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Remote ischemic conditioning after stroke: Research progress in clinical study

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机构: [1]Shenzhen Qianhai Shekou Free Trade Zone Hosp, Dept Neurol, Shenzhen, Peoples R China [2]Wayne State Univ, Dept Neurosurg, Sch Med, Detroit, MI USA [3]Capital Med Univ, Xuanwu Hosp, Dept Neurol, Beijing, Peoples R China [4]Capital Med Univ, Beijing Inst Brain Disorders, Collaborat Innovat Ctr Brain Disorders, Beijing, Peoples R China [5]Capital Med Univ, Xuanwu Hosp, Dept Emergency, Beijing, Peoples R China [6]Capital Med Univ, Xuanwu Hosp, Beijing Key Lab Hypox Conditioning Translat Med, Beijing, Peoples R China
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关键词: intracranial atherosclerotic stenosis ischemia/reperfusion injury neuroprotection remote ischemic conditioning stroke vascular cognitive impairment

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Background and PurposeStroke is a leading cause of global morbidity and mortality, indicating the necessity and urgency of effective prevention and treatment. Remote ischemic conditioning (RIC) is a convenient, simple, non-intrusive, and effective method that can be easily added to the treatment regime of stroke patients. Animal experiments and clinical trials have proved the neuroprotective effects of RIC on brain injury including (examples of neuroprotective effects). This neuroprotection is achieved by raising brain tolerance to ischemia, increasing local cerebral blood perfusion, promoting collateral circulations, neural regeneration, and reducing the incidence of hematomas in brain tissue. This current paper will summarize the studies within the last 2 years for the comprehensive understanding of the use of RIC in the treatment of stroke.MethodsThis paper summarizes the clinical research progress of RIC on stroke (ischemic stroke and hemorrhagic stroke (HS)). This paper is a systematic review of research published on registered clinical trials using RIC in stroke from inception through November 2022. Four major databases (PUBMED, WEB OF SCIENCE, EMBASE, and ) were searched.ResultsForty-eight studies were identified meeting our criteria. Of these studies, 14 were in patients with acute ischemic stroke with onset times ranging from 6 h to 14 days, seven were in patients with intravenous thrombolysis or endovascular thrombectomy, 10 were in patients with intracranial atherosclerotic stenosis, six on patients with vascular cognitive impairment, three on patients with moyamoya disease, and eight on patients with HS. Of the 48 studies, 42 were completed and six are ongoing.ConclusionsRIC is safe, feasible, and effective in the treatment of stroke. Large-scale research is still required to explore the optimal treatment options and mechanisms of RIC in the future to develop a breakthrough in stroke prevention and treatment. Flow diagram for literature search and screening process.image

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大类 | 1 区 医学
小类 | 2 区 神经科学 2 区 药学
最新[2023]版:
大类 | 1 区 医学
小类 | 2 区 神经科学 2 区 药学
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出版当年[2022]版:
Q1 NEUROSCIENCES Q1 PHARMACOLOGY & PHARMACY
最新[2023]版:
Q1 PHARMACOLOGY & PHARMACY Q1 NEUROSCIENCES

影响因子: 最新[2023版] 最新五年平均 出版当年[2022版] 出版当年五年平均 出版前一年[2021版] 出版后一年[2023版]

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第一作者机构: [1]Shenzhen Qianhai Shekou Free Trade Zone Hosp, Dept Neurol, Shenzhen, Peoples R China
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通讯机构: [3]Capital Med Univ, Xuanwu Hosp, Dept Neurol, Beijing, Peoples R China [4]Capital Med Univ, Beijing Inst Brain Disorders, Collaborat Innovat Ctr Brain Disorders, Beijing, Peoples R China [5]Capital Med Univ, Xuanwu Hosp, Dept Emergency, Beijing, Peoples R China [6]Capital Med Univ, Xuanwu Hosp, Beijing Key Lab Hypox Conditioning Translat Med, Beijing, Peoples R China [*1]Department of Emergency, Xuanwu Hospital, Capital Medical University, Beijing, China.
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