Schedule an initial consultation at one of these locations:

Utah Vascular Clinic

801.281.0027

650 East 4500 South, Suite 100
Salt Lake City, UT 84107

Ogden Regional Medical Center

801.479.2450

5475 South 500 East
Washington Terrace, UT 84405

Services

Vascular

Acute Stroke Intervention

What is an acute stroke?

There are two main types of strokes. The first type, known as a hemorrhagic stroke, happens when an artery in the brain bleeds. The second and most common type of stroke, known as ischemic stroke, occurs when a blood clot blocks an artery that carries blood to the brain. Deprived of oxygen, brain cells quickly begin to die and lose function.

What are the symptoms of a stroke?

  • Sudden numbness or weakness of the face, arms or leg – especially on one side of the body
  • Sudden confusion or trouble speaking or understanding speech
  • Sudden trouble seeing in one or both eyes
  • Sudden trouble walking, dizziness, or loss of balance or coordination

What should I do if someone might be having a stroke?

Certified stroke centers have treatments that can reduce the severity of a stroke, but only if treatment is started as soon as possible. The EMS system should be activated by calling 911 to get the stroke victim to a hospital as soon as possible. A common saying in stroke centers is that "time is brain".

What kinds of treatments are there for ischemic stroke?

Acute stroke treatments are designed to rapidly restore blood flow to the brain, interrupting the stroke and rescuing at-risk brain tissue.

Intravenous (IV) tissue plasminogen activator (tPA) is a "clot busting" medication that can dissolve clots that are causing a stroke. There is a very narrow window of time that tPA can be given after the onset of symptoms. After 4.5 hours from symptom onset, IV tPA is no longer a treatment option.

For large clots, or for some stokes beyond 4.5 hours, intra-arterial (IA) interventions can be used. A physician specially trained in image-guided interventions guides a catheter under x-ray guidance from an artery in the groin up into the clotted artery in the brain. A clot-retrieval device is used to remove the clot from the artery, sometimes together with injection of a small amount of tPA (IA tPA). Multiple studies have shown that IA interventions can significantly improve outcomes for selected patients with acute stroke.


Refer to these websites for more information:

Clot in cerebral artery (arrows)


Clot removed

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Do you know the signs & symptoms?

Deep Vein Thrombosis

Deep Vein Thrombosis (DVT) occurs when a blood clot forms in one of the deep veins of your body, usually in your legs, but sometimes in your arm.

  • Swelling, usually in one leg
    (or arm)
  • Leg pain or tenderness often described as a cramp or
    Charley horse
  • Reddish or bluish skin discoloration
  • Leg (or arm) warm to touch

Pulmonary Embolism

Clots can break off from a DVT and travel to the lung, causing a pulmonary embolism (PE), which can be fatal.

  • Sudden shortness of breath
  • Chest pain-sharp, stabbing; may get worse with deep breath
  • Rapid heart rate
  • Unexplained cough, sometimes with bloody mucus