Ms. Duong Thi Duong (59 years old, inhabitant of Vinhomes Times City urban area, Hai Ba Trung, Hanoi) suffered a sudden stroke of the brain at a very hazardous level, and she had no idea that ten days later she would totally recover. The stroke that once drove her to the brink of "death" has left no "traces" behind. As soon as she became unwell, Vinmec doctors arrived, and within 3 hours-during the stroke emergency time frame-they intervened with the most cutting-edge techniques to achieve this extraordinary outcome.
Ms. Duong was able to get home by herself without any aftereffects from the stroke. Mrs. Duong still gets cold just thinking about what happened.
On the afternoon of April 16, 2018, Ms. Duong was cleaning the house when she abruptly collapsed, her mouth wide and her right limbs rigid. Her daughter made an emergency contact to Vinmec Times City International Hospital right away.
The emergency department doctors at Vinmec Times City hospital arrived shortly after receiving the call, and Ms. Duong was brought there without delay. Her condition has gotten worse by this point; she is now entirely paralyzed on the right side of her body and face, and her right limb strength is only 0/5 (normal human strength is 5/5).
Ms. Duong had an acute cerebral infarction in the left hemisphere caused by occlusion of the left internal carotid artery in the extracranial segment, with good collateral circulation through the anterior communicating artery, according to the results of a CT scan of the brain and cerebral blood vessels. Ms. Duong had a history of heart failure, atrial fibrillation, mitral stenosis, and high blood pressure, which caused her stroke to develop into an acute stroke that was exceedingly risky.
Vinmec doctors chose to proceed with the intervention by using mechanical instruments to clear the artery. blood vessels, preserving the patient's life, after consulting with emergency, neurology, cardiology, and imaging departments.
Doctor Nguyen Van Phan from the Department of Diagnostic Imaging, who personally carried out the intervention, explained what was done: "We inserted a small catheter and the Solitaire EV3 4x40 device through the right femoral artery up to the left internal carotid artery, aspirating many pieces of thrombus that accumulate after a patient has a cerebral infarction. The artery was entirely repaired right away following the intervention and the MRI scan's findings”.
It took just three hours from the patient's stroke to the end of the treatment to remove the patient's thrombus. A few hours later, Ms. Duong began to slowly regain awareness. She was also able to stretch her arms and legs, and the strength in her paralyzed side's limbs also improved. Dr. Nguyen Thi Minh Phuong, an expert in internal medicine nerve, stated that the neurologists and cardiologists continued and followed up her treatment ten days later till she fully recovered in order to reduce the chance of recurrence.
Hospitalization after a stroke within six hours, high survival rate
Dr. Phan, a physician with extensive training in the interventional therapy of stroke cases, warned that treatment outcomes will be poor if the patient and the doctor miss the "golden hour" (the first six hours following the patient's stroke or accident). Particularly in cases of acute cerebral infarction accompanied by heart failure and atrial fibrillation, such as that of Ms. Duong, the prognosis is for death or serious aftereffects if prompt care is not provided due to the extremely massive infarction.
"These individuals frequently have blockages in their big blood arteries, which causes the lesion area to be larger and the damage repercussions to be more severe. Therefore, we must fully understand the method and use extreme caution during the treatment, especially during the anesthesia stage, Dr. Phan remarked.
According to several recent studies, fibrinolysis is only becoming more popular when small blood arteries are blocking a stroke. The approach of interventional arterial thrombosis with mechanical instruments in the first 6 hours is currently regarded as the best way to save the patient's life and minimize the aftereffects in cases of significant branch occlusion. Vinmec and a few hospitals in the North have used this procedure, updating new methods, assisting stroke victims even at dangerous levels to overcome their illness and recover.
Experts advise patients to seek medical attention right away if they exhibit stroke-like symptoms such weakness, mouth distortion, difficulty speaking, etc. Patients should under no circumstances attempt to self-treat at home. For an early and correct diagnosis, patients should visit hospitals that offer computed tomography (CT) scans. Then, specialists will determine the best course of treatment. The best chance of recovery is to get to the hospital as soon as you can, preferably within the first six hours following the stroke.
The 3.0 Tesla MRI system at Vinmec hospitals around the country is outfitted with cutting-edge machinery from GE Healthcare (USA) that produces high-quality images, providing a thorough assessment while cutting down on the amount of time. Experts advise patients to seek medical attention right away if they exhibit stroke-like symptoms such as weakness, mouth distortion, difficulty speaking, etc. Patients should under no circumstances attempt to self-treat at home. For an early and correct diagnosis, patients should visit hospitals that offer computed tomography (CT) scans. Then, specialists will determine the best course of treatment. The best chance of recovery is to get to the hospital as soon as you can, preferably within the first six hours following the stroke.
The 3.0 Tesla MRI system at Vinmec hospitals around the country is outfitted with cutting-edge machinery from GE Healthcare (USA) that produces high-quality images, providing a thorough assessment while cutting down on the amount of time. Vinmec is the destination for risk testing and screening because of its cutting-edge MRI equipment, use of contemporary cerebral vascular intervention techniques, staff of skilled and knowledgeable neurologists, and imaging specialists. Customers believe in prestigious strokes. Vinmec has successfully treated numerous stroke cases in the past, leaving no lasting effects: preserving the life of a patient who had suffered two strokes in a row; helping foreign female visitors to avoid the "death door" of a stroke;...
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