Stroke care
Having a neurological disorder can be overwhelming. But you're not alone. We're here for you. Ascension Alexian Brothers takes a multispecialty approach to treating neurological conditions. This includes strokes, multiple sclerosis (MS), Alzheimer's disease, memory loss, movement disorders, epilepsy, chronic pain and learning disabilities.
Neuroscience specialists treat many types of brain and nervous system disorders. We listen to understand your health needs. Then we work with you to create a personalized care plan that's right for you.
Common conditions include, but are not limited to:
- Back pain
- Balance disorders
- Brain function problems
- Chronic pain
- Dementia including Alzheimer's
- Epilepsy and seizures
- Headaches and migraines
Thrombolytic Therapy
Thrombolytic therapy can be given to eligible patients when their stroke symptoms are discovered within 4.5 hours of their arrival to the Emergency Room. "Time is brain," so the faster the medication is given, the better the patient outcome.
| 2019 | 2020 | 2021 | 2022 | 2023 | 2024 | |
|---|---|---|---|---|---|---|
| Thrombolytic therapy given | 34 | 30 | 47 | 39 | 58 | 61 |
| Arrival within 60 mins. | 93% | 96% | 97% | 96% | 100% | 92% |
| Arrival within 45 mins. | 75% | 56% | 84% | 79% | 88% | 77% |
| Arrival within 30 mins. |
50% | 52% |
Endovascular Therapy
Endovascular therapy is now the standard of care for treatment of acute ischemic stroke due to large vessel occlusion. The goal of endovascular thrombectomy is to mechanically restore blood flow through a blocked vessel of a patient experiencing stroke symptoms.
| 2019 | 2020 | 2021 | 2022 | 2023 | 2024 | |
|---|---|---|---|---|---|---|
| Endovascular thrombectomy procedures | 49 | 61 | 118 | 87 | 111 | 82 |
| Successful recanalization | 79% | 77% | 90% | 89% | 92% | 94% |
| Symptomatic bleed | 4% | 5% | 5% | 7% | 5% | 9% |
Coil Embolization
Coil embolization is an endovascular treatment that helps prevent or treat bleeding of cerebral aneurysms. Complications for this treatment are consistently low.
| 2019 | 2020 | 2021 | 2022 | 2023 | 2024 | |
|---|---|---|---|---|---|---|
| Endovascular treatments of cerebral aneurysms | 51 | 61 | 49 | 66 | 56 | 57 |
| Neurological complications in patients with unruptured or ruptured (Hunt and Hess Grades 1–3) aneurysms with residual neurological symptoms at follow-up | 1 (2%) | 3 (5%) | 2 (4%) | 3 (5%) | 2 (4%) | 3 (5%) |
| Access site complications (femoral or radial artery) | 0 (0%) | 1 (2%) | 3 (6%) | 1 (2%) | 2 (4%) | 1 (2%) |
| 30-day mortality, all unruptured cerebral aneurysms undergoing endovascular treatment | 0 (0%) | 0 (0%) | 0 (0%) | 1 (2%) | 1 (2%) | 0 (0%) |
Cerebral Angiograms
Cerebral angiograms produce X-rays of the blood vessels in the brain to help doctors diagnose sources of problems, including bleeding or blockages. Complications related to these procedures are at or close to 0%.
| 2019 | 2020 | 2021 | 2022 | 2023 | 2024 | |
|---|---|---|---|---|---|---|
| Diagnostic cerebral angiogram procedures | 188 | 202 | 231 | 266 | 233 | 278 |
| Periprocedural stroke rate (temporary/minor symptoms) | 0% | <1% | 0% | <1% | 0% | 0% |
| Periprocedural stroke rate (permanent/major symptoms) | 0% | 0% | 0% | 0% | 0% | 0% |
| Death | 0% | 0% | 0% | 0% | 0% | 0% |
| Aggregate serious complication rate | 0% | <1% | 0% | <1% | 0% | 0% |