What is Ischemic Stroke
Ischemic stroke, characterized by the obstruction of blood flow to the brain, demands swift and comprehensive intervention to minimize neurological damage and optimize outcomes. Acute ischemic stroke is caused by thrombotic or embolic occlusion of a cerebral artery and is more common than hemorrhagic stroke.Dr Santosh B. Patil, with his expertise in neurovascular interventions, offers a holistic approach to ischemic stroke management, encompassing a range of advanced techniques and specialized care protocols.
Symptoms of Ischemic Stroke
Consider stroke in any patient presenting with acute neurologic deficit or any alteration in level of consciousness. Common stroke signs and symptoms include the following:
- Vision problems, such as blindness in one eye or double vision
- Weakness or paralysis in your limbs, which may be on one or both sides, depending on the affected artery
- Dizziness and vertigo
- Confusion
- Loss of coordination
- Drooping of face on one side
We provide minimally invasive Endovascular procedure for Ischemic Stroke which reducing the risk of stroke.
Entire Spectrum of Acute Stroke Management
Dr Santosh Patil provides a multidisciplinary approach to acute stroke care, ensuring that patients receive timely and appropriate interventions at every stage of their treatment journey. This includes:ISCHEMIC STROKE MANAGEMENT
Intravenous Thrombolysis
IV thrombolysis substantially improves outcomes when provided within the first golden hour after stroke onset in patients treated in mobile stroke units, supporting the "time is brain" concept and encouraging the possible value of more widespread implementation of the mobile stroke unit approach.
Mechanical Thrombectomy
Mechanical thrombectomy is a ground breaking treatment for acute ischaemic stroke caused by occlusion of a large vessel. A minimally invasive and Endovascular procedure used to remove blood clots that are blocking blood vessels in the brain. It is a treatment option for ischemic stroke, which is the most common type of stroke and occurs when a blood clot forms in an artery that supplies blood to the brain.
Techniques
In mechanical thrombectomy, Dr. Patil employs a range of advanced endovascular techniques to effectively address obstructing blood clots within cerebral arteries. These techniques include:
- Catheterization: Dr. Patil navigates specialized catheters through the arterial system to reach the site of the clot. These catheters serve as conduits for delivering instruments and devices to the precise location of the occlusion.
- Guidewire Manipulation: Utilizing fluoroscopic guidance, Dr. Patil skillfully maneuvers guidewires through the intricate network of cerebral arteries, facilitating the passage of thrombectomy devices to the target area.
- Microcatheter Deployment: Microcatheters are meticulously positioned within the affected arteries, allowing for the delivery of thrombectomy devices with exceptional precision and control
Aspiration Technique in Mechanical Thrombectomy
Aspiration is a fundamental component of mechanical thrombectomy, enabling the extraction of obstructive blood clots from cerebral arteries. Dr. Patil employs the following aspects of the aspiration technique:
- Suction Force Application: Specialized aspiration catheters are utilized to create a suction force at the site of the clot, effectively entrapping the thrombus within the catheter tip.
- Thrombus Removal: By applying controlled suction, Dr. Patil gently aspirates the obstructing clot, gradually withdrawing it from the cerebral artery to restore unimpeded blood flow.
- Continuous Monitoring: Throughout the aspiration process, Dr. Patil diligently monitors the position of the catheter and the efficacy of thrombus removal to ensure optimal outcomes for the patient.
Stent Retriever in Mechanical Thrombectomy
In addition to aspiration techniques, Dr. Patil may utilize stent retrievers as part of mechanical thrombectomy procedures. Key aspects of stent retriever usage include:
- Deployment and Expansion: Stent retrievers are deployed within the occluded artery and expanded to engage the thrombus. This action allows for the entrapment and retrieval of the clot upon subsequent retraction of the stent.
- Thrombus Capture: The mesh-like structure of the stent retriever effectively captures and ensnares the obstructive clot, facilitating its removal from the cerebral artery.
- Revascularization: Through the combined actions of aspiration and stent retriever usage, Dr. Patil achieves rapid revascularization of the affected cerebral artery, minimizing ischemic damage and optimizing neurological outcomes.
Carotid Stenosis Management
Carotid stenosis, the narrowing of the carotid arteries supplying blood to the brain, represents a significant risk factor for ischemic stroke. Dr. Patil offers advanced interventions for the management of carotid stenosis, including carotid stenting, a minimally invasive procedure aimed at restoring adequate blood flow and reducing the risk of stroke.
Carotid Angioplasty & Stenting
Dr. Santosh Patil utilizes endovascular techniques to place a stent within the narrowed segment of the carotid artery, effectively expanding the lumen and improving blood flow to the brain. This procedure helps prevent future stroke events by reducing plaque burden and stabilizing vulnerable atherosclerotic lesions.
Carotid Artery Stenting
It is a minimally invasive treatment option for effectively managing carotid artery stenosis and preventing stroke. It is a non-surgical treatment in which catheters (thin hollow tubes) are used to place a stent (a metal mesh tube) in the affected artery to ensure the passage stays clear, thus restoring blood flowFrequently Asked Questions
Ischemic stroke occurs when a blood clot blocks a blood vessel in the brain, while hemorrhagic stroke occurs when a blood vessel ruptures, causing bleeding into the brain.