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Preconditioning Strategy: Coronary Bypass, Subarachnoid Hemorrhage, Temporary Proximal Vessel Occlusion in Carotid Revascularization, and Intracranial Aneurysm Surgery

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Innate Tolerance in the CNS

Part of the book series: Springer Series in Translational Stroke Research ((SSTSR))

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Abstract

The results of clinical research into preconditioning for coronary artery bypass graft surgery, repair of subarachnoid hemorrhage, carotid revascularization, and intracranial aneurysm surgery are encouraging and should be further explored. Direct and remote ischemic preconditioning are the most promising strategies for clinical application.

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References

  • Ali ZA, Callaghan CJ, Lim E et al (2007) Remote ischemic preconditioning reduces myocardial and renal injury after elective abdominal aortic aneurysm repair: a randomized controlled trial. Circulation 116:I98–I105

    Article  PubMed  Google Scholar 

  • Chan MT, Boet R, Ng SC et al (2005a) Effect of ischemic preconditioning on brain tissue gases and pH during temporary cerebral artery occlusion. Acta Neurochir Suppl 95:93–96

    Article  PubMed  CAS  Google Scholar 

  • Chan MT, Boet R, Ng SC et al (2005b) Magnesium sulfate for brain protection during temporary cerebral artery occlusion. Acta Neurochir Suppl 95:107–111

    Article  PubMed  CAS  Google Scholar 

  • Chen J, Graham SH, Zhu RL et al (1996) Stress proteins and tolerance to focal cerebral ischemia. J Cereb Blood Flow Metab 16:566–577

    Article  PubMed  CAS  Google Scholar 

  • Cheung MM, Kharbanda RK, Konstantinov IE et al (2006) Randomized controlled trial of the effects of remote ischemic preconditioning in children undergoing cardiac surgery: first clinical application in humans. J Am Coll Cardiol 47:2277–2282

    Article  PubMed  Google Scholar 

  • Dirnagl U, Becker K, Meisel A (2009) Preconditioning and tolerance against cerebral ischemia: from experimental strategies to clinical use. Lancet Neurol 8:398–412

    Article  PubMed  CAS  Google Scholar 

  • Faries PL, DeRubertis B, Trocciola S et al (2008) Ischemic preconditioning during the use of the PercuSurge occlusion balloon for carotid angioplasty and stenting. Vascular 16:1–9

    Article  PubMed  Google Scholar 

  • Frietsch T, Kirsch JR (2004) Strategies of neuroprotection for intracranial aneurysms. Best Pract Res Clin Anaesthesiol 18:595–630

    Article  PubMed  CAS  Google Scholar 

  • Hausenloy DJ, Mwamure PK, Venugopal V et al (2007) Effect of remote ischemic preconditioning on myocardial injury in patients undergoing coronary artery bypass graft surgery: a randomised controlled trial. Lancet 370:575–579

    Article  PubMed  Google Scholar 

  • Jimenez-Mateos EM, Henshall DC (2009) Seizure preconditioning and epileptic tolerance: models and mechanisms. Int J Physiol Pathophysiol Pharmacol 1:180–191

    PubMed  CAS  Google Scholar 

  • Kelly ME, Mclntyne DC (1994) Hippocampal kindling protects several structures from the neuronal damage resulting from kainic acid-induced status epilepticus. Brain Res 634:245–256

    Article  PubMed  CAS  Google Scholar 

  • Kitagawa K, Matsumoto M, Tagaya M et al (1990) “Ischemic tolerance” phenomenon found in the brain. Brain Res 528:21–24

    Article  PubMed  CAS  Google Scholar 

  • Koch S, Katsnelson M, Dong C et al (2011) Remote ischemic limb preconditioning after subarachnoid hemorrhage: a phase Ib study of safety and feasibility. Stroke 42:1387–1391

    Article  PubMed  Google Scholar 

  • Langham J, Reeves BC, Lindsay KW et al (2009) Variation in outcome after subarachnoid hemorrhage: a study of neurosurgical units in UK and Ireland. Stroke 40:111–118

    Article  PubMed  Google Scholar 

  • Laurikka J, Wu ZK, Lisalo P et al (2002) Regional ischemic preconditioning enhances myocardial performance in off-pump coronary artery bypass graft. Chest 121:1183–1189

    Article  PubMed  Google Scholar 

  • Lavine SD, Masri LS, Levy ML et al (1997) Temporary occlusion of the middle cerebral artery in intracranial aneurysm surgery: time limitation and advantage of brain protection. J Neurosurg 87:817–824

    Article  PubMed  CAS  Google Scholar 

  • Murry CE, Jennings RB, Reimer KA (1986) Preconditioning with ischemia: a delay of lethal cell injury in ischemic myocardium. Circulation 74:1124–1136

    Article  PubMed  CAS  Google Scholar 

  • Musumeci F, Feccia M, MacCarthy PA et al (1998) Prospective randomized trial of single clamp technique versus intermittent ischemic arrest: myocardial and neurological outcome. Eur Cardiothorac Surg 13:702–709

    Article  CAS  Google Scholar 

  • Roach GW, Kanchuger M, Mangano CM et al (1996) Adverse cerebral outcomes after coronary bypass surgery. N Engl J Med 335:1857–1863

    Article  PubMed  CAS  Google Scholar 

  • Smith PK (2006) Predicting and preventing adverse neurological outcomes with cardiac surgery. J Card Surg 21(Suppl 1):S15–S19

    Article  PubMed  Google Scholar 

  • Stenzel-Poore MP, Stevens SL, Xiong Z et al (2003) Effect of ischaemic conditioning on genomic response to cerebral ischaemia: similarity to neuroprotective strategies in hibernation and hypoxia-tolerant states. Lancet 362:1028–1037

    Article  PubMed  CAS  Google Scholar 

  • Stenzel-Poore MP, Stevens SL, King JS (2007) Preconditioning reprograms the response to ischemic injury and primes the emergence of unique endogenous neuroprotective phenotypes: a speculative synthesis. Stroke 38:680–685

    Article  PubMed  Google Scholar 

  • Vellimana AK, Milner E, Azad TD et al (2011) Endothelial nitric oxide synthase mediates endogenous protection against subarachnoid hemorrhage-induced cerebral vasospasm. Stroke 42(3): 776–782

    Article  PubMed  CAS  Google Scholar 

  • Venugopal V, Bognolo G, Yellon DM (2009) Remote ischaemic preconditioning reduces myocardial injury in patients undergoing cardiac surgery with cold blood cardioplegia: a randomised controlled trial. Heart 95:1567–1571

    Article  PubMed  CAS  Google Scholar 

  • Walsh SR, Nouraei SA, Tang TY et al (2010) Remote ischemic preconditioning for cerebral and cardiac protection during carotid endarterectomy: results from a pilot randomized clinical trial. Vasc Endovascular Surg 44:434–439

    Article  PubMed  Google Scholar 

  • Wang X, Wei M, Kuukasjarvi P et al (2003) Novel pharmacological preconditioning with diazoxide attenuates myocardial stunning in coronary artery bypass graft. Eur J Cardiothorac Surg 24: 967–973

    Article  PubMed  Google Scholar 

  • Wong GK, Ng R, Poon WS (2008) Aneurysmal subarachnoid haemorrhage: a clinical review. Surg Pract 12(2):51–55

    Article  Google Scholar 

  • Wong GK, Wong R, Mok VC et al (2009) Clinical study on cognitive dysfunction after spontaneous subarachnoid haemorrhage: patient profiles and relationship to cholinergic dysfunction. Acta Neurochir (Wien) 151:1601–1607

    Article  Google Scholar 

  • Wong GK, Kwan M, Ng R et al (2011) Flow-diverters for treatment of intracranial aneurysms: current status and ongoing clinical trials. J Clin Neurosci 18(6):737–740

    Article  PubMed  Google Scholar 

  • Yellon DM, Alkhulaifi AM, Pugsley WB (1993) Preconditioning the human myocardium. Lancet 34:276–277

    Article  Google Scholar 

  • Yogaratnam JZ, Laden G, Guvendik L et al (2010) Hyperbaric oxygen preconditioning improves myocardial function, reduces length of intensive care stay, and limits complications post coronary artery bypass graft surgery. Cardiovasc Revasc Med 11:8–19

    Article  PubMed  Google Scholar 

  • Young KC, Jain A, Jain M et al (2011) Evidence-based treatment of carotid artery stenosis. Neurosurg Focus 30:E2

    Article  PubMed  Google Scholar 

  • Zhong KW, Tarkka MR, Eloranta J et al (2001a) Effect of ischaemic preconditioning, cardiopulmonary bypass and myocardial ischaemic/reperfusion on free radical generation in CABG patients. Cardiovasc Surg 9:362–368

    Article  Google Scholar 

  • Zhong KW, Tarkka MR, Eloranta J et al (2001b) Effect of ischemic preconditioning on myocardial protection in coronary artery bypass graft patients: can the free radicals act as a trigger for ischemic preconditioning? Chest 119:1061–1068

    Article  Google Scholar 

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Authors and Affiliations

  1. Division of Neurosurgery, Prince of Wales Hospital, The Chinese University of Hong Kong, 4/F Clinical Science Building, Hong Kong, Hong Kong

    George Kwok Chu Wong M.D. & Wai Sang Poon FRCS

  2. Department of Surgery, Prince of Wales Hospital, 4/F Clinical Science Building, 30–32 Ngan Shing Street, Shatin, New Territories, Hong Kong

    George Kwok Chu Wong M.D.

  3. Department of Anesthesia and Intensive Care, Prince of Wales Hospital, The Chinese University of Hong Kong, Hong Kong, Hong Kong

    Matthew Tak Vai Chan FANZCA

Authors
  1. George Kwok Chu Wong M.D.
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  2. Matthew Tak Vai Chan FANZCA
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  3. Wai Sang Poon FRCS
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Correspondence to George Kwok Chu Wong M.D. .

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Editors and Affiliations

  1. , Departments of Neurosurgery, Washington University School of Medicine, South Kingshighway Boulevard, St. Louis, 63110, Missouri, USA

    Jeffrey M. Gidday

  2. , Department of Neurology, University of Miami Miller School of Med, Miami, 33136, Florida, USA

    Miguel A. Perez-Pinzon

  3. Loma Linda University, 11234 Anderson Street, Room 2562B, Loma Linda, 92354, California, USA

    John H. Zhang

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Wong, G.K.C., Chan, M.T.V., Poon, W.S. (2013). Preconditioning Strategy: Coronary Bypass, Subarachnoid Hemorrhage, Temporary Proximal Vessel Occlusion in Carotid Revascularization, and Intracranial Aneurysm Surgery. In: Gidday, J., Perez-Pinzon, M., Zhang, J. (eds) Innate Tolerance in the CNS. Springer Series in Translational Stroke Research. Springer, New York, NY. https://doi.org/10.1007/978-1-4419-9695-4_27

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  • DOI: https://doi.org/10.1007/978-1-4419-9695-4_27

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  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4419-9694-7

  • Online ISBN: 978-1-4419-9695-4

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