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Anthony Hospital, January – December, 2016: 23%National Average (estimated): 3-8%
Nationally, only 3 to 8% of patients with ischemic stroke receive the
clot busting drug called Alteplase, also known as tPA. At the St. Anthony
Comprehensive Stroke Center, it is our goal to give this medication to all
eligible patients in a timely yet safe manner. St. Anthony Hospital
treated approximately 23% of ischemic stroke patients with this potentially life-saving
The American Stroke Association launched a
quality improvement campaign called Target Stroke in order to encourage more
timely emergency treatment of acute ischemic stroke. Alteplase (tPA) is
given to patients shortly after stroke symptoms have started. Eligible patients
can be treated with Alteplase (tPA) if they are seen within 4.5 hours after the
onset of a stroke. Studies have shown
that Alteplase reduces the risk of death and disability.
Anthony Hospital, January – December, 2016: 0%National Average (estimated: 6%
St. Anthony Hospital has very experienced surgeons performing these
procedures and during the past year, there have not been any strokes or deaths
related to these surgeries.
carotid arteries are located in the neck and bring oxygenated blood to the
brain. These arteries may become narrowed by a build-up of cholesterol
and calcium, called plaque. Narrowing of the vessel can either lead to
decreased flow of blood to the brain, or pieces of plaque may break off and
travel to the brain, cutting off blood flow and causing a stroke. Doctors may
recommend surgery to open the artery, called a Carotid Endarterectomy, or placement
of a wire mesh, called a stent, inside the artery. These procedures open
the carotid artery to restore normal blood flow to the brain. Our
rate of complications for the past year was 0%, which is lower than the
national benchmark of 6%.
Anthony Hospital, January – December, 2016: 0%National Average (estimated): 8.35%
St. Anthony Hospital
has an excellent track record for both coiling and clipping aneurysms.
The data presented is regarding endovascular coiling of an aneurysm.
There have been no strokes or deaths in patients with unruptured aneurysms who
underwent endovascular coiling of their cerebral aneurysm at St. Anthony
A cerebral aneurysm is a weak spot in the wall
of an artery that bulges outward and fills with blood. This is potentially
dangerous as the bulge can burst, or rupture, causing bleeding into and around
the brain. This is called an aneurysmal subarachnoid hemorrhage and is a
very dangerous type of hemorrhagic, or bleeding, stroke. Fortunately,
most aneurysms do not rupture.
Whether ruptured or
unruptured, there are two procedures commonly used to either clamp off or place
coils inside of the aneurysm to clot it off. Surgical clipping involves
placing a small metal clip across the base of the aneurysm to block it off from
the artery. During endovascular coiling, a catheter is threaded up to the
brain and a tiny wire coil is placed into the aneurysm. Blood will clot
around the coils which prevents blood from flowing into the weakened area of
the artery. Blood is still able to flow past the clipped or coiled aneurysm in
the normal part of the artery.
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