The Stroke Center

According to the latest data, in every 2 seconds, one person in the world experiences a stroke, and a person dies in every 5 seconds because of this pathology.

Stroke - acute disruption of blood flow in the brain, the most common cause of disability, the second most common cause of death.

Immediate help is very important during the stroke.

Today, patients suffering from stroke around the world are taken to the stroke centers!

The center has a unique ability. It is equipped with modern machines, staffed by experienced, professional neurosurgeons and neurologists.

The Stroke Center offers you the modern approaches to the treatment of the stroke, which are implemented in the best clinics of America and Europe.

New biplane angiograph Trinias B12 laid the foundation of the Stroke Center development. This equipment is the only one in the region and allows us to do unique operations. It is the latest technology that was sold outside Japan for the first time. Angiograph perfectly meets the requirements of endovascular neurosurgery. The advantage of this machine is a biplane feature, which is essential to achieve high resolution.

The treatment of the ischemic stroke at our clinic involves the following steps:

  • Management and triage of patients in the acute state;
  • Restoring the circulation and stopping the pathologic processes- systemic intravenous thrombolysis, endovascular thrombectomy (with angiograph);
  • The surgical treatment of the bleeding in the brain, aneurysm, arterio-venous malformation, stenosis of the carotid and vertebral arteries using open and endovascular (with angiograph) approach;
  • Early neurorehabilitation;
  • Secondary prevention;

 

Once the patient is admitted to the stroke center, the team of professionals determines the type and genesis of stroke. For the treatment of ischemic stroke, according to the modern guidelines, systemic intravenous thrombolysis or endovascular thrombectomy is performed. The method is chosen individually according to the condition of the patient and the indication.

Thrombolysis

Thrombolysis is the breakdown of thrombus. This kind of therapy is aimed at restoring blood flow in the damaged area of the brain using the recanalization method, which restores the blood flow to the brain, as a result of which the existing symptoms of a stroke completely or partially disappear. A tissue plasminogen activator called Activase (alteplase) is used, which can break down the thrombus during the first 4,5 hours after stroke, after that time it loses the effect, so for the patient it is essential to reach the stroke center as soon as possible, the sooner thrombolysis begins, the better the chance for a good outcome

Thrombectomy

Endovascular thrombectomy is a minimally invasive intervention. From the femoral artery, the doctors remove the thrombus from the carotid arteries, which occludes the specific vessel. After that the blood flow completely restores.

From the thoracic artery to the thrombosis of the carotid basin, the particular blood vessel is blocked. The blood circulation will then be fully restored, this method is successful within the first 24 hours after the stroke, but a golden period is 6-8 hours. The procedure is carried out by the biplane angiograph SHIMADZU - Trinias B12, using the Penumbra system, which is accepted worldwide.

If the patient develops these symptoms acutely:

  • Facial asymmetry;
  • Difficulty speaking or blurred vision;
  • A weakness of the hand/foot;

Immediately transfer the patient to the stroke center, where the modern methods are used in the treatment, which preserves life and working efficiency.

Thanks to the Stroke Center of the National Center of Surgery, many patients recovered and returned to the usual rhythm of life, many were discharged from the clinic without a neurologic deficit.

 

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