Programa Neurovascular

Stroke Services

Código de derrame cerebral

When a stroke occurs, it is a medical emergency where minutes matter. En el Renown Regional, un equipo de código de derrame cerebral responde las 24 horas del día, los 365 días al año. During a Code Stroke, a series of evaluations and stroke treatment occur, including: 

• Activation of the Stroke team by first responders before hospital arrival.
• Immediate assessment on hospital arrival by a stroke neurologist. 
• Expedited advanced neuroimaging to determine if brain tissue can be saved.
• Initiation of acute stroke treatment within tens of minutes of patient arrival. This can include the administration of a clot-busting medication (thrombolytics) and/or the surgical removal of the blood clot by neurointerventional surgery (surgery completed via blood vessels).

Atención de derrames cerebrales aguda

Stroke survivors require additional treatment and rehabilitative therapies to prevent future strokes. The Renown Neurovascular and Stroke Program offers many different treatments to minimize reoccurrence and optimize chances for functional recovery.
Ask your primary care provider for a referral, or call 775-982-8001 for more information.  

These programs include:

• Diagnostics tools including MRI, CT angiography, catheter angiography, echocardiography, and long-term cardiac monitoring.
• Los tratamientos quirúrgicos incluyen: colocación de endoprótesis en la arteria carótida, angioplastia percutánea intracraneal, endoprótesis intracraneal, endarterectomía carotídea.
• Consultas de fisioterapia, terapia ocupacional, terapia del habla y del lenguaje y fisiatría.
• Comprehensive evaluation by a Stroke specialist to initiate medications to prevent future strokes.

Stroke Performance Metrics and Outcomes

“Time is brain” and timely treatment of a stroke is critical for excellent patient outcomes.  When compared to other Comprehensive Stroke Centers in the U.S., Renown has consistently exceeded national averages for timely administration of thrombolytics (within 60 minutes of hospital arrival). 

*National average data obtained from Get With The Guidelines stroke registry 

In addition, we also exceed other Comprehensive Stroke Centers in timeliness to remove blood clots with a thrombectomy procedure.  
*National average data obtained from Get With The Guidelines stroke registry 

Not only do our stroke patients receive the right care and in a timely manner, they also consistently demonstrate better outcomes when compared to national averages. The CDC’s latest report from 2019 revealed a national average of 45% of Ischemic Stroke survivors that were discharged home from the hospital without requiring skilled care through rehab, nursing facility, or home health. At Renown, our patients consistently exceed this national average.  

Fuente: https://www.cdc.gov/nchs/data/nhsr/nhsr132-508.pdf

Additional Neurovascular Care 

In addition to the care provided to stroke patients, Renown Neurovascular and Stroke Program provides care to patients with other neurovascular diseases:

• Aneurysm coiling: An aneurysm is a weakening in the blood vessel wall. Los cirujanos de neurointervención de Renown colocan espirales o stents para fortalecer nuevamente la pared de los vasos sanguíneos y prevenir sangrados cerebrales futuros. 
• Lesión cerebral traumática: Renown Medical Center es un centro de urgencias de Nivel 2 con experiencia neuroquirúrgica disponible las 24 horas del día para tratar de manera quirúrgica las hemorragias cerebrales relacionadas con traumatismos.
• Derrame cerebral hemorrágico: estos derrames cerebrales son consecuencia de un sangrado cerebral, y los pacientes pueden sufrir complicaciones potencialmente fatales relacionadas con la inflamación cerebral. El tratamiento es mediante neurocirugía.
• Malformaciones vasculares: algunos derrames cerebrales hemorrágicos son resultado de una anomalía subyacente en los vasos sanguíneos. Algunos ejemplos son malformaciones arteriovenosas o fístulas arteriovenosas durales. Treatments for vascular malformations require a multidisciplinary approach of Neurology, Neurosurgery, and Neurointerventional Surgery available at Renown Regional Medical Center.