Stroke

Cardiovascular departments are playing a role in stroke interventions at numerous health systems, working as part of the stroke care team with neurologists, radiology and the emergency department. Stroke first has be be classified as ischemic or hemorrhagic. These have very different care pathways. Ischemic strokes are increasingly being treated with neurological-interventional therapy that includes catheter based mechanical thrombectomy to remove the clot. This is a more aggressive treatment compared to traditional IV administration of tissue plasminogen activator (tPA) thrombolytic therapy to dissolve the clot. Subarachnoid hemorrhage (SAH) and  intracerebral hemorrhage (ICH) brain bleeds can also be treated in some cases stent flow diverters and embolization coils. 

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American Heart Association and Joint Commission launch new Comprehensive Heart Attack Center certification.

Most Americans live within an hour of a stroke center

While 96% of the population is located within 60 minutes of an ED with any acute stroke expertise, many smaller, critical access hospitals in rural regions still are without these lifesaving services.

February 10, 2022
Stroke - head with text

Stroke thrombectomy outcomes similar between radiologists, fellowship-trained neurointerventionalists

Increased volume has led to stress among endovascular stroke physicians, with some hospitals relying on interventional rads to relieve the strain. 

February 10, 2022
Electrocardiograms analyzed by AI can offer information about mortality risk.

Monitoring high-risk patients for AFib fails to reduce stroke risk

"These findings might imply that not all AFib is worth screening for, and not all screen-detected AFib merits anticoagulation," researchers wrote. 

September 3, 2021
stroke

Mobile stroke units improve patient outcomes, reduce risk of disability

Researchers tracked data from more than 1,000 patients who received care from 2014 to 2020. 

March 19, 2021
COVID-19 coronavirus burnout depression pandemic

‘Not just a respiratory illness’: New stroke data highlight the importance of COVID-19 vaccinations

COVID-19 carries a higher stroke risk than similar infectious conditions, the authors explained, making it especially important to seek out a vaccine as soon as possible.

March 19, 2021
An ambulance-based mobile stroke unit created by the University of Texas Health Science Center at Houston (UTHealth) Medical School and Memorial Hermann-Texas Medical Center (TMC). The vehicle has a small head CT scanner to enable imm edit imaging to confirm if a patient had a stroke and what type before they arrive at the hospital to enable faster door to repercussion times, or faster door to tPA administration times. The unit also has a telemedicine system so a neurologist can evaluate patients remotely.

CT-based Mobile Stroke Care

Germany's ground-breaking use of CT scanners in ambulances to assess for possible stroke inspired one program in Houston to follow suit. Supporters predict it will transform care in the future. 

September 2, 2014
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