Dr. Seemant Chaturvedi, M.D.
Director, DMC Comprehensive Stroke Center
DMC Detroit Receiving Hospital (DRH)
(part 2 of a 3-part series)
Last week Dr. Chaturvedi spoke of the Merci Clot Retriever, the amazing technology and the only specialists in the state who can perform the procedure that stops a stroke cold and prevents the disabling deficits normally associated with a stroke. This week, he’ll describe the program and why it is able to deliver this level of care.
"Skilled Specialists for Stroke Patients"
The stroke program at DMC Detroit Receiving is the only one in the state and the region with interventional neurologists. These are specialists who are fellowship trained in stroke medicine, and who have the skill to thread a tiny catheter, equipped with a safety umbrella, through the delicate, intricate pathways of the brain to immediately stop a stroke and prevent the disabling side effects normally associated with it.
Two of these interventional neurologists, Dr. Andrew Xavier and Dr. Sandra Narayanan, have given people back the best years of their retirement with the use of tPA, the Merci Clot Retriever, and yet another technology, the Penumbra, which attaches to a clot and removes it as the catheter is retrieved. These expert skills are in high demand in the emergency room at Detroit Receiving, which sees more than 101,000 patients a year.
Detroit Receiving also has four stroke dedicated, fellowship trained neurologists on staff just for the stroke program. Our program also offers two neurocritical care specialists who staff a highly specialized intensive care unit just for stroke patients. This dedicated ICU is only found at advanced specialty care hospitals, and Detroit Receiving is the only hospital in the region to have one.
Dr. William Coplin, the head of the neurology service at Detroit Receiving, has recruited this team to provide state-of-the-art care for stroke.
Detroit Receiving neurologists also provide telemedicine guidance for emergency physicians at sister DMC hospitals Sinai-Grace and Huron Valley-Sinai Hospital, enabling them to stabilize the patient before sending them via ambulance for treatment.
Two advanced neurosurgeons who are part of the team, Dr. Murali Guthikonda and Dr. Mark Hornyak, step in when there is an aneurysm, or hemorrhaging in the brain. Patients suffering from this are the most at risk, and they particularly benefit from being seen in a dedicated neurological intensive care unit. 20% of brain hemorrhages are due to brain aneurysms, and sometimes there is a coiling of the aneurysm that requires even greater skill to treat. The outcomes at Detroit Receiving show that having highly skilled specialists on staff 24/7 make a difference for our patients.
with slightly longer delays.
Next week: The importance of acting quickly when stroke symptoms are present.
For more information or to consult with a Detroit Receiving neurologist, call (313) 745-1540.
For more information on stroke prevention and general health information, please visit our DMC Health Library page at http://www.dmc.org/healthlibrary.
Dr. Seemant Chaturvedi is Professor of Neurology at Wayne State University School of Medicine and Director of the Wayne State/Detroit Medical Center Comprehensive Stroke Program. He received his undergraduate degree from Princeton University, completed medical school at the University of Connecticut, a neurology residency at the University of Massachusetts Medical Center, and a stroke fellowship at the University of Western Ontario.
Dr. Chaturvedi has co-edited the books Transient Ischemic Attacks in 2004 and Carotid Artery Stenosis: Current and Emerging Treatments in 2005. He was chairman of the American Academy of Neurology carotid endarterectomy guidelines committee, with the guidelines published in 2005. He is currently on the steering committee of several stroke prevention studies. His research interests include carotid revascularization, intracranial atherosclerosis, and stroke in young adults.