How does neurosurgery help in Stroke?

The improvements in medicine and surgery have acted as a breakthrough in helping a patient who is suffering from a stroke. The methodology of surgical procedures has been met with scientific advancements and technological progressions to offer life-saving treatments against the problem of stroke. The use of small incisions is more or less followed in all such surgical procedures which ensure less scarring and faster healing.

Primarily, the neurointerventional procedures used for emergency surgical stroke treatment are providing successful outcomes. Explaining the benefits, an expert from a widely consulted neurosurgery hospital in Delhi states that with proven advantages of other medical treatments of stroke, neurointerventional procedures is more focused on target with even a small dosage of required drugs, it is also helpful even after three hour window of critical time to save the life of the patient has passed. During an emergency surgical stroke treatment, the doctors make sure that the microcatheter which is inserted via a small incision at the groin, it reaches to the brain at the exact site where the blood vessels have been obstructed. For quick and smooth reach of the site of obstruction in the brain, the microcatheter to be used in the process is attached with a microguidewire. The reach of thrombolytic medication is therefore provided intraarterially and use of plasminogen activator (tPA) is prominent for this.

Clot retrieval devices are being used through different practices to remove the clot from blood vessels in the brain which led to the stroke in the first place. The Western introduction of the Merci Retriever is efficient in its propose of removing the blood clot through its corkscrew shape. Similarly, the aspiration principle is used in a microcatheter-based system device, which is technically termed as Penumbra. Stentriever devices are soon becoming the favourite recommendations of neurology treatment specialist, for the smart use of aspiration or withdrawal principle, as the suitability of the patient and type of obstruction in the arteries of the brain.

 Carotid Angioplasty and Stenting is a modern alternative and another type of neurointerventional procedure, especially for patients whose eligibility is a concern for other forms of complex surgeries. It is performed through making a small incision on the groin which acts as the opening for inserting a stent which increases the blood flow by the plaques. Prior insertion angioplasty is performed in the process. A highly credited and qualified expert from best neurology hospital in Dwarka adds in that even though there is a risk of complications but with more surgical advancements into action, the success rates are increasing.

Carotid Endarterectomy Surgery is an alternative to Carotid Angioplasty and Stenting. Unlike the latter procedure, in carotid endarterectomy surgery, an incision is made on the neck through which a dissecting medical instrument is inserted to remove the plaque. A surgeon from one of the best neurosurgery with years of quality experience states that the removal of plaque re-establishes the normal flow of blood. The risk of complications in this case of certainly higher than that of carotid also and stenting. Reblockage of the carotid artery, the condition of stroke, temporary nerve damage are some complications which are attached with a carotid endarterectomy surgery.

If the problem is specifically a hemorrhagic stroke, then neurosurgeons ensure that the course of treatment is focused upon stopping the bleeding as soon as possible. For this, relieving the patient from the intracranial pressure is the primary concern. For such treatments, high precision and on-hand surgical experience should be the field of expertise of the concerned neurosurgeon.

In toto, efficient time management and on point accuracy as pointed out by the best neurosurgeons in India, are the key factors in saving the life of the patient who is suffering from a stroke. Venkateshwar Hospital, All the treatments which are available for treating a patient in such extreme cases have to be performed with not only professional expertise but also manual deftness. Any sort of disarray in the process of treatment can become a major complication and in the adverse cases, it can turn out to be a life-threatening situation. 

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Created on Jan 19th 2019 01:26. Viewed 400 times.

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