Our 24/7, 365 days a year Neuro-Interventional team is dedicated for excellence in comprehensive, minimally-invasive surgical care of patients with stroke, brain aneurysms, and diseases in the head, neck and spine.
Procedures performed by Interventional Neurologists:
- Stroke Treatment - Mechanical Thrombectomy for stroke with emergent large vessel occlusion (ELVO)
- Cerebral Aneurysm Treatment - Endovascular coil embolization of ruptured or unruptured cerebral aneurysm
- Vasospasm after Subarachnoid Hemorrhage (SAH)
- Tissue Plasminogen Activator, a clot-busting medication (tPA)
Treatment using Angioplasty/Stenting Techniques:
- Extracranial (Carotid artery) Atherosclerosis
- Intracranial Atherosclerosis
Treatment using Glue or Coil Embolization/Obliteration Techniques:
- Refractory Posterior Nosebleeds • Head and Neck Tumors
- Carotid-Cavernous Fistula (CCF) • Spinal Vascular Malformations
- Brain Arteriovenous Malformation (AVM) • Traumatic Neck Vascular Lesions
- Dural Arteriovenous Fistula (DAVF)
Rapid, Advanced Care
CHI Health Stroke Centers are staffed 24-hours a day by emergency physicians and nurses and other personnel who are specially trained in stroke care and neurologists are always on-call. From the moment the patient enters the emergency room, the coordinated stroke care team performs assessment, imaging, lab and other diagnostics necessary to identify the type and location of the stroke.
Not all hospitals have the necessary staff, equipment and evidence-based procedures in place to diagnose and treat patients with stroke rapidly and efficiently. Our stroke care procedures were developed by a multidisciplinary team, led by physicians and are research-based. They are reviewed and updated annually upon the latest available evidence.
Once a diagnosis is made, a specially trained interventional neurologist may perform a mechanical thrombectomy, which is considered a big game-changer in stroke care. The neurologist threads a catheter through an artery in the patient’s groin to the blocked artery in the brain. A device at the end of the catheter attaches to the clot; the neurologist removes the trapped clot and blood flow to the brain resumes. Brain cells no longer are deprived of oxygen. The neurologist saves the patient from a debilitating – often deadly – "brain attack."
CHI Health’s Interventional Neurologist Vishal Jani, MBBS, is the first neurologist in the state to perform the important emergency procedure.
CHI Health Immanuel is certified as a Advanced Thrombectomy-Capable Stroke Center by The Joint Commission.
Other advanced therapies include Tissue Plasminogen Activator (tPA), a clot-busting medication. Early treatment with thrombolytic drugs such as tPA may significantly improve patient outcomes and limit the long-term effects of an ischemic stroke. Neurological, blood pressure, vital signs and visual checks are made at close intervals to monitor medication effects. Oxygen and oxygen monitoring also are started.
After Stroke Care
Following initial treatment, the patient is moved to the Cardiac Care Unit, where an interdisciplinary care team evaluates the patient daily to identify needs, concerns and goals. They are entered into an evidenced-based stroke care plan.
Preventing another stroke or complications from stroke are primary concerns. Blood thinning medications (anticoagulants) are given to prevent clots from forming (deep vein thrombosis). Swallowing difficulty (dysphasia) affects more than 70% of people who have had a stroke. A speech therapist evaluates the patient for problems with swallowing to decrease the chance of food, drink and oral medications from entering the windpipe (aspiration) and causing pneumonia. Bed and chair alarms are installed for patients at risk of falling.
CHI Health Immanuel Rehabilitation Center, offers a Stroke Rehabilitation Program that has earned accreditation from the Commission on Accreditation of Rehabilitation Facilities (CARF) for meeting the most rigorous guidelines for service and quality. Immanuel Rehabilitation Center offers advanced equipment in a healing environment designed specifically for patients and their families.