Stroke Treatments

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

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