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Treating Acute Stroke

Harper University Hospital is one of the few hospitals in southeast Michigan with a team of vascular neurologists (stroke experts) available 24 hours a day, seven days a week. Using telemedicine technology, Harper stroke specialists can even see acute stroke patients in other locations. Telemedicine robots at Detroit Receiving Hospital, Sinai-Grace Hospital and Huron Valley-Sinai Hospital enable Harper stroke specialists to diagnose and treat patients at those locations 24 hours a day, seven days a week. That's important when treating acute stroke — every second counts.

The First 4 Hours

The neurologists of the Comprehensive Stroke Program are some of the most experienced in the state when it comes to acute stroke evaluation and TPA administration. TPA is a clot-busting medication that can be administered to a patient within 3 to 6 hours after a stroke. The medication can be administered using a traditional intravenous approach (within 3 hours of stroke onset) or it can be delivered directly to the clot site using an intra-arterial, catheter-based approach (up to 6 hours after stroke onset). Harper neurology team has had great success using both TPA techniques.

4 to 12 Hours

When a patient presents between 4 and 12 hours after acute stroke symptom onset, Harper stroke specialists now have a new treatment option. A newly FDA-approved embolectomy device gives vascular neurologists an effective, catheter-based method for retrieving and extracting stroke-causing blood clots quickly. This is an important breakthrough since TPA is generally not effective more than 4 hours after stroke onset.

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