Abstract
Animal experiments have demonstrated that release of vessel occlusion with early restoration of blood flow frequently diminishes cerebral infarct size [13]. The recognition of potentially reversible cerebral blood flow thresholds has led to the concept of the ischemic penumbra [1]. The time during which brain tissue can remain in this penumbral state without suffering definitive damage is still a matter of debate ([12, 16], Siesjö, this volume).
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References
Astrup J, Siesjo B, Symon L (1981) Thresholds in cerebral ischemia—the ischemic penumbra. Stroke 12:723–725
Brott T, Haley EC, Levy DE, Barsan WG, Reed RL, Olinger CP, Marler JR (1988) Very early therapy for cerebral infarction with tissue plasminogen activator (tPA) (abstr). Stroke 19:133
Chehrazi BB, Seibert JA, Kissel P, Hein L, Brock J (1989) Evaluation of recombinant tissue plasminogen activator in embolic stroke. Neurosurgery 24:355–360
De Ley G, Weyne J, Demeester G, Stryckmans K, Goethals P, Van de Velde E, Leusen I (1988) Experimental thromboembolic stroke studied by positron emission tomography: immediate versus delayed reperfusion by fibrinolysis. J Cereb Blood Flow Metab 8:539–545
Del Zoppo GJ, Copeland BR, Harker LA, Waltz TA, Zyroff J, Hanson SR, Battenberg E (1986a) Experimental acute thrombotic stroke in baboons. Stroke 17:1254–1265
Del Zoppo GJ, Zeumer H, Harker LA (1986b) Thrombolytic therapy in stroke: possibilities and hazards. Stroke 17:595–607
Del Zoppo GJ, Copeland BR, Anderchek K, Hacke W, Koziol JA (1990) Hemorrhagic transformation following tissue plasminogen activator in experimental cerebral infarction. Stroke 21:596–601
Fisher CM, Adams RD (1951) Observations on brain embolism with special reference to the mechanism of hemorrhagic infarction. J Neuropathol Exp Neurol 10:92–93
Fletcher AP, Alkjaersig N, Lewis M, Tulevski V, Davies A, Brooks JE, Hardin WB, Landau WM, Raichle ME (1976) A pilot study of urokinase therapy in cerebral infarction. Stroke 7:135–142
Hirschberg M, Hofferberth B (1988) New model of cerebral thrombosis in dogs. Stroke 19:741–746
Hossmann KA, Kleihues P (1973) Reversibility of ischemic brain damage. Arch Neurol 29:375–382
Hossmann KA (1982) Treatment of experimental cerebral ischemia. J Cereb Blood Flow Metab 2:275–297
Kamijyo Y, Garcia JH, Cooper J (1977) Temporary regional cerebral ischemia in the cat. A model of hemorrhagic and subcortical infarction. J Neuropathol Exp Neurol 36:338–350
Kissel P, Cherazi B, Seibert JA, Wagner FC (1987) Digital angiographic quantification of blood flow dynamics in embolic stroke treated with tissue-type plasminogen activator. J Neurosurg 67:399–405
Korninger C, Collen D (1981) Studies on the specific fibrinolytic effect of human extrinsic (tissue-type) plasminogen activator in human blood and in various animal species in vitro. Thromb Haemost 46:561–565
Lassen N, Vorstrup S (1984) Ischemic penumbra results in incomplete infarction: is the sleeping beauty dead? Stroke 15:755
Lyden PD, Zivin JA, Clark WA, Madden K, Sasse KC, Mazzarella VA, Terry RD, Press GA (1989) Tissue plasminogen activator-mediated thrombolysis of cerebral emboli and its effect on hemorrhagic infarction in rabbits. Neurology 39:703–708
Meyer JS, Herndon RM, Gotoh F, Tazaki Y, Nelson JN, Johnson JF (1961) Therapeutic thrombolysis. In: Millikan CH, Siekert RG, Whisnant JP (eds) Cerebral vascular disease. 3rd Princeton Conference. Grune and Stratton, New York, pp 160–177
Papadopoulos SM, Chandler WF, Salamat MS, Topol EJ, Sackellares JC (1987) Recombinant human tissue-type plasminogen activator therapy in acute thromboembolic stroke. J Neurosurg 67:394–398
Penar PL, Greer CA (1987) The effect of intravenous tissue-type plasminogen activator in a rat model of embolic cerebral ischemia. Yale J Biol Mec 60:233–243
Phillips DA, Fisher M, Smith TW, Davis MA (1988) The safety and angiographic efficacy of tissue plasminogen activator in a cerebral embolization model. Ann Neurol 23:391–394
Slivka A, Pulsinelli W (1987) Hemorrhagic complications of thrombolytic therapy in experimental stroke. Stroke 18:1148–1156
Sloan MA (1987) Thrombolysis and stroke. Past and future. Arch Neurol 44:748–768
Solis OJ, Roberson GR, Taveras JM, Mohr JP, Pessin MS (1977) Cerebral angiography in acute cerebral infarction. Rev Interam Radiol 2:19–25
Spetzler RF, Selman WR, Weinstein P, Townsend J, Mehdoric M, Telks D, Crummine RC, Macko R (1980) Chronic reversible cerebral ischemia: Evaluation of a new baboon model. J Neurosurg 7:257–261
Stillman M, Ronthal M, Kleefield J, O’Reilly G, Wang A, Zamani A, Rumbough C (1987) Cerebral infarction: Shortcomings of angiography in the evaluation of intracranial cerebrovascular disease. Medicine 66:297–308
Sussman B, Fitch T, Plainfield N (1958) Thrombolysis with fibrinolysin in cerebral arterial occlusion. JAMA 167:1705–1709
Watson BD, Prado R, Dietrich WD, Busto R, Scheinberg P, Ginsberg MD (1987) Mitigation of evolving cortical infarction in rats by recombinant tissue plasminogen activator following photochemically induced thrombosis. In: Raichle ME, Powers WJ (eds) Cerebrovascular diseases. Raven, New York, pp 317–330
Zivin JA, Fisher M, DeGirolami U, Hemenway CC, Stashak JA (1985) Tissue plasminogen activator reduces neurological damage after cerebral embolism. Science 230:1289–1292
Zivin JA, Lyden PD, DeGirolami U, Kochhar A, Mazzarella V, Hemenway CC, Johnston P (1988) Tissue plasminogen activator. Reduction of neurologic damage after experimental embolic stroke. Arch Neurol 45:387–391
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© 1991 Springer-Verlag Berlin Heidelberg
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Hirschberg, M. (1991). Update on Animal Model Experience with Recombinant Tissue Plasminogen Activator. In: Hacke, W., del Zoppo, G.J., Hirschberg, M. (eds) Thrombolytic Therapy in Acute Ischemic Stroke. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-76439-4_13
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DOI: https://doi.org/10.1007/978-3-642-76439-4_13
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