Postconditioning of ICH (EPIC-H) Using the Lancet for Brain Bleed in Rodents, Preliminary Study



Fig. 1
Pictographs showing representative relative hemorrhage between groups



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Fig. 2
(Left panel) Hematoma expansion; (Right panel) neurological deficits (sensorimotor skill) measured 24 h following collagenase infusion; SEM, standard error of the mean (asterisk) <0.05 compared with vehicle


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Fig. 3
Percent edema 24 h following collagenase infusion, (asterisk) <0.05 compared to sham; (cross) <0.05 to 0 ml control; SEM standard error of the mean




Conclusion


Translational stroke studies, including animal modeling, are needed to safely integrate basic preclinical scientific principles ahead of clinical application [2731]. Exsanguination therapy following ICH in rodents, using the traditional phlebotomy approach, may ameliorate the early brain injury (hemorrhage and edema), despite equivocal changes in the short-term neurological functional ability. This study forms the basis to justify further investigation into the preclinical application of this safe and broadly available clinical therapy as a potential therapeutic modality for this devastated patient population. Future studies will need to further delineate the involvement of specific neuroprotective molecules, sympathetic responses, hemodynamic molecules, or neuro-endocrine factors involved in this apparent postconditioning of rat ICH.


Acknowledgment

This study was partially supported by National Institutes of Health grant RO1 NS078755 (Dr Zhang). We wish to thank William Rolland for his handling of a few samples.


Disclosures

None


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Oct 22, 2016 | Posted by in NEUROSURGERY | Comments Off on Postconditioning of ICH (EPIC-H) Using the Lancet for Brain Bleed in Rodents, Preliminary Study

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