Thursday, July 12, 2018

Emergency treatment for a massive stroke | Stroke 2018 @ Vienna

Ischemic stroke

Guidelines regarding treatment of stroke were updated by the American Heart Association (AHA) and American Stroke Association (ASA) in 2018.
If you arrive in the emergency room for treatment 4 1/2 hours after symptoms begin, emergency care for an ischemic stroke can involve dissolving the clot. The clot-busting drugs known as thrombolytics are often used for this purpose. Doctors often give aspirin (Bayer) in emergency settings to prevent any additional blood clots from forming as well.
Before you can get this kind of treatment, your healthcare team must confirm that the stroke isn’t hemorrhagic. Blood thinners can make a hemorrhagic stroke worse. This can even lead to death.
Additional treatments can include a procedure to pull out the clot from the affected artery using small catheters. This procedure can be performed 24 hours after symptoms begin. It’s known as a mechanical clot removal or mechanical thrombectomy.
When the stroke is massive and involves a large part of the brain, surgery to relieve pressure buildup in the brain may also be necessary.

Hemorrhagic stroke

If you’re having a hemorrhagic stroke, emergency caregivers may give you medications to lower your blood pressure and slow the bleeding. If you’ve been using blood thinners, they may give you drugs to counteract them. These medications worsen bleeding.
If you have a hemorrhagic stroke, you may need emergency surgery depending on the severity of the bleeding. They’ll do this to repair the broken blood vessel and to remove excess blood that may be putting pressure on the brain.
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