Deans' stroke musings

Changing stroke rehab and research worldwide now.Time is Brain!Just think of all the trillions and trillions of neurons that DIE each day because there are NO effective hyperacute therapies besides tPA(only 12% effective). I have 493 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:

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's quite disgusting that this information is not available from every stroke association and doctors group.
My back ground story is here:

Wednesday, April 12, 2017

U.K. NHS makes thrombectomy stroke treatment available

Nowhere in here do they state the efficacy of this procedure. How many get 100% recovered? That is the only question needing to be answered. But they use wonderful word salad in describing other benefits. You are continually being screwed because of the acceptance of low expectations of recovery by your stroke medical professionals. That acceptance is pure incompetence.
The United Kingdom is making mechanical thrombectomy more widely available for patients who have suffered strokes. Buoyed by a report supporting the safety and efficacy of the stent-enabled procedure, the National Health Service (NHS) is scaling up its capabilities in anticipation of treating 8,000 patients a year with the intervention.
Physicians perform mechanical thrombectomies to remove blockages in the cerebral arteries of stroke patients. Once imaging has confirmed the presence of a blockage, a delivery catheter is inserted to facilitate the introduction of a clot-retrieval device and accompanying guidewire. The interventional neuroradiologist performing the procedure then guides the device, typically a stent retriever, to the site of the clot. Once in place, the self-expanding stent is deployed and traps the clot ready for removal.
The U.K. National Institute for Health and Care Excellence (NICE) reviewed the safety and efficacy of the procedure in 2013. At that time, NICE decided the procedure had unproven efficacy and put patients at risk of serious complications. The cost watchdog’s perceptions of the risks and benefits had shifted by the time it re-reviewed (PDF) the procedure last year, largely because it had access to data from clinical trials that had published their results since 2013.
In its analysis of eight trials covering 2,423 patients, NICE associated thrombectomy with improved functional outcomes 90 days after treatment, although there was no difference in mortality across the treatment groups. With the studies also assuaging NICE’s earlier concerns about safety, the organization felt the efficacy data were strong enough to warrant recommending the procedure.
If the procedure works as hoped, patients who suffer strokes will experience better quality of life. This, in turn, should cut the cost of ongoing treatment. The NHS estimates it spends £3 billion ($3.7 billion) a year on caring for stroke patients. And that the harm caused by strokes costs the economy a further £4 billion through a mix of lost productivity, disability and informal care.
Equipping more hospitals to quickly perform thrombectomies could drive down these figures. But in the near term the rollout of the service will put a strain on the healthcare system. Today, the NHS employs approximately 90 interventional radiologists, according to The Guardian.
The NHS will need to grow that figure if it is to provide round-the-clock thrombectomies at its 24 neuroscience centers. This process will take time. The NHS plans to start phasing in the service later in 2017 and treat 1,000 more patients in the first year of the rollout. Once the service is up to speed, the NHS expects to treat 8,000 stroke patients a year with mechanical thrombectomies.

No comments:

Post a Comment