Intra Arterial Thrombolysis for Ischemic Stroke Treatment in Turkey
About Intra Arterial Thrombolysis for Ischemic Stroke
Key Highlights
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Targeted Treatment: Delivers clot-dissolving medication directly to the site of the blockage in the brain.Extended Time Window: Can be performed in select patients beyond the standard window for intravenous thrombolysis.High Recanalization Rates: Often achieves higher rates of successful blood vessel reopening compared to IV drugs alone.listrongMinimally Invasive:/strong Performed through a small puncture in the groin, avoiding open brain surgery./lilistrongPotential for Improved Outcomes:/strong Aims to limit stroke severity and reduce long-term disability when successful./li/ul
Who is this surgery for?
- Acute ischemic stroke caused by a large vessel occlusion (e.g., in the middle cerebral artery or internal carotid artery).
- Patients who present within a specific time window (typically up to 6-24 hours from symptom onset, depending on advanced imaging criteria).
- Contraindication to standard intravenous (IV) tissue plasminogen activator (tPA), such as recent surgery, bleeding disorder, or use of anticoagulants.
- Failure of IV tPA to resolve the clot (a 'bridging therapy' approach).
- Stroke severity as measured by clinical scales like the NIH Stroke Scale.
How to prepare
- Emergency Assessment: Rapid neurological exam, imaging (CT scan, CT angiography, or MRI) to confirm ischemic stroke and locate the clot.
- Lab Tests: Immediate blood tests to check clotting function, kidney function, and blood counts.
- Patient Consent: Discussion of urgent risks and benefits with the patient or family due to the time-critical nature.
- IV Access & Monitoring: Establishment of intravenous lines, blood pressure monitoring, and preparation for anesthesia.
- Medication Review: Quick review of all current medications, especially blood thinners.
Risks & possible complications
- Symptomatic Intracranial Hemorrhage: Bleeding into the brain, which is the most serious potential complication.
- Arterial Damage: Injury to the blood vessel at the puncture site or in the brain.
- Distal Embolization: The clot may break into smaller pieces and travel to block smaller vessels downstream.
- Allergic Reaction: Reaction to the contrast dye used during imaging.
- Access Site Complications: Bleeding, hematoma, or pseudoaneurysm at the groin catheter entry point.
- Failure to Recanalize: The procedure may not successfully open the blocked vessel.
Recovery & hospital stay
- Immediate Post-Procedure: Close monitoring in a Neuro-ICU for 24 hours or more to watch for bleeding, neurological changes, and blood pressure management.
- Bed Rest: Required for several hours to prevent bleeding at the groin access site.
- Rehabilitation: Early initiation of physical, occupational, and speech therapy as tolerated to maximize functional recovery.
- Medications: Often started on antiplatelet medications (like aspirin or clopidogrel) to prevent new clots, depending on the cause of the stroke.
- Follow-up: Regular follow-up with neurology and neurosurgery, along with imaging tests to assess brain healing and vessel patency.
- Lifestyle Modifications: Counseling on stroke risk factor management (diet, exercise, smoking cessation, medication adherence).
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Typical hospital stay:
5-10 days
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Expected recovery time:
Several weeks to months
Frequently Asked Questions
If you are considering intra arterial thrombolysis for ischemic stroke in Turkey, these questions and answers can help you make a confident, informed decision.
Popular choices for intra arterial thrombolysis for ischemic stroke in Turkey include Liv Hospital Bahçeşehir, Istinye Üniversitesi Hastanesi Liv, Liv Hospital Ankara, known for experienced specialists and advanced surgical infrastructure.
Look at the doctor’s years of experience, hospital association, patient reviews, and how often they perform intra arterial thrombolysis for ischemic stroke. MediFyr helps you compare neurosurgeons and book consultations online.
The overall cost depends on hospital category, surgeon’s experience, room type, implant or device used (if any), length of stay, tests, and post-operative care. Our team can help you get cost estimates from multiple hospitals before you decide.
Procedure cost in other countries
Here is an overview of how the estimated cost, hospital stay, and recovery time for intra arterial thrombolysis for ischemic stroke compare across other countries where we have data.
Top hospitals for Intra Arterial Thrombolysis for Ischemic Stroke in Turkey
These partner hospitals in Turkey have dedicated neurosurgery teams and experience managing patients undergoing intra arterial thrombolysis for ischemic stroke.
Istanbul, Turkey
140 Doctors
At my age, you worry about...
At my age, you worry about being a bother. Dr. Narayanamurthy never made me feel that way. He explained my medication changes slowly, and his manner was very calming. The clinic at MGM was busy, but he took his time.
Neurosurgeons for Intra Arterial Thrombolysis for Ischemic Stroke
Explore experienced neurosurgeons who regularly perform intra arterial thrombolysis for ischemic stroke and provide pre- and post-operative care in Turkey.
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