New Treatment Improves the Prognosis for Victims of Severe Strokes

New Treatment Improves the Prognosis for Victims of Severe Strokes

A study published in the New England Journal of Medicine shows that the time limit for removing blood clots from the brain to help save lives and reduce the risk of disability can be as much as 16 hours after the start of stroke symptoms rather than six hours, which was previously the limit.

The study included 182 patients in 38 hospitals located in the United States. The researchers actually stopped the study early because they found that the patients who had the clots removed were fairing far better than those who did not have a clot removal. The findings in the study will not apply to all stroke victims, however. The researchers in the study utilized a special type of brain imaging to determine which patients would qualify for the treatment. They found that close to half the patients would qualify for the thrombectomy.

Ninety days after the treatment was completed, 45% of the patients in the study were considered to be functionally independent. Only 17% of the patients who did not have the procedure were considered functionally independent. The rate of death was 14% for those who underwent the thrombectomy, while it was 26% for those who did not receive the treatment.

 

Dr. Steven Lipsky

Steven J. Lipsky MD, FACEP has been a Board Certified Emergency Physician in Arizona for the last 41 years, and a resident of the Town of Paradise Valley for the last 40 years. He received his Doctor of Medicine degree from New York University School of Medicine and did post-graduate training in Family Practice at St. Joseph’s Hospital and Medical Center in Phoenix before going into the full-time practice of Emergency Medicine in 1975. Dr. Lipsky has worked in every type of Emergency Department in Arizona – from inner city and rural, small volume and large, public and private hospitals, teaching and nonteaching hospitals. He has taught at the Midwestern University Arizona College of Osteopathic Medicine – Division of Clinical Education, as well as in Kirksville College of Osteopathic Medicine Arizona. He has received the highest number of patient satisfaction letters in his group at multiple facilities and has been recognized at Paradise Valley Hospital for his outstanding performance. A past president of the Arizona College of Emergency Physicians (representing over 800 Emergency Physicians in our state) along with many other positions in the organization, Dr. Lipsky was also one of six Councillors representing Arizona to the National Council of the American College of Emergency Physicians. Dr. Lipsky built, owned, and was the Medical Director for the first 24hr free-standing Emergicenter and Advanced Life Support Ambulance Service in Jamaica. In conjunction with USAID, Cornell Medical Center’s School of Public Health, the Ministry of Health and Environmental Control of Jamaica, and the U.S. Peace Corps, he participated in a successful program to stem infant mortality in rural areas.

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