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Evolving of treatment options for cerebral infarction.

作者信息

Cao Qiong-Yue, Li Zheng

机构信息

School of Life Sciences, Jiangsu Normal University, Xuzhou 221116, Jiangsu Province, China.

Jiangsu Engineering Research Center of Cardiovascular Drugs Targeting Endothelial Cells, College of Health Sciences, School of Life Sciences, Jiangsu Normal University, Xuzhou 221116, Jiangsu Province, China.

出版信息

World J Clin Cases. 2024 Nov 16;12(32):6534-6537. doi: 10.12998/wjcc.v12.i32.6534.


DOI:10.12998/wjcc.v12.i32.6534
PMID:39554892
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11438635/
Abstract

In this editorial, we comment on a recent article which addressed the therapeutic effect of aspirin plus edaravone in patients with cerebral infarction (CI). Herein, we outline the progress in therapy of CI. Apart from thrombolysis, aspirin is the most effective treatment for CI. Edaravone, a free radical scavenger, reduces endothelial cell damage and delays neuronal cell death. Aspirin plus edaravone mitigates damage to brain tissue by different mechanisms, thereby expediting the reinstation of neurological function. However, the nephrotoxic effect of edaravone, along with gastrointestinal bleeding associated with aspirin, may restrict this combination therapy. Although clinical studies have demonstrated the efficacy of thrombolytic therapy and mechanical thrombectomy, patients receiving these treatments experience modest efficacy and many adverse events. Moreover, interest in exploring natural medicines for CI is increasing, and they appear to have a high potential to protect against CI. The evolution of therapeutic strategies is expected to improve clinical outcomes of patients with CI.

摘要

相似文献

[1]
Evolving of treatment options for cerebral infarction.

World J Clin Cases. 2024-11-16

[2]
Effects of edaravone, the free radical scavenger, on outcomes in acute cerebral infarction patients treated with ultra-early thrombolysis of recombinant tissue plasminogen activator.

Clin Neurol Neurosurg. 2018-4

[3]
Effects of intravenous thrombolysis with alteplase combined with edaravone on cerebral hemodynamics and T lymphocyte level in patients with acute cerebral infarction.

Medicine (Baltimore). 2020-12-11

[4]
Therapeutic effect and psychological impact of aspirin plus edaravone on patients with cerebral infarction.

World J Psychiatry. 2024-5-19

[5]
Influences of Butylphthalide Injection in Combination with Edaravone on Clinical Efficacy and Cytokines in Elderly Acute Cerebral Infarction Patients.

Altern Ther Health Med. 2024-9-24

[6]
Neuroprotective effects of edaravone: a novel free radical scavenger in cerebrovascular injury.

CNS Drug Rev. 2006

[7]
Renal safety evaluation of aspirin plus edaravone in patients with ischaemic stroke: a retrospective cohort study.

BMJ Open. 2022-4-19

[8]
Edaravone for the treatment of acute cerebral infarction: role of endothelium-derived nitric oxide and oxidative stress.

Expert Opin Pharmacother. 2009-2

[9]
Effect of Standardized Perioperative Management on EEG Indexes and Nerve and Limb Functions of Patients with Acute Cerebral Infarction Undergoing Mechanical Thrombectomy.

Dis Markers. 2022

[10]
Edaravone, a free radical scavenger, attenuates cerebral infarction and hemorrhagic infarction in rats with hyperglycemia.

Neurol Res. 2014-1

本文引用的文献

[1]
Antiplatelet strategies: past, present, and future.

J Thromb Haemost. 2023-12

[2]
Salvianolic Acid B: A Review of Pharmacological Effects, Safety, Combination Therapy, New Dosage Forms, and Novel Drug Delivery Routes.

Pharmaceutics. 2023-8-29

[3]
Mechanical Thrombectomy for Large Ischemic Stroke: A Systematic Review and Meta-analysis.

Neurology. 2023-8-29

[4]
Complications of Intravenous Tenecteplase Versus Alteplase for the Treatment of Acute Ischemic Stroke: A Systematic Review and Meta-Analysis.

Stroke. 2023-5

[5]
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Comb Chem High Throughput Screen. 2023

[6]
Aspirin for the Primary Prevention of Cardiovascular Disease: Time for a Platelet-Guided Approach.

Arterioscler Thromb Vasc Biol. 2022-10

[7]
Can We Use Extract to Treat Alzheimer's Disease? Lessons from Preclinical and Clinical Studies.

Cells. 2022-1-29

[8]
Effect of Intra-arterial Alteplase vs Placebo Following Successful Thrombectomy on Functional Outcomes in Patients With Large Vessel Occlusion Acute Ischemic Stroke: The CHOICE Randomized Clinical Trial.

JAMA. 2022-3-1

[9]
Dabigatran or Aspirin After Embolic Stroke of Undetermined Source in Patients With Patent Foramen Ovale: Results From RE-SPECT ESUS.

Stroke. 2021-3

[10]
Strategies for the use of Ginkgo biloba extract, EGb 761 , in the treatment and management of mild cognitive impairment in Asia: Expert consensus.

CNS Neurosci Ther. 2021-2

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