Deans' stroke musings: Results of Landmark Study Could Change How (and When) We Treat Strokes

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, November 14, 2017

Results of Landmark Study Could Change How (and When) We Treat Strokes

50 years from now this might get to your hospital. There seems to be no way advances in stroke are distributed around the world. Our fucking failures of stroke associations are certainly not doing it.
https://futurism.com/dawn-stroke-study/

A New DAWN

Scientists have presented the results of a groundbreaking stroke treatment study which could have a profound and lasting impact on how we treat the potentially debilitating, if not fatal, condition.
The DAWN study observed 206 patients, split into two randomly assigned groups, who were admitted to hospital between six and 24 hours. One set of patients was treated according to the standard guidelines and medical procedures, while the other was treated using a procedure known as endovascular clot removal therapy.
This procedure, otherwise known as thrombectomy, is carried out using a catheter inserted into the femoral artery, which is then threaded through the aorta. From there, it enters the cerebral arteries where it locates the blood clot responsible for the stroke.
A total of 48.6 percent of patients who received a thrombectomy were able to perform normal daily activities independently 90 days after the treatment. Only 13.1 percent of patients achieved a comparable level of recovery after receiving standard medical therapy. It’s important to note, however, that these findings pertain to situations where the damage is minimal.

Time is Brain

This study could change the current consensus on best practices when it comes to stroke treatment. When the findings were presented at the Society of Vascular and Interventional Neurology’s 10th Annual Meeting last week, they were met with a standing ovation from attendees.
It’s long since been thought that there is a six-hour treatment window for victims of stroke. This research suggests that thrombectomy can be effective beyond that timeframe, challenging what has become accepted as common knowledge in the medical community.
“When the irreversibly damaged brain area affected by the stroke is small, we see that clot removal can make a significant positive difference, even if performed outside the six-hour window,” said Tudor Jovin, who served as co-principal investigator on the study, in a press release.
Of course, this isn’t to say that time isn’t a factor at all. Jovin acknowledges that the adage of “time is brain” still stands when it comes to treatment, as it’s imperative that patients get to the emergency room as quickly as possible if they think they’re having a stroke.
The next step will be to test the procedure on a wider range of subjects, which will hopefully establish how best to carry out this treatment in a normal clinical setting. The first trial was intended to take on up to 500 patients but was cut short after 200 patients had been enrolled thanks to a scheduled interim review that deemed the clot removal process to be beneficial.