Abstract

The challenge in acute stroke is still to reperfuse as early as possible the ischemic territory. Since fibrinolytic therapies have a limited window with potential risk of bleeding, having a nonpharmacologic mean to recruit vessels in area surrounding necrosis might be useful. We propose here to use antigravity suit inflated at “venous” pressure levels to shift blood towards thoracic and brain territories. We report two cases of spectacular clinical recovery after acute carotid occlusion.

Highlights

  • We report two cases where an anti-gravity suit was applied with a low gradient of pressure during the acute phase of symptomatic carotid occlusion to amplify the blood volume shift towards the craniothoracic territory [3, 4], improving cerebral haemodynamic conditions and neurological symptoms

  • The MR Angiography (MRA) showed a proximal left internal carotid artery (ICA) occlusion, a tight stenosis on the distal right ICA, no signal in the right siphon and right middle cerebral artery (MCA), while there was a weak signal in the left MCA (Figure 4)

  • We report two patients with symptomatic carotid artery occlusion in whom Lower body positive pressure (LBPP) was applied with an anti-gravity suit during the acute phase of stroke

Read more

Summary

Introduction

We report two cases where an anti-gravity suit ( named MAST: Medical Antishock Trousers [1, 2]) was applied with a low gradient of pressure during the acute phase of symptomatic carotid occlusion to amplify the blood volume shift towards the craniothoracic territory [3, 4], improving cerebral haemodynamic conditions and neurological symptoms. The impact of anti-gravity suit application on cerebral vascularisation was measured by transcranial Doppler

Case 1
Case 2
Findings
Discussion
Full Text
Published version (Free)

Talk to us

Join us for a 30 min session where you can share your feedback and ask us any queries you have

Schedule a call