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Safety and Feasibility of Remote Limb Ischemic Preconditioning in Patients With Unilateral Middle Cerebral Artery Stenosis and Healthy Volunteers

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机构: [1]Emergency Department, Xuan Wu Hospital, Capital Medical University, Beijing, China [2]Institute of Hypoxia Medicine, Xuan Wu Hospital, Capital Medical University, Beijing, China [3]Department of Neurosurgery, Wayne State University School of Medicine, Detroit, USA [4]Vascular Ultrasound Division, Xuan Wu Hospital, Capital Medical University, Beijing, China [5]Department of Neurosurgery and Brain Repair, University of South Florida, Morsani College of Medicine, Tampa, FL, USA [6]Department of Neurosurgery, Xuan Wu Hospital, Capital Medical University, Beijing, China
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关键词: Ischemic preconditioning (IPC) Blood pressure (BP) Middle cerebral artery (MCA) stenosis Clinical trial Stem cells

摘要:
Previous studies have indicated a neuroprotective effect of remote limb ischemic preconditioning. The aim of the present study was to assess whether upper arm ischemic preconditioning is feasible and safe in patients with unilateral middle cerebral artery (MCA) stenosis compared to healthy volunteers. Ten patients with unilateral MCA stenosis and 24 healthy volunteers underwent limb ischemic preconditioning, consisting of five cycles of 5-min inflations of a blood pressure cuff to 200 mmHg around an upper limb followed by 5 mm of reperfusion. Limb ischemic preconditioning has no significant effect on the heart rate, oxygenation index, or mean flow velocity in patients with unilateral MCA stenosis or healthy volunteers. However, healthy volunteers showed a reduction in blood pressure 30 min following reperfusion of the last cycle. Limb ischemic preconditioning was found to be safe and well tolerated in both patients and healthy volunteers. We highlight the potential of limb ischemic preconditioning as an adjunct to neuroprotective treatment.

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出版当年[2014]版:
大类 | 2 区 医学
小类 | 2 区 移植 3 区 细胞与组织工程 3 区 医学:研究与实验
最新[2023]版:
大类 | 4 区 医学
小类 | 4 区 细胞与组织工程 4 区 医学:研究与实验 4 区 移植
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出版当年[2013]版:
Q1 TRANSPLANTATION Q2 CELL & TISSUE ENGINEERING Q2 MEDICINE, RESEARCH & EXPERIMENTAL
最新[2023]版:
Q2 MEDICINE, RESEARCH & EXPERIMENTAL Q2 TRANSPLANTATION Q3 CELL & TISSUE ENGINEERING

影响因子: 最新[2023版] 最新五年平均 出版当年[2013版] 出版当年五年平均 出版前一年[2012版] 出版后一年[2014版]

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第一作者机构: [1]Emergency Department, Xuan Wu Hospital, Capital Medical University, Beijing, China
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通讯机构: [*1]Neurosurgery, Xuan Wu Hospital, CMU, Changchun Street, No. 45, Xicheng District, Beijing, China.
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