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Stroke Treatment

We have a dedicated Stroke Care team in our Emergency Department, where a neurologist and neurosurgeon are on call, 24/7. Stroke treatment depends on the type of stroke and the patient’s overall health.

People who come in to our Emergency Department with a suspected stroke or transient ischemic attack are immediately evaluated and given testing, which may include one or more of the below procedures:

  • Computerized tomography, or CAT scan
  • CT angiogram, which provides a detailed view of the affected blood vessels in the brain
  • Cerebral tissue perfusion (CTP)
  • Magnetic resonance imaging (MRI)
  • Magnetic resonance angiography (MRA) of the head and neck
  • Carotid duplex scan (ultrasound)

Clot-busting tPA

Given early enough, medications known as "clot busters” can stop ischemic strokes and improve patient outcomes. The only FDA-approved drug for treatment of ischemic stroke — intravenous tPA (tissue plasminogen activator) — can reverse stroke symptoms in select patients. However, tPA must be given within three hours of the onset of the stroke.

Mechanical Thrombectomy

A select group of ischemic and hemorrhagic stroke patients may be eligible for mechanical thrombectomy, the surgical removal of a blood clot. This procedure is used in severe cases where doctors diagnose “emergent large vessel occlusion,” or ELVO. This means a major blockage in a large blood vessel. Mechanical thrombectomy is performed in our Cath Lab, and our team has saved lives through this procedure. We are currently working to earn the designation of ELVO Receiving Center. This designation recognizes an Emergency Department’s ability to treat acute ischemic stroke in the Cath Lab through mechanical thrombectomy.