The ED physician explains to Maya’s daughter that Maya will be taken to surgery to dislodge the clot. Using x-ray guidance, a device will be maneuvered through the blood vessels of the body to the site of the clot in her brain. The clot will be dislodged and a suction device grabs hold of it for removal. The physician shows Maya’s daughter a video of the surgery so she understands the procedure. (See animation below).
The physician warns Maya’s daughter that the surgery could trigger another stroke. Another clot could dislodge that could travel through the bloodstream and block an artery. However, the surgery could also help lower the risk of another stroke for several years. Time is of the essence, because the surgery must be administered within eight hours of the first stroke signs. Because Maya cannot make a decision for herself right now, her daughter agrees that the surgery should be done.
National Institute of Health Stroke Scale (NIHSS): A 15-item neurologic examination tool that evaluates and documents neurological status in acute stroke patients, predicts lesion size, stroke severity and both short and long term outcome of stroke patients.
(“NIH Stroke Scale International.” NIHStrokeScale.org. Know Stroke, n.d. Web 10 June 2014.)
Ischemic stroke: The most common kind of stroke, which is caused by an interruption in the blood flow to the brain.
(“Stroke.” Mayo Clinic. Mayo Foundation for Medical Education and Research, 21 Feb. 2017. Web. 12 May 2017.)
Tissue Plasminogen Activator: A drug used for dissolving blood clots in ischemic stroke patients. Also called tPA.
(“Tissue plasminogen Activator (t-PA) for Stroke”. WebMD. WebMD, n.d. Web 15 Sept. 2014.)