Stroke

Cardiovascular departments are playing a role in stroke interventions at numerous health systems, working as part of the stroke care team with neurologists, radiology and the emergency department. Stroke first has be be classified as ischemic or hemorrhagic. These have very different care pathways. Ischemic strokes are increasingly being treated with neurological-interventional therapy that includes catheter based mechanical thrombectomy to remove the clot. This is a more aggressive treatment compared to traditional IV administration of tissue plasminogen activator (tPA) thrombolytic therapy to dissolve the clot. Subarachnoid hemorrhage (SAH) and  intracerebral hemorrhage (ICH) brain bleeds can also be treated in some cases stent flow diverters and embolization coils. 

New bleeding stroke guidelines highlight several common treatments that may be ineffective

The updated document, developed by the American Heart Association and American Stroke Association, also emphasizes the potential benefits of caregiver training and MR imaging. 

May 17, 2022
Ischemic stroke CT imaging. Images courtesy of RSNA

Stroke care still lags among certain Medicare populations

Despite increases of 250% for CTA and 428% for CTP, researchers observed lower rates of neuroimaging utilization among rural residents, older individuals (80 years and above), women and Black patients.

April 27, 2022
Ischemic stroke CT scan showing color coded blood flow for early and later arterial and venous contrast phases and areas of blocked blood flow. Image courtesy of RSNA

Disparities evident as CT stroke imaging rises sharply over 7-year period

Utilization of head CT perfusion (CTP) for imaging stroke patients spiked 428% between 2012 and 2019. Curiously, the uptrend was associated with higher mortality up to a year after discharge.

April 25, 2022
Stroke - head with text

FDA warns providers about potential misuse of imaging-based software for stroke triage

Physicians may not be aware of such devices' intended use, with potential for misdiagnosis resulting in patient injury or death, the agency announced. 

April 12, 2022

Automated CT scoring system accurately predicts prognosis in stroke patients

The study used non-contrast CT and CT perfusion imaging to analyze agreement between an automated reader and human radiologists with differing experience levels.

February 18, 2022
The new analysis, based on data from 1.6 million patients, found that a medical marijuana prescription for chronic pain may increase a person's overall arrhythmia risk. Medical marijuana

Risk of recurrent stroke 48% higher among young marijuana users

Marijuana use can be especially harmful to young adults with a history of stroke or TIA, researchers explained. 

February 11, 2022
American Heart Association and Joint Commission launch new Comprehensive Heart Attack Center certification.

Most Americans live within an hour of a stroke center

While 96% of the population is located within 60 minutes of an ED with any acute stroke expertise, many smaller, critical access hospitals in rural regions still are without these lifesaving services.

February 10, 2022
Stroke - head with text

Stroke thrombectomy outcomes similar between radiologists, fellowship-trained neurointerventionalists

Increased volume has led to stress among endovascular stroke physicians, with some hospitals relying on interventional rads to relieve the strain. 

February 10, 2022