New technology to save stroke people

Doctors in Ho Chi Minh City applied Solumbra technology to take blood clots to cause cerebral infarction in 69 year old male patients.

The technique of taking thrombolytic collaboration between Solitair and Penumbra ACE (referred to as Solumbra) has been internationally recognized and put into application since the end of 2017. Doctor Gia An Hospital 115, Ho Chi Minh City, has just applied this technique. Treating a male stroke patient.

He was admitted to the hospital on the afternoon of August 14 in a drowsy state, unable to speak, has nerve on the right 7 and weak on the right half. The doctor said that this is a case of acute ischemic stroke that does not specify the time of onset, the prognosis is likely to be high disability, or even death if not treated promptly in the golden hour.

Doctors kicked off emergency brain vascular intervention. The patient was assigned MRI cerebral perfusion and RAPID software was used to assess the degree of cerebral ischemia. As a result, patients can also intervene to take blood clots.

The doctor inserts the device into the cerebral vein to get a thrombosis.(Photo provided by the hospital).

Dr. Nguyen Huu Hau, Head of the Imaging Department with Dr. Tran Thi Mai Uyen, Head of the Department of Stroke Neurology, Dr. Vo Ngoc Thanh Truc, Department of Anesthesia, . consult and refer patients Interventional room for digitized brain angiography to remove DSA background. Patients who have completely blocked the middle brain artery, need to remove blood clots from the lumen, help re-circulate blood flow to the brain.

Doctors put Solitair and Penumbra ACE mechanical devices into the cerebral artery, collecting a 4 mm thrombus that causes embolism. For more than 30 minutes, the doctor completely removes the blood clots that block the brain arteries, helping them to revive blood vessels. After the intervention, the perception of the patient progresses well, is eaten by mouth, sits with both hands moving and begins to talk. On August 19, the patient completely recovered from movement and language.

This new technique complements the limitations of venous fibrinolysis, often used in patients with large cerebral artery occlusion, requiring a time between the onset of symptoms of cerebral infarction and the conclusion of treatment. thrombosis within 8 hours.

DSA image of cerebral vessels before (left) and after intervention.(Photo provided by the hospital).

Doctor Hau recommends patients with early signs of stroke such as distortion of the face, misaligned mouth, dislocated eyes, one hand weakness, difficulty moving, may speak a little hard, cannot speak, do not understand words, immediately The family must immediately call the emergency room and transfer the patient to a medical facility or a large hospital with a stroke intervention unit as soon as possible.

It is important to determine the time a patient begins to have a stroke , which greatly affects the decision made by the doctor. At each time frame will be handled by different methods to ensure the highest efficiency. Patients with stroke due to arterial occlusion and hospitalized late, the brain is considered dead from blood circulation, if intervention is no longer effective.