Deans' stroke musings: VIDEO: Endovascular therapy key approach to improve time to treatment in acute ischemic stroke

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.

Tuesday, January 26, 2016

VIDEO: Endovascular therapy key approach to improve time to treatment in acute ischemic stroke

Actually you are wrong, you have no idea of the correct approach to this. The key approach to improve time to treatment is to solve the diagnosis problem. Make it objective and remove the scans and neurologist from the equation. Many possibilities if you are following research at all.
This is easy to solve; you fund researchers to test out these 17 possibilities to find out which one is the best. Or maybe the Qualcomm Xprize for the tricorder. No installing scanners in the ambulance, that is a waste of money. The goal should be to deliver tPA fast enough to prevent the neuronal cascade of death. But first you'll need research to determine how fast that needs to be.
None of this lazy door-to-needle time, in the ambulance for tPA should be the goal.
http://www.healio.com/cardiology/stroke/news/online/%7B7940c895-c29f-4e8a-b183-ac57f5d3f954%7D/video-endovascular-therapy-key-approach-to-improve-time-to-treatment-in-acute-ischemic-stroke?utm_source=maestro&utm_medium=email&utm_campaign=cardiology%20news
Gregg Fonarow, MD, professor of cardiovascular medicine at UCLA, discusses the role of endovascular therapy in improving the treatment of patients with acute ischemic stroke, an area of focus at the American Heart Association Scientific Sessions 2015.

Highlighting onset-to-treatment time, Fonarow discusses the clinical outcomes observed with stent retrievers in context of the sole pharmacologic therapy, IV tissue plasminogen activator (tPA), shown to benefit this population.

“Time matters. Time is brain,” he said. “The time for the patient to get to the hospital and the time of arrival to beginning treatment … is critically important in limiting the size of stroke and improving functional recovery.”(Then solve the diagnosis problem)

Fonarow details “remarkable findings” from the AHA’s Target: Stroke Initiative as well as continued efforts to speed the process from arrival to diagnosis for patients receiving tPA and endovascular therapy.

Finally, he outlines the organized approach needed to achieve outcomes in practice with endovascular therapy including data collection, tracking and national goal-setting.

“We’re beginning the work to capture the valuable data and assemble the teams that will be necessary working together to identify best practices,” Fonarow said. “The time to now speed our therapy for acute ischemic stroke is upon us.”