Treatments and medicines roof cerebral vascular accident

Emergency treatment of stroke depends on whether a stroke is ischemic block an artery - the most common type - or hemorrhagic stroke involving bleeding in the brain.

 

Ischemic Stroke

For the treatment of ischemic stroke, doctors quickly to restore blood flow to the brain.

Emergency treatment with drug therapy with clot-dissolving drugs must begin within 4, 5 hours and as soon as possible. Rapid treatment is not only to improve their chances of survival, but also can reduce the complications of a stroke. may be caused:

Aspirin. Aspirin is the best treatment was demonstrated immediately after a stroke reduces ischemic stroke capability. In the emergency room, is likely to receive a dose of aspirin. The dose may be different, but if you have space for effective daily aspirin blood thinners, may want to make a note to the doctor know if you have aspirin.

The blood-thinning drugs such as warfarin (Coumadin), heparin and clopidogrel (Plavix) may also be used, but not normally used as aspirin for emergency treatment.

Intravenous plasminogen activator (TPA). Some people who have a stroke ischemia may benefit from tissue plasminogen activator injection (TPA), usually through a vein in the arm. TPA is a drug target clot-busting strong help some people who have a stroke recover more fully. However, intravenous TPA can only window 4, 5 hours of stroke occurs. TPA involve a number of risks that doctors will consider in assessing whether it is appropriate treatment. TPA can not be given to those who have a hemorrhagic stroke.

Emergency procedures. Doctors sometimes treat ischemic stroke with the procedure must be done as soon as possible.

TPA directly to the brain. Your doctor may put a catheter through the groin artery to the brain, and then release TPA directly into the area of stroke in progress. Window treatment time is slightly longer than intravenous TPA, but still limited.

Mechanical removal of blood clots. The doctor also may use a catheter to put a tiny device into the brain for substances and removal of blood clots.

Other procedures. To reduce the risk of having a stroke or TIA, your doctor may recommend procedures to open arteries that have been narrowed by plaque medium. Doctors sometimes recommend the procedure to prevent a stroke. Options may include:

Carotid endarterectomy In this procedure, the surgeon removes plaque from the carotid artery to prevent both sides of the neck e ến brain. The blocked artery is opened, the plaque was removed and the surgeon closed the arteries. The procedure can reduce the risk of ischemic stroke. However, in addition to the risks generally associated with any surgery, endarterectomy situation can cause a stroke or heart attack by releasing a blood clot or debris fat. The surgeon tries to reduce this risk by placing the filter (protective equipment away) at strategic points in the blood to "catch" any plaque can break during.

Angioplasty and stents. Angioplasty is a technique that can expand inside where government arterial plaque leading to the brain, usually the carotid artery. In this procedure, a balloon-tipped catheter is that the area artery blockage. The balloon is inflated, compressing the plaque against the artery wall. A metal mesh tube (stent) is usually left in the artery to prevent recurrent stenosis. Inserting a stent in the artery in the brain (intracranial Stenting) similar situation stent placed. Using a small incision in the groin, the doctor inserts the catheter through the artery and into the brain. Sometimes the use of angioplasty to widen the affected area first, in other cases, angioplasty is not used before placing the stent.

Treatment of hemorrhagic stroke emergency hemorrhagic stroke focuses on controlling bleeding and reduce pressure in the brain. Surgery can also be used to help control risk in the future.

Emergency measures. If warfarin (Coumadin) or antiplatelet drugs such as clopidogrel (Plavix) to prevent blood clots, which can be transmitted to drugs or blood products to combat their effects. It is also possible for drugs to lower blood pressure and prevent seizures, decreased response of brain blood flow (vasoconstriction). People with a hemorrhagic stroke may not be as aspirin and TPA because these drugs can worsen bleeding.

After stopping the bleeding in the brain, treatment usually involves bed rest and medical care while supporting the body to absorb the blood. Healing is similar to what happens when a bad bruise. If a large area of bleeding, surgery may be used in some cases to remove the blood and relieve pressure on the brain.

Vascular surgical repair. Surgery may be used to correct abnormal blood vessels associated with hemorrhagic stroke. Your doctor may recommend one of these procedures after a stroke or if you are at high risk of spontaneous aneurysm or arteriovenous malformation (AVM) rupture:

C lip aneurysm. Small clamp is placed at the base of the aneurysm, isolated arterial circulation which it is associated. This can keep the aneurysm rupture, or may prevent re-bleeding aneurysm that hemorrhaged recently. Clip will stay in place permanently.

Scroll artery embolization. This procedure provides alternative c lip for some aneurysms. The surgeon uses a catheter to a small coils into the aneurysm. The coil provides a platform where blood clots can form and close the aneurysm from the artery connected.

L OAI give AVM surgery. Not always can remove the AVM if it is too large or if it is located deep in the brain. Surgical removal of the AVM smaller part of the brain more accessible, though, can eliminate the risk of breakage, reduce the overall risk of hemorrhagic stroke.