Table 2. Effects of IACI in computer simulations and healthy volunteers.
| Name, year | Infusate | Infusion site | Infusion rate (mL/min) | Infusion duration (min) | Infusion volume (mL) | Time to brain temp <34 °C (min) | Brain temp at end of infusion (°C) | Core temp at end of infusion (°C) |
|---|---|---|---|---|---|---|---|---|
| Computer simulations of IACI | ||||||||
| Slotboom et al104 | Saline 2°C | MCA, distal of clot | 7.5 | 60 | 450 | 6 | 20 | 36.7 |
| Saline 2°C | MCA, distal of clot | 15 | 60 | 900 | 3 | 16 | 36.5 | |
| Saline 2°C | MCA, distal of clot | 30 | 60 | 1800 | 1 | 15 | 36 | |
| Saline 2°C | MCA, distal of clot | 45 | 60 | 2700 | 1 | 15 | 35.4 | |
| Konstas et al100 | Saline 5°C | ICA | 20 | 60 | 1200 | 17 | 34 | NR |
| Saline 2.8°C | ICA | 30 | 60 | 1800 | 6 | 32.1 | NR | |
| Saline 2.5° | ICA | 40 | 60 | 2400 | 4 | 30.4 | NR | |
| Saline 1.8 °C | ICA | 50 | 60 | 3000 | 3 | 28.4 | 35.2 | |
| Neimark et al101 | Saline 2.8°C | ICA | 30 | 60 | 1800 | 5 | 31.1 | 36 |
| Neimark et al103 | Saline 0°C | ICA | 50 mL bolus, then gradual ↓from 30 to 21 | 120 | NR | 3 | 33.3 | 35.4 |
| Saline 0°C+external head cooling | ICA | 50 mL bolus, then gradual ↓from 30 to 7 | 120 | NR | 3 | 31.8 | 34 | |
| Neimark et al102 | Saline 0°C | ICA | Gradual ↓from 50 to 12 | 360 | 7500 | <5 | 32.2 | 33.2 |
| Saline 0°C+external head cooling | ICA | Gradual ↓from 50 to 0 | 250 | 3300 | <5 | 32.2 | 32.8 | |
| Neimark et al105 a | Saline 8.4°C | ICA | 33 | 10 | 330 | — | −2 | NR |
| Clinical trial of IACI | ||||||||
| Choi et al107 | Saline 8.4°C | ICA | 33 | 10 | 330 | — | −0.84 (JVBT) | −0.15 |
BT, brain temperature; CT, core temperature; IACI, intraarterial cold infusions; ICA, internal cerebral artery; JVBT, jugular venous bulb temperature; MCA, middle cerebral artery; NR, not reported.
Effects of intraarteral cold infusions on brain temperature according to computer simulations and one clinical study in healthy volunteers.
Based on the study by Choi et al.107