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Comparison of Propofol and Propofol-Ketamine Anesthesia on Optic Nerve Sheath Diameter in Endovascular Cerebral Aneurysm Procedures

Key facts

Who runs it
Ankara City Hospital Bilkent
Where
Türkiye1 site in 1 countryChoose a country to see its sites
Trial code
Status
Completed
People taking part
46 people enrolled
Started
15 Jun 2025
Ended
1 Jan 2026
Type of study
Observational, 2 groups
Treatments tested
  • Propofol (Astra-Zeneca)
  • Propofol and Ketamine Mixture (Ketofol)
Record updated
21 April 2026

Who can take part

Age
18 years to 75 years
Sex
Women and men
Healthy volunteers
Cannot take part

The registry criteria, word for word

Show all 13 criteriaShow less

Who can take part

  • Age between 18 and 75 years
  • Patients scheduled for elective endovascular treatment of unruptured intracranial aneurysms
  • ASA physical status I-III
  • Glasgow Coma Scale score of 15
  • Ability to read and write and provide written informed consent

Who cannot take part

  • History of ocular disease or previous eye surgery
  • Emergency surgical indication
  • Coronary artery disease
  • Psychiatric or neurological disorders interfering with consent or assessment
  • Age under 18 or over 75 years
  • ASA physical status IV or higher
  • Presence of giant aneurysm
  • Increased intracranial pressure

This trial has no sites in United States.

It has sites in one country. Choose a country to see its sites.

About the trial

What the trial wants to find out

This study aimed to compare the effects of propofol-based anesthesia and propofol-ketamine anesthesia on optic nerve sheath diameter (ONSD) in patients undergoing elective endovascular treatment of unruptured intracranial aneurysms. ONSD, measured using ultrasonography, is a non-invasive surrogate marker of intracranial pressure. In addition, intraoperative hemodynamic parameters, cerebral oxygenation, and anesthetic requirements were evaluated to assess the safety and physiological impact of the two anesthesia techniques.

The 2 groups in the trial

  • Propofol Anesthesia

    Patients who underwent elective endovascular treatment of unruptured intracranial aneurysms under propofol-based general anesthesia

    Treatment: Propofol (Astra-Zeneca)

  • Propofol-Ketamine Anesthesia

    Patients who underwent elective endovascular treatment of unruptured intracranial aneurysms under general anesthesia with a combination of propofol and ketamine

    Treatment: Propofol and Ketamine Mixture (Ketofol)

Data and sources

Registry record
Listed on ClinicalTrials.gov.
Publications
Record updated
21 April 2026