Mild hypothermia after intravenous thrombolysis in patients with acute stroke: a randomized controlled trial.

Abstract:

BACKGROUND AND PURPOSE:Hypothermia improves outcome in resuscitated patients and newborns with hypoxic brain injury. We studied the safety and feasibility of mild hypothermia in awake patients with stroke after intravenous thrombolysis. METHODS:Patients were randomized 1:1 to mild hypothermia (35°C) or to standard stroke unit care within 6 hours of symptom onset. Hypothermia was induced with a surface-cooling device and cold saline infusions. Active cooling was restrained gradually after 12 hours at <35.5°C. The primary outcome measure was the number of patients with <36°C body temperature for >80% of the 12-hour cooling period. RESULTS:We included 36 patients with a median of National Institutes of Health Stroke Scale score of 9 one hour after thrombolysis. Fifteen of 18 (83%) patients achieved the primary end point. Sixteen (89%) patients reached <35.5°C in a median time of 10 hours (range, 7-16 hours) from symptom onset, spent 10.5 hours (1-17 hours) in hypothermia, and were back to normothermia in 23 hours (15-29 hours). Few serious adverse events were more common in the hypothermia group. At 3 months, 7 patients (39%) in both groups had good outcome (modified Ranking Scale, 0-2), whereas poor outcome (modified Ranking Scale, 4-6) was twice as common in the normothermia group (44% versus 22%). CONCLUSIONS:Mild hypothermia with a surface-cooling device in an acute stroke unit is safe and feasible in thrombolyzed, spontaneously breathing patients with stroke, despite the adverse events. CLINICAL TRIAL REGISTRATION URL:http://www.clinicaltrials.gov. Unique identifier: NCT00987922.

journal_name

Stroke

journal_title

Stroke

authors

Piironen K,Tiainen M,Mustanoja S,Kaukonen KM,Meretoja A,Tatlisumak T,Kaste M

doi

10.1161/STROKEAHA.113.003180

subject

Has Abstract

pub_date

2014-02-01 00:00:00

pages

486-91

issue

2

eissn

0039-2499

issn

1524-4628

pii

STROKEAHA.113.003180

journal_volume

45

pub_type

杂志文章,随机对照试验

相关文献

STROKE文献大全
  • Characterization of muscarinic cholinergic receptors in human and dog cerebral arteries.

    abstract::Various concentrations of acetylcholine (ACh) produced dose dependent relaxations of isolated, helical preparations of human cerebral arteries and these responses were blocked by atropine. The median effective concentration (EC50) of ACh was 6.1 +/- 0.2 X 10(-6)M. ACh produced dual responses in isolated dog cerebral a...

    journal_title:Stroke

    pub_type: 杂志文章

    doi:10.1161/01.str.17.2.300

    authors: Tsukahara T,Usui H,Taniguchi T,Shimohama S,Fujiwara M,Handa H

    更新日期:1986-03-01 00:00:00

  • Noninvasive diagnosis of carotid occlusion by ocular pneumoplethysmography.

    abstract::An ocular pneumoplethysmograph was devised to measure the systolic pressure in the ophthalmic artery and to obtain calibrated pulse volume changes from the ocular globe, with simultaneous recording from both eyes. The instrument is self-contained and portable. It can be applied by paramedical personnel, and the graphi...

    journal_title:Stroke

    pub_type: 杂志文章

    doi:10.1161/01.str.7.1.18

    authors: Gee W,Oller DW,Wylie EJ

    更新日期:1976-01-01 00:00:00

  • Reliability of the modified Rankin Scale across multiple raters: benefits of a structured interview.

    abstract:BACKGROUND AND PURPOSE:The modified Rankin Scale (mRS) is widely used to assess global outcome after stroke. The aim of the study was to examine rater variability in assessing functional outcomes using the conventional mRS, and to investigate whether use of a structured interview (mRS-SI) reduced this variability. MET...

    journal_title:Stroke

    pub_type: 杂志文章,多中心研究

    doi:10.1161/01.STR.0000157596.13234.95

    authors: Wilson JT,Hareendran A,Hendry A,Potter J,Bone I,Muir KW

    更新日期:2005-04-01 00:00:00

  • Effects of stroke localization on cardiac autonomic balance and sudden death.

    abstract:BACKGROUND AND PURPOSE:Stroke has been shown to alter autonomic function. The purpose of this study was to show the differential effects of stroke localization on autonomic function parameters assessed by heart rate variability (HRV). METHODS:To determine the differential effect of ischemic stroke localization on auto...

    journal_title:Stroke

    pub_type: 杂志文章

    doi:10.1161/01.str.30.7.1307

    authors: Tokgözoglu SL,Batur MK,Topçuoglu MA,Saribas O,Kes S,Oto A

    更新日期:1999-07-01 00:00:00

  • Granulocyte adhesion, deformability, and superoxide formation in acute stroke.

    abstract:BACKGROUND AND PURPOSE:Impaired rheological properties of as well as cytotoxic substances produced by granulocytes may contribute to tissue damage in acute ischemic stroke. To assess changes in the properties of circulating granulocytes, we measured their adhesion, deformability, and superoxide generation in the first ...

    journal_title:Stroke

    pub_type: 杂志文章

    doi:10.1161/01.str.23.1.33

    authors: Grau AJ,Berger E,Sung KL,Schmid-Schönbein GW

    更新日期:1992-01-01 00:00:00

  • Change in Body Weight and Long-Term Risk of Stroke and Death in Healthy Men.

    abstract::Background and Purpose- The importance of weight change for the risk of stroke is not well known. We examined the associations between early- and mid-life weight change and risks of stroke and death during long-term follow-up of healthy men. Methods- We recruited healthy men aged between 40 and 59 years and performed ...

    journal_title:Stroke

    pub_type: 杂志文章

    doi:10.1161/STROKEAHA.119.027233

    authors: Prestgaard E,Mariampillai J,Engeseth K,Erikssen J,Bodegård J,Liestøl K,Kjeldsen S,Grundvold I,Berge E

    更新日期:2020-05-01 00:00:00

  • THSD1 (Thrombospondin Type 1 Domain Containing Protein 1) Mutation in the Pathogenesis of Intracranial Aneurysm and Subarachnoid Hemorrhage.

    abstract:BACKGROUND AND PURPOSE:A ruptured intracranial aneurysm (IA) is the leading cause of a subarachnoid hemorrhage. This study seeks to define a specific gene whose mutation leads to disease. METHODS:More than 500 IA probands and 100 affected families were enrolled and clinically characterized. Whole exome sequencing was ...

    journal_title:Stroke

    pub_type: 杂志文章

    doi:10.1161/STROKEAHA.116.014161

    authors: Santiago-Sim T,Fang X,Hennessy ML,Nalbach SV,DePalma SR,Lee MS,Greenway SC,McDonough B,Hergenroeder GW,Patek KJ,Colosimo SM,Qualmann KJ,Hagan JP,Milewicz DM,MacRae CA,Dymecki SM,Seidman CE,Seidman JG,Kim DH

    更新日期:2016-12-01 00:00:00

  • Prognosis of young adults with ischemic stroke. A long-term follow-up study assessing recurrent vascular events and functional outcome in the Iowa Registry of Stroke in Young Adults.

    abstract:BACKGROUND AND PURPOSE:Information about the long-term prognosis of young adults with ischemic stroke is limited. Therefore, we performed a follow-up assessment of 296 patients with ischemic stroke who are enrolled in the Iowa Registry of Stroke in Young Adults. We studied young adults (age, 15 to 45 years) who were re...

    journal_title:Stroke

    pub_type: 杂志文章

    doi:10.1161/01.str.25.7.1360

    authors: Kappelle LJ,Adams HP Jr,Heffner ML,Torner JC,Gomez F,Biller J

    更新日期:1994-07-01 00:00:00

  • European stroke science workshop.

    abstract::The European Stroke Organisation held its first European Stroke Science Workshop in Garmisch-Partenkirchen, Germany (December 15-17, 2011). Stroke experts based in Europe were invited to present and discuss their current research. The scope of the workshop was to review the most recent findings of selected topics in s...

    journal_title:Stroke

    pub_type:

    doi:10.1161/STROKEAHA.112.655373

    authors: Mattle HP,Brainin M,Chamorro A,Diener HC,Hacke W,Leys D,Norrving B,Ward N

    更新日期:2012-09-01 00:00:00

  • Neuroprotection of ischemic postconditioning by downregulating the postsynaptic signaling mediated by kainate receptors.

    abstract:BACKGROUND AND PURPOSE:Ischemic postconditioning, a brief episode of ischemia after a prolonged ischemic insult, has been found to reduce the delayed neuronal loss after stroke. However, the mechanisms underlying such endogenous neuroprotective strategy remain obscure. In this study, we try to explore the excitatory po...

    journal_title:Stroke

    pub_type: 杂志文章

    doi:10.1161/STROKEAHA.113.680181

    authors: Liu J,Xu Q,Wang H,Wang R,Hou XY

    更新日期:2013-07-01 00:00:00

  • Noncontrast Computed Tomography Hypodensities Predict Poor Outcome in Intracerebral Hemorrhage Patients.

    abstract:BACKGROUND AND PURPOSE:Noncontrast computed tomographic (CT) hypodensities have been shown to be associated with hematoma expansion in intracerebral hemorrhage (ICH), but their impact on functional outcome is yet to be determined. We evaluated whether baseline noncontrast CT hypodensities are associated with poor clini...

    journal_title:Stroke

    pub_type: 杂志文章

    doi:10.1161/STROKEAHA.116.014425

    authors: Boulouis G,Morotti A,Brouwers HB,Charidimou A,Jessel MJ,Auriel E,Pontes-Neto O,Ayres A,Vashkevich A,Schwab KM,Rosand J,Viswanathan A,Gurol ME,Greenberg SM,Goldstein JN

    更新日期:2016-10-01 00:00:00

  • Linkage of ischemic stroke to the PDE4D region on 5q in a Swedish population.

    abstract:BACKGROUND AND PURPOSE:Recent Icelandic studies have demonstrated linkage for common forms of stroke to chromosome 5q12 and association between phosphodiesterase4D (PDE4D) and ischemic stroke. Using a candidate region approach, we wanted to test the validity of these findings in a different population from northern Swe...

    journal_title:Stroke

    pub_type: 杂志文章

    doi:10.1161/01.STR.0000174188.04716.8d

    authors: Nilsson-Ardnor S,Wiklund PG,Lindgren P,Nilsson AK,Janunger T,Escher SA,Hallbeck B,Stegmayr B,Asplund K,Holmberg D

    更新日期:2005-08-01 00:00:00

  • Lipohyalinosis and miliary microaneurysms causing cerebral hemorrhage in a patient with moyamoya. A clinicopathological study.

    abstract::Moyamoya is an intriguing and controversial syndrome. This patient study serves to align the pathophysiology of intracranial hemorrhage in moyamoya with the cerebral vascular disease seen with hypertension, or aging. The historical evidence linking lipohyalinosis and microaneurysms to cerebral hemorrhage is reviewed, ...

    journal_title:Stroke

    pub_type: 杂志文章

    doi:10.1161/01.str.11.4.405

    authors: Mauro AJ,Johnson ES,Chikos PM,Alvord EC Jr

    更新日期:1980-07-01 00:00:00

  • Associations of inflammatory and hemostatic variables with the risk of recurrent stroke.

    abstract:BACKGROUND AND PURPOSE:Several prospective studies have shown significant associations between plasma fibrinogen, viscosity, C-reactive protein (CRP), fibrin D-dimer, or tissue plasminogen activator (tPA) antigen and the risk of primary cardiovascular events. Little has been published on the associations of these varia...

    journal_title:Stroke

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1161/01.STR.0000181754.38408.4c

    authors: Woodward M,Lowe GD,Campbell DJ,Colman S,Rumley A,Chalmers J,Neal BC,Patel A,Jenkins AJ,Kemp BE,MacMahon SW

    更新日期:2005-10-01 00:00:00

  • Endogenous platelet activating factor does not modulate blood flow and metabolism in normal rat brain.

    abstract::Both platelet activating factor and eicosanoids participate in the cerebrovascular response to ischemia. Eicosanoids also modulate cerebrovascular tone under normal physiologic circumstances, but a similar role for platelet activating factor has not been investigated. Therefore, using 16 rats, we studied the effects o...

    journal_title:Stroke

    pub_type: 杂志文章

    doi:10.1161/01.str.21.3.459

    authors: Kochanek PM,Melick JA,Schoettle RJ,Magargee MJ,Evans RW,Nemoto EM

    更新日期:1990-03-01 00:00:00

  • Prognosis for survival after an initial stroke.

    abstract:BACKGROUND AND PURPOSE:We studied prognosis for survival after an initial stroke in 662 patients who survived at least 30 days after onset while taking into account age, sex, the number of neurological deficits from the initial stroke, stroke type, and five selected medical conditions: hypertension, myocardial infarcti...

    journal_title:Stroke

    pub_type: 杂志文章

    doi:10.1161/01.str.26.11.2011

    authors: Lai SM,Alter M,Friday G,Sobel E

    更新日期:1995-11-01 00:00:00

  • Hospitalization costs for patients with acute ischemic stroke treated with endovascular embolectomy in the United States.

    abstract:BACKGROUND AND PURPOSE:It is important to know the costs of hospitalization for patients undergoing endovascular embolectomy so that comparisons can be made with payments to hospitals. METHODS:Using the National Inpatient Sample, we evaluated the costs of hospitalization for patients treated with endovascular embolect...

    journal_title:Stroke

    pub_type: 杂志文章

    doi:10.1161/STROKEAHA.111.618405

    authors: Brinjikji W,Kallmes DF,Rabinstein AA,Lanzino G,Cloft HJ

    更新日期:2011-11-01 00:00:00

  • Risk factors, clinical presentation, and neuroimaging findings of neonatal perforator stroke.

    abstract:BACKGROUND AND PURPOSE:To date, studies on neonatal stroke have mainly focused on cortical stroke. We have focused on perforator strokes, noncortical strokes in the arterial vascular perforator area. We sought to identify risk factors and evaluate clinical presentation and neuroimaging findings for neonatal perforator ...

    journal_title:Stroke

    pub_type: 杂志文章

    doi:10.1161/STROKEAHA.113.001064

    authors: Ecury-Goossen GM,Raets MM,Lequin M,Feijen-Roon M,Govaert P,Dudink J

    更新日期:2013-08-01 00:00:00

  • Changes in locomotor activity and passive avoidance task performance induced by cerebral ischemia in Mongolian gerbils.

    abstract:BACKGROUND AND PURPOSE:We investigated changes in locomotor activity, passive avoidance task performance, and hippocampal CA1 neurons induced by cerebral ischemia in Mongolian gerbils to examine the relation between these behavioral changes and CA1 neuronal damage. METHODS:Spontaneous locomotor activity was measured u...

    journal_title:Stroke

    pub_type: 杂志文章

    doi:10.1161/01.str.25.3.645

    authors: Karasawa Y,Araki H,Otomo S

    更新日期:1994-03-01 00:00:00

  • Cellular responses of bioabsorbable polymeric material and Guglielmi detachable coil in experimental aneurysms.

    abstract:BACKGROUND AND PURPOSE:Acceleration of healing mechanisms is a promising approach to improve current limitations of endovascular aneurysm therapy with the use of platinum coils. We evaluated a new endovascular therapeutic, bioabsorbable polymeric material (BPM), which may promote cellular reaction in the aneurysms. ME...

    journal_title:Stroke

    pub_type: 杂志文章

    doi:10.1161/01.str.0000014423.20476.ee

    authors: Murayama Y,Viñuela F,Tateshima S,Gonzalez NR,Song JK,Mahdavieh H,Iruela-Arispe L

    更新日期:2002-04-01 00:00:00

  • Effect of a new inhibitor of the synthesis of 20-HETE on cerebral ischemia reperfusion injury.

    abstract:BACKGROUND AND PURPOSE:Arachidonic acid that is released following cerebral ischemia can be metabolized to 20-hydroxyeicosatetraenoic acid (20-HETE). 20-HETE is a potent vasoconstrictor that may contribute to ischemic injury. This study examined the effects of blockading the synthesis of 20-HETE with TS-011 on infarct ...

    journal_title:Stroke

    pub_type: 杂志文章

    doi:10.1161/01.STR.0000217398.37075.07

    authors: Omura T,Tanaka Y,Miyata N,Koizumi C,Sakurai T,Fukasawa M,Hachiuma K,Minagawa T,Susumu T,Yoshida S,Nakaike S,Okuyama S,Harder DR,Roman RJ

    更新日期:2006-05-01 00:00:00

  • Biosynthesis of leukotrienes in canine cerebral vasospasm.

    abstract::We produced cerebral vasospasm in 29 dogs by the "two-hemorrhage" method of intracisternal injections, 2 days apart, of autogenous arterial blood. Leukotriene (LT) C4, LTD4, and LTE4 were purified from incubated basilar artery, medulla oblongata, hypothalamus, median eminence, and blood clot from around the basilar ar...

    journal_title:Stroke

    pub_type: 杂志文章

    doi:10.1161/01.str.20.4.527

    authors: Yokota M,Tani E,Maeda Y

    更新日期:1989-04-01 00:00:00

  • Rivaroxaban for stroke prevention in East Asian patients from the ROCKET AF trial.

    abstract:BACKGROUND AND PURPOSE:In Rivaroxaban Once Daily Oral Direct Factor Xa Inhibitor Compared With Vitamin K Antagonism for Prevention of Stroke and Embolism Trial in Atrial Fibrillation (ROCKET AF) trial, rivaroxaban was noninferior to dose-adjusted warfarin in preventing stroke or systemic embolism among patients with no...

    journal_title:Stroke

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1161/STROKEAHA.113.002968

    authors: Wong KS,Hu DY,Oomman A,Tan RS,Patel MR,Singer DE,Breithardt G,Mahaffey KW,Becker RC,Califf R,Fox KA,Berkowitz SD,Hacke W,Hankey GJ,Executive Steering Committee and the ROCKET AF Study Investigators.

    更新日期:2014-06-01 00:00:00

  • Low serum calcium levels contribute to larger hematoma volume in acute intracerebral hemorrhage.

    abstract:BACKGROUND AND PURPOSE:We investigate whether admission serum calcium levels are associated with hematoma volume, stroke severity, and outcomes in patients with acute intracerebral hemorrhage. METHODS:A total of 273 patients admitted within 24 hours after intracerebral hemorrhage onset was divided into quartiles based...

    journal_title:Stroke

    pub_type: 杂志文章

    doi:10.1161/STROKEAHA.113.001187

    authors: Inoue Y,Miyashita F,Toyoda K,Minematsu K

    更新日期:2013-07-01 00:00:00

  • A systematic review of the risks of stroke and death due to endarterectomy for symptomatic carotid stenosis.

    abstract:BACKGROUND AND PURPOSE:Carotid endarterectomy reduces the risk of carotid territory ischemic stroke ipsilateral to a recently symptomatic severe carotid stenosis. However, the benefit is limited by the risks of stroke and death associated with the operation. Although reported surgical risks vary enormously, there has b...

    journal_title:Stroke

    pub_type: 杂志文章,评审

    doi:10.1161/01.str.27.2.260

    authors: Rothwell PM,Slattery J,Warlow CP

    更新日期:1996-02-01 00:00:00

  • Key role of CD36 in Toll-like receptor 2 signaling in cerebral ischemia.

    abstract:BACKGROUND AND PURPOSE:Toll-like receptors (TLRs) and the scavenger receptor CD36 are key molecular sensors for the innate immune response to invading pathogens. However, these receptors may also recognize endogenous "danger signals" generated during brain injury, such as cerebral ischemia, and trigger a maladaptive in...

    journal_title:Stroke

    pub_type: 杂志文章

    doi:10.1161/STROKEAHA.109.572552

    authors: Abe T,Shimamura M,Jackman K,Kurinami H,Anrather J,Zhou P,Iadecola C

    更新日期:2010-05-01 00:00:00

  • Telemedicine-guided carotid and transcranial ultrasound: a pilot feasibility study.

    abstract:BACKGROUND AND PURPOSE:Transcranial Doppler (TCD) and carotid duplex (CD) provide rapid and safe screening for stroke patients but are highly operator dependent. We explored the feasibility of telemedicine (TM)-guided TCD/CD administered by a health care provider inexperienced with ultrasound. METHODS:Dual video scree...

    journal_title:Stroke

    pub_type: 杂志文章

    doi:10.1161/01.STR.0000196988.45318.97

    authors: Mikulik R,Alexandrov AV,Ribo M,Garami Z,Porche NA,Fulep E,Grotta JC,Wojner-Alexandrov AW,Choi JY

    更新日期:2006-01-01 00:00:00

  • Efficacy of Stent-Retriever Thrombectomy in Magnetic Resonance Imaging Versus Computed Tomographic Perfusion-Selected Patients in SWIFT PRIME Trial (Solitaire FR With the Intention for Thrombectomy as Primary Endovascular Treatment for Acute Ischemic Stro

    abstract:BACKGROUND AND PURPOSE:The majority of patients enrolled in SWIFT PRIME trial (Solitaire FR With the Intention for Thrombectomy as Primary Endovascular Treatment for Acute Ischemic Stroke) had computed tomographic perfusion (CTP) imaging before randomization; 34 patients were randomized after magnetic resonance imaging...

    journal_title:Stroke

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1161/STROKEAHA.117.016669

    authors: Menjot de Champfleur N,Saver JL,Goyal M,Jahan R,Diener HC,Bonafe A,Levy EI,Pereira VM,Cognard C,Yavagal DR,Albers GW

    更新日期:2017-06-01 00:00:00

  • Effects of the allosteric modification of hemoglobin on brain oxygen and infarct size in a feline model of stroke.

    abstract:BACKGROUND AND PURPOSE:Cerebral ischemia and stroke are leading causes of morbidity and mortality. An approach to protecting the brain during ischemia is to try to increase the delivery of oxygen via the residual blood flow through and around ischemic tissue. To test this hypothesis, we used a novel oxygen delivery age...

    journal_title:Stroke

    pub_type: 杂志文章

    doi:10.1161/01.str.28.8.1624

    authors: Watson JC,Doppenberg EM,Bullock MR,Zauner A,Rice MR,Abraham D,Young HF

    更新日期:1997-08-01 00:00:00

  • Auditory discrimination after left-hemisphere stroke: a mismatch negativity follow-up study.

    abstract:BACKGROUND AND PURPOSE:We sought to determine the recovery of cortical auditory discrimination in aphasic, left-hemisphere-stroke patients by using an electrophysiological response called mismatch negativity (MMN) and speech-comprehension tests. METHODS:MMN in 8 left-hemisphere stroke patients was recorded in response...

    journal_title:Stroke

    pub_type: 临床试验,杂志文章

    doi:10.1161/01.STR.0000078836.26328.3B

    authors: Ilvonen TM,Kujala T,Kiesiläinen A,Salonen O,Kozou H,Pekkonen E,Roine RO,Kaste M,Näätänen R

    更新日期:2003-07-01 00:00:00