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Invasive treatment of acute stroke

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Atherosclerosis and Cardiovascular Disease

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Abstract

Data pertaining the population of Rochester (Minnesota) in the early eighties [1] are consistent with the end of the decline of stroke which was recorded in that area from 19–15 to 1974 [2]. However, the survival up to three days and the 30-day death of patients with cerebral infarction have never significantly decreased over the past four decades [3]. Therefore, stroke prevention, which appeared so effective until a few years ago, seems currently to have reached its limits, whereas available guidelines to treatment of acute brain ischemia are still needed now, as they were forty years ago.

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Bibliography

  1. Broderick, JP, Phillips, SJ, Whisnant, JP, O’Fallon, WM, Bergstral, EJ. (1989) “Incidence rate of stroke in the eighties: the end of the decline of stroke?” Stroke 20, 577–588.

    Article  CAS  PubMed  Google Scholar 

  2. Garraway, WM, Whisnant, JP, Furlan, AJ, Phillips, LH, Kurland, LT, O’Fallon, WM. (1979) “The declining incidence of stroke”, New Engl J Med 300, 499–452.

    Article  Google Scholar 

  3. Garraway, WM, Whisnant, JP, Drury, I. (1983) “The changing pattern of survival following stroke”, Stroke 14, 699–702.

    Article  CAS  PubMed  Google Scholar 

  4. Caplan, LR, Stein, RW. (1986) “Stroke. A clinical approach”, Butterworths publisher.

    Google Scholar 

  5. Weinstein, PR, Anderson, GG, Teiles, DA. (1980) “Neurological deficit and cerebral infarction after temporary middle cerebral artery occlusion in unanesthetized cats”, Stroke 17, 318–324.

    Article  Google Scholar 

  6. Lenzi, GLL, Frackowiack, RSJ, Jones, T. (1982) “Cerebral oxygen metabo1ism and blood f1ow in human cerebr a1 isohemic infarction”, J Cereb Blood Flow Metab 2, 321–335.

    Article  CAS  PubMed  Google Scholar 

  7. Vorstrup, S, Paulson, OB, Lassen, N. (1986) “Cerebral blood flow in acute and chronic ischemic stroke using Xenon-33 inhalation tomography”. Acta Neurol Scand 74, 439–451

    Article  CAS  PubMed  Google Scholar 

  8. Lenzi, GLL, Frackowiack, RSJ, Jones, T, Heather, JD, Lammertsma AA, Rhodes, CG, Pozzilli, C (1981) “CMR02 and CBF by 0xygen-15 inha1ation technique: resu1ts in normal volunteers and cerebrovascular patients”, Europ Neurol 20, 285–290.

    Article  CAS  PubMed  Google Scholar 

  9. Bozzao, L, Fantozzi, LM, Bastianello, S, Bozzao, A, Fieschi, C. (1989) “Early collateral blood supply and late parenchymal brain damage in pallents with middle cersbral artery occlusion”, Stroke 20, 735–740.

    Article  CAS  PubMed  Google Scholar 

  10. Fieschi, C, Argentino, C, Lenzi, G L, Sacchet, ML., Tom, D., Bozzao, L. (. 1989 ) “Clinical and instrumental evaluation of patients with ischemic stroke within the first six hours” J Neurol Sci 91, 311–322.

    Article  CAS  PubMed  Google Scholar 

  11. Holmes, RA, Chaplin, SB, Rayston, FG et al (1985) “Cerebral uptake and retention of Tc-99m hexamethilpropyleneamine oxime (Tc-99m HM-PAO)”., Nucl. Med. Commun 6, 443–447.

    Google Scholar 

  12. Dalal, PM, (1965) “Angiographic observation on spontaneous clot lysis”, Lancet 1, 61–64.

    Article  CAS  PubMed  Google Scholar 

  13. Gurdjian, ES, Lindner, DW, Hardy, WG, Thomas, LM, (1961) “Completed stroke due to occlusive cerebrovascular disease. An analysis of 409 cases”, Neurology (Minn.) 11, 724–733.

    CAS  Google Scholar 

  14. Mohr, JP, Caplan, LR, Melski, JW, Goldstein, RJ, Duncan, GW. Kistler, JP, Pessin, MS, Blech, HI. (1978) “The Harvard Cooperative Stroke Registry: a prospective registry”, Neurology 28, 574–762.

    Google Scholar 

  15. Fisher, M. (1954) “Occlusion of the carotid arteries. Further experiences”, Arch Neurol Psychiat 72, 187–204.

    CAS  Google Scholar 

  16. Sloan, MA. (1987) “Thrombolysis and stroke. Past and future”, Arch Neurol 44, 748–768

    CAS  PubMed  Google Scholar 

  17. The TPA-Acute Stroke Study Group. (1988) “An open multicenter study of the safety and efficacy of various doses of r-TPA in patients with acute stroke: preliminary results”, Stroke 19, 9.

    Google Scholar 

  18. GISSI. (1987) “Long-term effects of intravenous thrombolysis in acute myocardial, infarction: final report”, Lancet 1, 871–874.

    Google Scholar 

  19. Mohamed, AA, Gotoh, O, Graham, DI, Osborne, KA, McCulloch, J, Mendelow, AD, Teasdale GM, Harper MH. (1985) “Effect of pretreament with the calcium antagonist nimodipine on local cerebral blood flow and histopathology after middle cerebral artery occlusion”, Ann Neurol 18, 705–711.

    Article  CAS  PubMed  Google Scholar 

  20. Gelmers, HJ, Gorter, K, De Weerdt, CJ, Wiezer, HJA. (1988) “A controlled trial of nimodipine in acute ischemic stroke”, N Engl J Med 318, 203–207.

    Article  CAS  PubMed  Google Scholar 

  21. Pozzilli, C, Di Piero, V, Pantano, P, Rasura, M., Lenzi, GL. (1981) “Inf1uence of nimodipine on cerebral blood flow in human cerebral ischaemia”, J Neurol 236, 199–202.

    Article  Google Scholar 

  22. Siesjo, BK. (1981) “Cell damage in the brain. A speculative synthesis”, J Cereb Blood Flow Metab 1, 155–185.

    Article  CAS  PubMed  Google Scholar 

  23. Kuwaki, T, Satoh, H, Ono, T, Shibayama, F, Yamashita, T, Nishimura, T. (1989) “Nilvadipine attenuates ischemic degration of gerbil brain cytoscheletal proteins”, Stroke 20, 78–83.

    Article  CAS  PubMed  Google Scholar 

  24. Nakayama, H, Ginsberg, MD, Dietrich, WD, (1988) “(S)-Emopamil, a novel calcium channel blocker and serotonin S2 antagonist, markedly reduces infarct size following middle cerebral artery occasion in the rat”, Neuro1ogy 38, 1667–1673.

    CAS  Google Scholar 

  25. Rothmans, SM, Olney, JW. (1987) “Excitotoxicity and the NMDA receptor”, TINS 10, 299–302.

    Google Scholar 

  26. Astrup, J. (1982) “Energy-requiring cell functions in the ischemic brain”, J Neurosurg 56, 482–497.

    Article  CAS  PubMed  Google Scholar 

  27. Davis, CW, Daly, JW. (1980) “Activation of rat cerebral cortical 3′, 5′-cyclic nucleotide phosphodiesterase activity by ganglosides”, Mol Pharmacol 17, 206–211.

    CAS  PubMed  Google Scholar 

  28. Greenberg, JH, Reivich, M,Urfoanics, R, Tanaka, K, Dora, E, Toffano, G. (1986) “The effect of GM1 on cerebral metabolism, microcirculation and histology in focal ischemia”, in Tettamanti, G et al. (eds.), Gangliosides and neuronal plasticity, Liviana Press, Padova, pp. 397–405.

    Google Scholar 

  29. Freed, WJ, De Medinaceli, L, Wyatt, RJ. (1985) “Promoting functional plasticity in the damaged nervous system”, Science 227, 1544–1552.

    Article  CAS  PubMed  Google Scholar 

  30. Doherty, P, Dickson, JG, Flanigan, TP, Walsh, FS. (1985) “Ganglioside GM1 does not initiate but enhances neurite regeneration of nerve growth factor-dependent sensory neurones”, J Neurochem 44, 1259–1265.

    Article  CAS  PubMed  Google Scholar 

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Authors and Affiliations

  1. Department of Neurosciences, University of Rome, Viale dell’Università 30, 00185, Rome, Italy

    C. Fieschi, D. Toni, M. Sacchetti, P. Pantano, E. Millefiorini & M. Frontoni

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  1. C. Fieschi
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  2. D. Toni
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  3. M. Sacchetti
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  4. P. Pantano
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  5. E. Millefiorini
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  6. M. Frontoni
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Editor information

Editors and Affiliations

  1. Clinica Medica Generale e Terapia Medica I, Policlinico S. Orsola, via Massarenti, 9, Bologna, 40138, Italy

    Giancarlo Descovich , Antonio Gaddi , Gianluigi Magri  & Sergio Lenzi , ,  & 

  2. Department of Gerontology and Atherosclerosis Centre, University of Bologna, via Massarenti 9, Bologna, 40138, Italy

    Giancarlo Descovich  & Antonio Gaddi  & 

  3. Department of Geriatrics and Lipid Clinic, University of Bologna, Bologna, 40138, Italy

    Gianluigi Magri

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© 1990 Kluwer Academic Publishers

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Fieschi, C., Toni, D., Sacchetti, M., Pantano, P., Millefiorini, E., Frontoni, M. (1990). Invasive treatment of acute stroke. In: Descovich, G., Gaddi, A., Magri, G., Lenzi, S. (eds) Atherosclerosis and Cardiovascular Disease. Springer, Dordrecht. https://doi.org/10.1007/978-94-009-0731-7_91

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  • DOI: https://doi.org/10.1007/978-94-009-0731-7_91

  • Publisher Name: Springer, Dordrecht

  • Print ISBN: 978-94-010-6814-7

  • Online ISBN: 978-94-009-0731-7

  • eBook Packages: Springer Book Archive

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