The Comprehensive Stroke Center at Regional Medical Center of San Jose


– These blood clots usually
are in a patient’s heart, and the patient has an
irregular heart beat, and this blood clot travels to the brain, and the patient comes in
with symptoms of stroke. My name is Dr. Arash Padidar. I’m a neuro-interventional radiologist at Regional Medical Center in San José. Basically I’m the plumber,
our job is to be fast, quick, and efficient to try
to get these blood clots out of the patient’s blood vessels so they don’t suffer a large stroke. We are the surgeons of the future. We use imaging such as
CT scans, X-rays, MRIs, to guide us to the right
place to get the job done. In a primary stroke center
these patients often get IV tPA, which is a clot busting agent,
or what I call liquid Drano. And what we do differently at
a comprehensive stroke center is that we can actually
travel catheters, and wires, and different devices
inside the blood vessels going from the leg, through the heart, all the way to the brain and
try to grab these blood clots. The blood clots that
usually could not be treated by IV tPA alone could
successfully be removed, and the patient can live a normal life. Technology has been changing, and at Regional Medical
Center we’ve been fortunate enough to have equipment that
we can even improve upon then. – We have a new imaging capability in our new interventional suite. I’m Patricia Littlejohn,
I’m the director for the Regional Medical Center neuroscience’s comprehensive stroke program. It’s called a biplane, but it also has the added
capability of doing CTs, so what we are working on our protocols to bypass the emergency room, work with the ED
physicians, the ED nurses, who maybe do a rapid assessment there and then take that patient straight into the neuro-interventional suite. – We have the ability
to bring the patients to the cath lab, bypass
the emergency room, and do all of the diagnostic imaging that we need to right here. This can save approximately 60 minutes. Furthermore, there has
been data that shows for every 20 minutes that you save, your outcome improves 20%. So you can understand what a
big breakthrough this has been. – It’s not just about saving lives. It’s about bringing hope to those families that they can go back to their communities and be productive parts
of those communities. – Seeing these patients the next day, after being in complete
coma, or paralyzed, and suddenly be able to speak
is a very gratifying thing, and I wouldn’t trade it for anything else.

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