scholarly journals Modeling selective therapeutic hypothermia in case of acute ischemic stroke using a 1D hemodynamics model and a simplified brain geometry

2020 ◽  
Vol 17 (2) ◽  
pp. 1147-1167
Author(s):  
Yannick Lutz ◽  
◽  
Rosa Daschner ◽  
Lorena Krames ◽  
Axel Loewe ◽  
...  
2010 ◽  
Vol 30 (6) ◽  
pp. 1079-1093 ◽  
Author(s):  
H Bart van der Worp ◽  
Malcolm R Macleod ◽  
Rainer Kollmar ◽  

Therapeutic hypothermia is a means of neuroprotection well established in the management of acute ischemic brain injuries such as anoxic encephalopathy after cardiac arrest and perinatal asphyxia. As such, it is the only neuroprotective strategy for which there is robust evidence for efficacy. Although there is overwhelming evidence from animal studies that cooling also improves outcome after focal cerebral ischemia, this has not been adequately tested in patients with acute ischemic stroke. There are still some uncertainties about crucial factors relating to the delivery of hypothermia, and the resolution of these would allow improvements in the design of phase III studies in these patients and improvements in the prospects for successful translation. In this study, we discuss critical issues relating first to the targets for therapy including the optimal depth and duration of cooling, second to practical issues including the methods of cooling and the management of shivering, and finally, of factors relating to the design of clinical trials. Consideration of these factors should inform the development of strategies to establish beyond doubt the place of hypothermia in the management of acute ischemic stroke.


Author(s):  
Andrea M Kuczynski ◽  
Sina Marzoughi ◽  
Abdulaziz S. Al Sultan ◽  
Frederick Colbourne ◽  
Bijoy K. Menon ◽  
...  

2007 ◽  
Vol 7 (2) ◽  
pp. 155-164 ◽  
Author(s):  
Heleen den Hertog ◽  
Bart van der Worp ◽  
Maarten van Gemert ◽  
Diederik Dippel

2010 ◽  
Vol 8 (4) ◽  
pp. 593-603 ◽  
Author(s):  
Michael T Froehler ◽  
Bruce Ovbiagele

2006 ◽  
Vol 13 (8) ◽  
pp. 820-827 ◽  
Author(s):  
Kama Z. Guluma ◽  
Thomas M. Hemmen ◽  
Scott E. Olsen ◽  
Karen S. Rapp ◽  
Patrick D. Lyden

Stroke ◽  
2004 ◽  
Vol 35 (6) ◽  
pp. 1482-1489 ◽  
Author(s):  
Derk W. Krieger ◽  
Midori A. Yenari

Stroke ◽  
2014 ◽  
Vol 45 (1) ◽  
pp. 134-140 ◽  
Author(s):  
Ji Man Hong ◽  
Jin Soo Lee ◽  
Hee-Jung Song ◽  
Hye Seon Jeong ◽  
Huimahn Alex Choi ◽  
...  

2013 ◽  
Vol 9 (1) ◽  
pp. 117-125 ◽  
Author(s):  
Patrick D. Lyden ◽  
Thomas M. Hemmen ◽  
James Grotta ◽  
Karen Rapp ◽  
Rema Raman

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