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Procedure

Lumbar Vein Embolization for Chronic Headaches

N/A
Recruiting
Led By Zlatko Devcic, MD
Research Sponsored by Mayo Clinic
Eligibility Criteria Checklist
Specific guidelines that determine who can or cannot participate in a clinical trial
Must have
Exposed to CSF pressure/volume lowering medications
Failed at least 3 typical headache preventative medications from different classes-antidepressants, antiepileptic, blood pressure medications
Timeline
Screening 3 weeks
Treatment Varies
Follow Up 1,3,7,14, and 28 days after the procedure and then monthly for 17 months
Awards & highlights
No Placebo-Only Group

Summary

This trial tests whether a procedure to treat chronic headaches in specific patients is safe and effective.

Who is the study for?
This trial is for individuals with chronic headaches that feel like pressure, worsen when lying back, and have been resistant to various treatments. Participants must have a specific vein condition (Nutcracker physiology) confirmed by MRI, not be pregnant, and able to follow the study's procedures. They should have tried multiple headache medications without success.
What is being tested?
The study is testing the safety of a procedure called Coil Embolization of the Lumbar Vein in patients with Nutcracker physiology who suffer from chronic headaches. The goal is to see if this treatment can relieve their symptoms.
What are the potential side effects?
While not explicitly stated, potential side effects may include discomfort at the site of embolization, bleeding, infection risk from the procedure itself or reactions related to coil materials used during embolization.

Eligibility Criteria

Inclusion Criteria

You may be eligible if you check “Yes” for the criteria below
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I have taken medication to lower my CSF pressure or volume.
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I have tried at least 3 different types of headache prevention medications without success.
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I have had daily headaches for more than 3 months.

Timeline

Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~1,3,7,14, and 28 days after the procedure and then monthly for 17 months
This trial's timeline: 3 weeks for screening, Varies for treatment, and 1,3,7,14, and 28 days after the procedure and then monthly for 17 months for reporting.

Treatment Details

Study Objectives

Study objectives can provide a clearer picture of what you can expect from a treatment.
Primary study objectives
Change in Migraine Disability Assessment
Change in headache pain
Secondary study objectives
Adverse Events
Serious Adverse Events

Awards & Highlights

No Placebo-Only Group
All patients enrolled in this study will receive some form of active treatment.

Trial Design

1Treatment groups
Experimental Treatment
Group I: Coil embolization of lumbar veinExperimental Treatment1 Intervention
Subjects with confirmed Nutcracker physiology, retrograde lumbar vein flow, and epidural venous plexus congestion with a high pressure headache will have coil embolization of the lumbar vein.

Find a Location

Who is running the clinical trial?

Mayo ClinicLead Sponsor
3,343 Previous Clinical Trials
3,062,345 Total Patients Enrolled
Zlatko Devcic, MDPrincipal InvestigatorMayo Clinic
~3 spots leftby Sep 2027