Stroke treatment and preventive procedures

Providence St. Vincent Stroke Treatment and Preventive Procedures

Stroke treatments

Standard treatment for acute ischemic stroke is Intravenous Thrombolytic Therapy (IV alteplase), a clot busting drug that is given to patients whose stroke symptoms begin 4.5 hours or less from the time they arrive at the hospital. Endovascular treatment (removing the clot with a device) may be performed if patients are not able to get IV alteplase or if IV alteplase alone is not effective.

Ischemic Stroke Patients Treated with Intravenous Thrombolytic Therapy (IV alteplase) and Endovascular Treatment: Jul. 2018 – Jun. 2019

ivtpapsvmc_jun2019

**Source: Adeoye  O, Hornung R, Khatri P and Kleindorfer D.  Recombinant tissue-type plasminogen activator use for ischemic stroke in the United States: a doubling of treatment rates over the course of 5 years. Stroke. 2011, Jul; 42 (7): 1952-5.

The faster a clot can be removed from the brain, the more likely it is a patient will have better recovery from their stroke. National guidelines recommend eligible patients receive treatment within 60 minutes of arrival at the hospital.

Percent of Eligible Acute Ischemic Stroke Patients Treated with IV alteplase in less than 60 Minutes: Jul. 2018 – Jun. 2019

percentivtpapsvmc_jun2019

*Complications from IV-alteplase include: Symptomatic intracranial hemorrhage in less than 36 hours; life threatening, serious systematic hemorrhage in less than 36 hours.

Quality achievements

Providence St. Vincent Medical Center has received the Gold Plus Achievement Award from the American Heart Association and the American Stroke Association for 2019. In 2019, AHA/ASA recognized those hospitals who treated greater than 75% of stroke patients with IV alteplase in less than 60 minutes and at least 50% in less than 45 minutes, as Target Stroke Honor Roll Elite. In 2019, Providence St. Vincent received Target Stroke Honor Roll Elite Plus recognition.

goldplusachievementaward_2019

Preventive stroke procedures

Often strokes occur as the result of a blockage in one of the carotid arteries (two main arteries in the neck that supply blood to the brain).  In order to prevent a stroke caused by a blocked artery, patients may undergo a procedure to remove the blockage, either carotid artery stenting or carotid endarterectomy.

Number of Carotid Artery Stenting and Carotid Endarterectomy Procedures Performed and the Associated Complication Rate: Jun. 2018 – Jul. 2019

preventativestrokepsvmc_jun2019

*Complications include in-hospital stroke, myocardial infarction (MI), or death
**Established by the Joint Commission


Providence Portland Medical Center Stroke Treatment and Preventive Procedures

Stroke treatments

Standard treatment for acute ischemic stroke is Intravenous Thrombolytic Therapy (IV alteplase), a clot busting drug that is given to patients whose stroke symptoms begin 4.5 hours or less from the time they arrive at the hospital.   Endovascular treatment (removing the clot with a device) may be performed if patients are not able to get IV alteplase or if IV alteplase alone is not effective.  

Ischemic Stroke Patients Treated with Intravenous Thrombolytic Therapy (IV alteplase) and Endovascular Treatment: Jul. 2018 – Jun. 2019

ivtpappmc_jun2019

**Source: Adeoye  O, Hornung R, Khatri P and Kleindorfer D.  Recombinant tissue-type plasminogen activator use for ischemic stroke in the United States: a doubling of treatment rates over the course of 5 years. Stroke. 2011, Jul; 42 (7): 1952-5.

The faster a clot can be removed from the brain, the more likely it is a patient will have better recovery from their stroke. National guidelines recommend eligible patients receive treatment within 60 minutes of arrival at the hospital.

Percent of Eligible Acute Ischemic Stroke Patients Treated with IV alteplase in Less than 60 Minutes:
Jul. 2018 – Jun. 2019

percentivtpappmc_jun2019

*Complications from IV-alteplase include: Symptomatic intracranial hemorrhage in less than 36 hours; life threatening, serious systematic hemorrhage in less than 36 hours.

Quality achievements

Providence Portland Medical Center has received the Gold Plus Achievement Award from the American Heart Association and the American Stroke Association for 2019 and has received this award annually since 2010. In 2019, Providence Portland Medical Center received Target Stroke Honor Roll Elite Plus recognition, an AHA/ASA designation of hospitals who treated greater than 75% of stroke patients with IV alteplase in less than 60 minutes and at least 50% in less than 45 minutes.

goldplusachievementaward_2019

Preventive stroke procedures

Often strokes occur as the result of a blockage in one of the carotid arteries (two main arteries in the neck that supply blood to the brain). In order to prevent a stroke caused by a blocked artery, patients may undergo a procedure to remove the blockage, either carotid artery stenting or carotid endarterectomy.

Number of Carotid Artery Stenting and Carotid Endarterectomy Procedures Performed and the Associated Complication Rate: Jul. 2018 – Jun. 2019

preventativestrokeppmc_jun2019

*Complications include in-hospital stroke, myocardial infarction (MI), or death
** Established by the Joint Commission