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Angiographic Interventions 

The game-changer in the management of stroke

News Desk, News Nation 360 : Stroke is considered as a global epidemic and is the third most common cause of death around the world after Cardiac diseases and Cancer. It is to be noted that every year almost twenty million people suffer from stroke and of these five million patients die every year. October 29th is observed as the World Stroke Day in order to raise awareness about different types of strokes and also its prevention and treatment. World stroke day is observed every year in order to treat, educate and prevent stroke. As per the report, from the Indian Council for Medical Research, one person suffers a stroke every three seconds and death is reported every three minutes in India. In the past two decades, stroke management has changed in most of the developed countries. For instance, hospitals nowadays are applying the latest techniques and also surgical and interventional procedures such as mechanical thrombectomy, angioplasty and Carotid Stenting. Data suggests that forty-one percents of death in India are results of a stroke. Stroke units are unfortunately not available in many hospitals today. Stroke survivors require intensive rehabilitation and physiotherapy to recover their loss muscles and nerves. However, the signs of stroke are BEFAST- Balance, Eye or visual problems, Facial weakness, Arm or Leg weakness, Speech disturbances- if any of these present its TIME to rush the patient to the hospital. Dr Kaushik Sundar, Stroke and Interventional Neurologist at R N Tagore Hospital told,  India has always had a high incidence of stroke patients every year. However, stroke in young adults has increased significantly in recent years, possibly due to changing lifestyles. The lifetime risk of stroke after 55 years of age is 1 in 5 for women and 1 in 6 for men. Every forty seconds, one person in India develops Stroke and every four minutes, one person dies due to a stroke in India. At R. N Tagore Hospital, in the last one year for every 3 Neurology admissions, we had one stroke patient. There was one case, Mrs G, a 68-year-old lady with known cardiac ailments, admitted at R.N Tagore hospital with sudden onset of speech difficulty and inability to move a right upper limb and lower limbs. Patient’s relatives immediately understood that the symptoms were of stroke and brought her to the hospital. The patient was taken up for brain imaging which revealed occlusion of a large blood vessel in the brain. She was immediately taken to the Cath lab and angiography was done. The clot was removed by a technique called ASPIRATION THROMBECTOMY. The patient is now recovering well, communicating well and having her food by herself. Dr Haseeb Hassan, Consultant Neurologist & Epilepsy Specialist.R N Tagore Hospital told, the most important thing in stroke management that is probably bringing a paradigm shift in interventional procedures. Patients with large strokes, if they present to the hospital in time, can be taken up for angiography (just like in heart attack) and the clot can be removed. This is changing the face of stroke treatment world over and one in every three patient recovers completely with this treatment. The keyword here is TIME. The patient has to reach the hospital on time so that the best possible treatment can be offered to him. On this World’s Stroke Day, we emphasize the importance of time in patients with stroke. TIME LOST IS BRAIN LOST.

Report : Anustup Kundu