Preconditioning the Human Brain: Practical Considerations for Proving Cerebral Protection

Research output: Contribution to journalArticle

15 Scopus citations

Abstract

Ischemic preconditioning has evolved as one of the most powerful strategies for cerebral protection in laboratory models of ischemia. Translating the success of laboratory studies to human cerebral protection will necessitate an approximation of laboratory conditions. This would require a practical, easily implemented method of preconditioning and clinical settings in which cerebral ischemia is anticipated, thereby allowing cerebral preconditioning prior to ischemia onset. Remote limb ischemic preconditioning is readily instituted and used in several ongoing cardiac studies for ischemic myocardial protection. It is a potentially promising intervention for brain protection as well. Suitable clinical settings, in which a preliminary study of ischemic preconditioning in neurological disorders appears feasible, include carotid endarterectomy or stenting, cardiac surgery, and subarachnoid hemorrhage with the accompanying risk of vasospasm. These are settings, in which there is substantial risk of brain ischemia, which occurs over a short and predictable period, allowing for preconditioning to be implemented prior to ischemia onset.

Original languageEnglish (US)
Pages (from-to)161-169
Number of pages9
JournalTranslational stroke research
Volume1
Issue number3
DOIs
StatePublished - Sep 1 2010

Keywords

  • Ischemic preconditioning
  • Limb preconditioning
  • Neuroprotection

ASJC Scopus subject areas

  • Clinical Neurology
  • Neuroscience(all)
  • Cardiology and Cardiovascular Medicine

Fingerprint Dive into the research topics of 'Preconditioning the Human Brain: Practical Considerations for Proving Cerebral Protection'. Together they form a unique fingerprint.

  • Cite this