Source:http://linkedlifedata.com/resource/pubmed/id/10942836
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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
5
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pubmed:dateCreated |
2000-10-25
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pubmed:abstractText |
Thrombolysis is an efficient therapy for hyperacute stroke within a limited time window. Neurological outcome depends on the recanalization time of the occluded vessel. Nonthermal effects of low-frequency ultrasound (US) accelerate enzymatic fibrinolysis in vitro. We examined the effects of transcranially applied US on recombinant tissue plasminogen activator (rt-PA)-mediated thrombolysis in a flow model in vitro. Pure fibrin clots were placed in a continuous-pressure flow model and treated with rt-PA during 1-MHz US exposure (0.5 W/cm(2); spatial peak, temporal peak intensity). Transcranial and direct US application in combination with rt-PA significantly (p<0.001) shortened recanalization time, increased perfusion flow and reperfusion rate in comparison with rt-PA-mediated thrombolysis alone. Recanalization rate within 30 min was 90-100% in the US-exposed clots vs. 30% in the clots treated only with rt-PA. Our results suggest that transcranial application of 1-MHz US may accelerate reperfusion and recanalization rate of occluded intracerebral vessels by enhancing rt-PA-mediated thrombolysis. Shortening of recanalization time could contribute to optimizing effects of acute thrombolytic stroke therapy.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:month |
Jun
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pubmed:issn |
0301-5629
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
26
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
889-95
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pubmed:dateRevised |
2006-11-15
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pubmed:meshHeading |
pubmed-meshheading:10942836-Blood Flow Velocity,
pubmed-meshheading:10942836-Brain Ischemia,
pubmed-meshheading:10942836-Cerebrovascular Circulation,
pubmed-meshheading:10942836-Humans,
pubmed-meshheading:10942836-Models, Biological,
pubmed-meshheading:10942836-Phantoms, Imaging,
pubmed-meshheading:10942836-Plasminogen Activators,
pubmed-meshheading:10942836-Recombinant Proteins,
pubmed-meshheading:10942836-Thrombolytic Therapy,
pubmed-meshheading:10942836-Tissue Plasminogen Activator,
pubmed-meshheading:10942836-Ultrasonography, Doppler, Transcranial
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pubmed:year |
2000
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pubmed:articleTitle |
Acceleration of thrombolysis with ultrasound through the cranium in a flow model.
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pubmed:affiliation |
Department of Neurology, University of Heidelberg, Universitätsklinikum Mannheim, 68135, Mannheim, Germany.
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pubmed:publicationType |
Journal Article,
Comparative Study,
In Vitro,
Research Support, Non-U.S. Gov't
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