Acute Ischemic Stroke is the fifth leading cause of death in the USA and is the leading cause of disability. Up to 22% of patients presenting with ischemic stroke are eligible candidates for clot retrieval. Larger clots portend worse outcomes.  The faster the clot is removed, the more brain is saved, and the better the patient outcome. Recent trials have proven that Mechanical Thrombectomy (removing the clot) is superior to medical therapy alone (tPA) in anterior circulation (the front of the brain) large vessel occlusion ischemic strokes.

How do strokes happen?

Ischemic strokes are identical to heart attacks in that the arteries (the blood vessels that carry oxygen from the heart to your body) become blocked and the downstream organ (the brain) is starved of oxygen. 

Time is brain. 1.9 Million neurons are lost from the brain each minute that the brain is starved of oxygen. Every delay the patient encounters on the way to an emergency department within a stroke ready hospital results in less favorable outcomes.

How do you fix it?

The short story is, get to Wyoming Medical Center.

 

The first step is recognizing a stroke when it happens. It is easy to remember FAST. Just think, “I need to get grandma to the hospital FAST!” FAST is an acronym, Facial Droop: Does grandma have a droopy face on one side or the other? Arm Weakness: Is one of grandma’s arms weaker than the other? Speech Difficulties: Can grandma repeat a short sentence or sing her favorite song? It is Time to call 911.  Facial Droop, Arm Weakness, Speech / Singing Difficulties, Time to call 911.

 

The second step is to ask the Emergency Medical Service team, whether it is the Fire Department, the Police, or the Ambulance, “Are you taking grandma to a stroke center that can perform Thrombectomy?” and “Does the hospital you’re taking me to treat the condition of Stroke?”

 

The third step is to bypass lab tests, chest radiographs, and further time delays and obtain high end imaging; CAT scans of the brain will help evaluate for bleeding, how old the stroke is, and if there is a large vessel occlusion. 

 

Once imaging is performed, a neurologist and an interventional radiologist will determine if the patient is a candidate for clot retrieval.

What does this mean for you and your family?

The interventional radiologists at Casper Medical Imaging are available 24 hours a day, 7 days a week, 365 days a year for you and your family. We are the leaders in Mechanical Thrombectomy in Wyoming and look forward to answering your questions, helping you make informed decisions, and standing by your side during your time of need.

Please email or call with Casper Medical Now.