I'm glad they are coming up with alternative ways of clearing clots but I wish they would also focus on the secondary deaths due to the neuronal cascade of death. Pericytes, excitotoxicity, glutamate poisioning.
http://www.thedailystar.net/newDesign/news-details.php?nid=247258
Using small nets to extract blood clots from patients' brains may be the future of stroke care, according to two studies.
Clots block blood vessels, starving parts of the brain of oxygen, which leads to symptoms such as paralysis and loss of speech.
Two studies, presented in the Lancet medical journal, suggest extracting clots with nets could improve recovery.
The Stroke Association said it was very excited by the treatment's potential.
There are already techniques for reopening blocked blood vessels in people's brains.
Some
patients will be given "clot-busting" drugs, but this needs to be in
the hours just after the stroke and is not suitable for everyone.
CLOT EXTRACTION
Other
techniques have been developed to extract the clot. Some procedures
pass a tube up through the groin to the brain. There the wire passes
through the clot, forming a coil on the far side and then pulling the
clot out. However, this is far from routine practice.
The latest
methods involve a tiny wire cage instead of a coil. This pushes the clot
up against the walls of the artery and enmeshes the clot in the wires,
allowing doctors to pull the clot back out of the groin.
Two
similar devices were compared with the current coil methods. One trial
of 113 patients showed 58 percent had good brain function after three
months, compared with 33pc of those treated with the coil method, as
well as a lower death rate.
Another study in 178 patients showed almost double the chance of living independently after treatment.
One
of the researchers involved, Prof Jeffrey Saver from the University of
California, Los Angeles, told the BBC that these techniques would become
more common, as they are more likely to clear clots than drugs.
"Clot-busting
drugs only partially reopen 40pc of large blocked arteries. These
devices partially reopen 70-90pc of large blocked arteries.
"Second,
these devices can be used in patients in whom it is not safe to give
'clot busting' drugs, such as patients taking anticoagulant medications,
patients who had recent surgery, and patients who are between 4.5 to
eight hours after stroke onset."
In the long term he can see drugs being used as a first option and then clot removal if the drugs fail or cannot be used.
'MAJOR STEPS FORWARD’
Responding
to the research, the Stroke Association's Dr Clare Walton said
clot-busters did not work for all patients so new techniques could help
many patients.
She added: "Clot retrieval devices have the
potential to be used with more stroke patients and are better at
removing blood clots than clot-busting drugs.
Use the labels in the right column to find what you want. Or you can go thru them one by one, there are only 29,286 posts. Searching is done in the search box in upper left corner. I blog on anything to do with stroke. DO NOT DO ANYTHING SUGGESTED HERE AS I AM NOT MEDICALLY TRAINED, YOUR DOCTOR IS, LISTEN TO THEM. BUT I BET THEY DON'T KNOW HOW TO GET YOU 100% RECOVERED. I DON'T EITHER BUT HAVE PLENTY OF QUESTIONS FOR YOUR DOCTOR TO ANSWER.
Changing stroke rehab and research worldwide now.Time is Brain! trillions and trillions of neurons that DIE each day because there are NO effective hyperacute therapies besides tPA(only 12% effective). I have 523 posts on hyperacute therapy, enough for researchers to spend decades proving them out. These are my personal ideas and blog on stroke rehabilitation and stroke research. Do not attempt any of these without checking with your medical provider. Unless you join me in agitating, when you need these therapies they won't be there.
What this blog is for:
My blog is not to help survivors recover, it is to have the 10 million yearly stroke survivors light fires underneath their doctors, stroke hospitals and stroke researchers to get stroke solved. 100% recovery. The stroke medical world is completely failing at that goal, they don't even have it as a goal. Shortly after getting out of the hospital and getting NO information on the process or protocols of stroke rehabilitation and recovery I started searching on the internet and found that no other survivor received useful information. This is an attempt to cover all stroke rehabilitation information that should be readily available to survivors so they can talk with informed knowledge to their medical staff. It lays out what needs to be done to get stroke survivors closer to 100% recovery. It's quite disgusting that this information is not available from every stroke association and doctors group.
Sunday, August 26, 2012
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