntarily participated in this study and signed an informed consent form. Exclusion Criteria: 1. The aneurysms are located distal to the anterior cerebral artery (including the anterior communicating artery), distal to the M2 segment of the middle cerebral artery, and distal to the basilar artery; 2. Those who are allergic to any components of the anesthetic drugs; 3. Severe symptoms associated with the target aneurysm at the time of diagnosis, with mRS score ≥3; 4. Pregnant and lactating female patients; 5. Severe hepatic dysfunction (ALT or AST \>three times the normal upper limit) or severe renal dysfunction (creatinine clearance rate \<30 mL/min) before randomisation; 6. Patients with metal implants in the body (e.g., cardiac stents, cardiac prosthetic valves, pacemakers, metal joints, steel plates, non-removable metal dentures, etc.); 7. Patients known to suffer from dementia or psychiatric diseases and claustrophobia can not complete the magnetic resonance examination; 8. Patients with other serious diseases combined at the time of diagnosis with an expected survival time of less than 1 year; 9. Patients who are participating in clinical trials of other drugs or devices; 10. Other conditions that, in the judgment of the investigator, exist that are unsuitable for enrollment.
Where it's running
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Beijing Tiantan Hospital
Beijing, Beijing Municipality, China Recruiting
Study contacts
- Study coordinator: Linggen Dong, MD
- Email: donglinggen@163.com
- Phone: 18844738529
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
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Flow Diverter Stent for Intracranial Aneurysm in China
This study tests a novel flow diverter stent to treat intracranial aneurysms in adults and follows patients through treatment and follow-up.
-
Real-World Experience With the WEB Device for Intracranial Aneurysms
This study tests how well the Woven EndoBridge device works in routine treatment of intracranial aneurysms in China across multiple centers.
-
Choydar flow-directed mesh stent for unruptured brain aneurysms
This trial tests the Choydar flow-directed mesh stent to see if it is safe and works for people with unruptured intracranial aneurysms in the internal carotid or vertebral arteries.
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Pivotal test of the Silk Vista Baby Flow Diverter for unruptured brain aneurysms
This study tests whether the Silk Vista Baby flow diverter can safely and effectively treat a single unruptured intracranial aneurysm in adults 22–80 years old.
-
Pipeline Vantage post-approval safety and outcomes for intracranial aneurysm treatment
This project will test whether the Pipeline Vantage embolization device with Shield Technology is safe and effective for adults treated for intracranial aneurysms.
-
Improving brain intervention planning using vascular mapping
This study is testing new ways to plan brain surgeries for aneurysms and AVMs to make them safer and more effective by using advanced mapping and computer models.
How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.