What are the treatments for Stroke?
Treatment of a stroke depends on the type of brain attack afflicting the patient.
Ischemic Stroke Treatment
The only FDA-approved treatment for ischemic stroke is tissue plasminogen
activator (tPA) which is administered through an IV in the arm. tPA works
by dissolving the clot and improving blood flow to the brain. Patients
who receive tPA within 3 hours have a better chance of recovering from
a stroke. This 3-hour window is why it is so important to identify a stroke
and seek treatment immediately.
In some patients, an endovascular procedure performed by specially trained
doctors may be used to deliver tPA directly into the blood clot (called
intra-arterial treatment) to help dissolve the blockage. In other procedures,
the doctor may attempt to remove the clot. These treatments are performed
on a case-by-case basis depending on each unique patient.
Hemorrhagic Stroke Treatment
Endovascular procedures may also be used to treat certain hemorrhagic strokes
similar to the way the procedure is used for treating an ischemic stroke.
The procedure uses a catheter that is inserted through a major artery
in the leg or arm, and then guided to the aneurysm to prevent rupture.
For strokes caused by a bleed within the brain, surgical treatment may
be required to stop the bleeding. If the bleed is caused by a ruptured
aneurysm (swelling of the vessel that breaks), a metal clip may be placed
surgically at the base of the aneurysm to secure it.
Good Samaritan Hospital Comprehensive Stroke Center
Sample of Current Treatment Performance Metrics as of August 2017