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Non-pharmaceutical therapies for stroke: Mechanisms and clinical implications

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Non-pharmaceutical therapies for stroke: Mechanisms and clinical implications

Auteurs : Fan Chen [République populaire de Chine] ; Zhifeng Qi [République populaire de Chine] ; Yuming Luo [République populaire de Chine] ; Taylor Hinchliffe [États-Unis] ; Guanghong Ding [République populaire de Chine] ; Ying Xia [États-Unis] ; Xunming Ji [République populaire de Chine]

Source :

Progress in neurobiology [ 0301-0082 ] ; 2014.

RBID : PMC:3969942

Abstract

Stroke is deemed a worldwide leading cause of neurological disability and death, however, there is currently no promising pharmacotherapy for acute ischemic stroke aside from intravenous or intra-arterial thrombolysis. Yet because of the narrow therapeutic time window involved, thrombolytic application is very restricted in clinical settings. Accumulating data suggest that non-pharmaceutical therapies for stroke might provide new opportunities for stroke treatment. Here we review recent research progress in the mechanisms and clinical implications of non-pharmaceutical therapies, mainly including neuroprotective approaches such as hypothermia, ischemic/hypoxic conditioning, acupuncture, medical gases, transcranial laser therapy, etc. In addition, we briefly summarize mechanical endovascular recanalization devices and recovery devices for the treatment of the chronic phase of stroke and discuss the relative merits of these devices.

Url:

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3969942

DOI: 10.1016/j.pneurobio.2013.12.007
PubMed: 24407111
PubMed Central: 3969942

Affiliations:

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PMC:3969942

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<author><name sortKey="Chen, Fan" sort="Chen, Fan" uniqKey="Chen F" first="Fan" last="Chen">Fan Chen</name>
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<front><div type="abstract" xml:lang="en"><p id="P2">Stroke is deemed a worldwide leading cause of neurological disability and death, however, there is currently no promising pharmacotherapy for acute ischemic stroke aside from intravenous or intra-arterial thrombolysis. Yet because of the narrow therapeutic time window involved, thrombolytic application is very restricted in clinical settings. Accumulating data suggest that non-pharmaceutical therapies for stroke might provide new opportunities for stroke treatment. Here we review recent research progress in the mechanisms and clinical implications of non-pharmaceutical therapies, mainly including neuroprotective approaches such as hypothermia, ischemic/hypoxic conditioning, acupuncture, medical gases, transcranial laser therapy, etc. In addition, we briefly summarize mechanical endovascular recanalization devices and recovery devices for the treatment of the chronic phase of stroke and discuss the relative merits of these devices.</p>
</div>
</front>
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<pmc article-type="research-article"><pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
  <pmc-dir>properties manuscript</pmc-dir>
  <front><journal-meta><journal-id journal-id-type="nlm-journal-id">0370121</journal-id>
<journal-id journal-id-type="pubmed-jr-id">6712</journal-id>
<journal-id journal-id-type="nlm-ta">Prog Neurobiol</journal-id>
<journal-id journal-id-type="iso-abbrev">Prog. Neurobiol.</journal-id>
<journal-title-group><journal-title>Progress in neurobiology</journal-title>
</journal-title-group>
<issn pub-type="ppub">0301-0082</issn>
<issn pub-type="epub">1873-5118</issn>
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<article-meta><article-id pub-id-type="pmid">24407111</article-id>
<article-id pub-id-type="pmc">3969942</article-id>
<article-id pub-id-type="doi">10.1016/j.pneurobio.2013.12.007</article-id>
<article-id pub-id-type="manuscript">NIHMS562108</article-id>
<article-categories><subj-group subj-group-type="heading"><subject>Article</subject>
</subj-group>
</article-categories>
<title-group><article-title>Non-pharmaceutical therapies for stroke: Mechanisms and clinical implications</article-title>
</title-group>
<contrib-group><contrib contrib-type="author"><name><surname>Chen</surname>
<given-names>Fan</given-names>
</name>
<xref ref-type="aff" rid="A1">1</xref>
<xref rid="FN2" ref-type="author-notes">#</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Qi</surname>
<given-names>Zhifeng</given-names>
</name>
<xref ref-type="aff" rid="A1">1</xref>
<xref rid="FN2" ref-type="author-notes">#</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Luo</surname>
<given-names>Yuming</given-names>
</name>
<xref ref-type="aff" rid="A1">1</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Hinchliffe</surname>
<given-names>Taylor</given-names>
</name>
<xref ref-type="aff" rid="A2">2</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Ding</surname>
<given-names>Guanghong</given-names>
</name>
<xref ref-type="aff" rid="A3">3</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Xia</surname>
<given-names>Ying</given-names>
</name>
<xref ref-type="aff" rid="A2">2</xref>
<xref rid="FN1" ref-type="author-notes">*</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Ji</surname>
<given-names>Xunming</given-names>
</name>
<xref ref-type="aff" rid="A1">1</xref>
<xref rid="FN1" ref-type="author-notes">*</xref>
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<aff id="A1"><label>1</label>
Cerebrovascular Diseases Research Institute, Xuanwu Hospital of Capital Medical University, Beijing, Beijing 100053, China</aff>
<aff id="A2"><label>2</label>
The Vivian L Smith Department of Neurosurgery, The University of Texas Medical School at Houston, Houston, TX 77030, USA</aff>
<aff id="A3"><label>3</label>
Shanghai research center for Acupuncture and Meridiam, Shanghai 201203, China</aff>
<author-notes><corresp id="FN1"><label>*</label>
Send correspondence to: Ying Xia, M.D., Ph.D., Professor & Vice-Chairman, The Vivian l. Smith Department of Neurosurgery, The University of Texas Medical School at Houston, Houston, TX 77030, USA, Tel. 713-500-6288, <email>ying.xia@uth.tmc.edu</email>
. XunmingJi, M.D., Ph.D., Professor, Department of Neurosurgery, Xuanwu Hospital, Capital Medical University, Beijing, Beijing 100053, China, Tel. 86-010-6301-2835, <email>jixm@ccmu.edu.cn</email>
</corresp>
<fn id="FN2" fn-type="equal"><label>#</label>
<p>Equal contribution</p>
</fn>
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<pub-date pub-type="nihms-submitted"><day>11</day>
<month>3</month>
<year>2014</year>
</pub-date>
<pub-date pub-type="epub"><day>7</day>
<month>1</month>
<year>2014</year>
</pub-date>
<pub-date pub-type="ppub"><month>4</month>
<year>2014</year>
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<pub-date pub-type="pmc-release"><day>01</day>
<month>4</month>
<year>2015</year>
</pub-date>
<volume>0</volume>
<fpage>246</fpage>
<lpage>269</lpage>
<pmc-comment>elocation-id from pubmed: 10.1016/j.pneurobio.2013.12.007</pmc-comment>
      <permissions><copyright-statement>© 2014 Elsevier Ltd. All rights reserved.</copyright-statement>
<copyright-year>2014</copyright-year>
</permissions>
<abstract><p id="P2">Stroke is deemed a worldwide leading cause of neurological disability and death, however, there is currently no promising pharmacotherapy for acute ischemic stroke aside from intravenous or intra-arterial thrombolysis. Yet because of the narrow therapeutic time window involved, thrombolytic application is very restricted in clinical settings. Accumulating data suggest that non-pharmaceutical therapies for stroke might provide new opportunities for stroke treatment. Here we review recent research progress in the mechanisms and clinical implications of non-pharmaceutical therapies, mainly including neuroprotective approaches such as hypothermia, ischemic/hypoxic conditioning, acupuncture, medical gases, transcranial laser therapy, etc. In addition, we briefly summarize mechanical endovascular recanalization devices and recovery devices for the treatment of the chronic phase of stroke and discuss the relative merits of these devices.</p>
</abstract>
<kwd-group><kwd>non-pharmaceutical therapies</kwd>
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<kwd>hypothermia</kwd>
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<kwd>transcranial laser therapy</kwd>
<kwd>mechanical endovascular recanalization</kwd>
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</front>
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<affiliations><list><country><li>République populaire de Chine</li>
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<region><li>Texas</li>
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<country name="États-Unis"><region name="Texas"><name sortKey="Hinchliffe, Taylor" sort="Hinchliffe, Taylor" uniqKey="Hinchliffe T" first="Taylor" last="Hinchliffe">Taylor Hinchliffe</name>
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Non-pharmaceutical therapies for stroke: Mechanisms and clinical implications

Non-pharmaceutical therapies for stroke: Mechanisms and clinical implications

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Abstract

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Le document en format XML

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Pour générer des pages wiki