Changing standard procedures for evaluating and treating patients with suspected stroke has led to improved access to lifesaving stroke surgery across the state of Delaware and should inform triage and treatment nationwide, according to research released today at the Society of NeuroInterventional Surgery's (SNIS) 21st Annual Meeting.
Society of NeuroInterventional SurgeryJul 22 2024 Changing standard procedures for evaluating and treating patients with suspected stroke has led to improved access to lifesaving stroke surgery across the state of Delaware and should inform triage and treatment nationwide, according to research released today at the Society of NeuroInterventional Surgery's 21st Annual Meeting.
In "Direct From the Field Bypass to CSC Improves Timeliness and Likelihood of Thrombectomy for Patients with Emergent Large Vessel Occlusion," the members of the Delaware Stroke System worked with the state's emergency medical services director to change the way that paramedics in Delaware evaluated individuals for suspected large vessel occlusion, increasing the number of patients who were immediately flown to comprehensive stroke centers for thrombectomy.
Strokes are often caused by a large vessel occlusion , a blood clot that blocks a large blood vessel, cutting off significant blood flow to the brain. Nearly two million brain cells die every minute a stroke goes untreated, therefore the faster patients with this kind of stroke receive thrombectomy -; a minimally invasive procedure that uses a catheter to reopen blocked arteries in the brain -; the better their chances are to survive and to live a life of limited or no disability.
Many patients live far from comprehensive stroke centers. Therefore, stroke patients are sent to primary stroke centers first, which have fewer stroke resources. If these patients are experiencing a severe stroke, they are often then rerouted to a comprehensive stroke center. This delay in treatment can put patients at risk for long-term disability or death from stroke.
Related Stories"Implementing this new evidence-based screening and routing patients straight to comprehensive stroke centers has saved lives," says Thinesh Sivapatham, MD, an interventional neuroradiologist and associate director of the Comprehensive Stroke Program at Delaware's Christiana Care health system. "Every stroke patient deserves access to lifesaving treatment, no matter where they are.
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