Thrombolysis in Acute stroke is the third commonest cause of death and the leading cause of adult disability in India. Recently the thrombolytic agent (rt-Pa/Alteplase), received a license for the treatment of acute ischemic stroke within 4 1/2 hours (Golden Hours) of symptom onset. The benefits of thrombolysis can be substantial. By promoting the rapid recognition of Stroke symptoms in the community, prompt transport of patients to specialized stroke units for early investigation, Neuroimaging, stabilization, and treatment there would be a substantial net benefit for all patients with stroke. Clearly, we have a long way to go before BRAIN ATTACK is given the same degree of priority and urgency as heart attack currently is. We have successfully done thrombolysis on many patients in our hospital.
Thrombolytics restore cerebral blood flow in patients with acute ischemic stroke. Prompt treatment with thrombolytic drugs can restore blood flow before major brain damage has occurred. Successful treatment could mean that the patient is more likely to make a good recovery from their stroke. Fortis Escorts Hospital, Faridabad is doing Thrombolysis in Acute Stroke on regular basis. We have successfully thrombolysed more than 400 patients to date which is among one of the highest numbers in DELHI & NCR.
Intravenous Thrombolysis has become an important part of Ischemic Stroke Management. For patients who meet the criteria for IV Thrombolysis, research has shown good results of it in all subtypes of Ischemic Stroke.
The center is facilitated by a CT scan and MRI facility. We have Deptt. Of Neurology is headed by a senior Neurologist, who has expertise in Neuro-Radiology and interprets head CT Scans to determine whether to administer thrombolytic agents to stroke patients within golden hours.