Comprehensive stroke centers like SMH are expected to be capable of intra-arterial interventions, of which thrombectomies are the latest and most effective iteration.
THE POTENTIAL FOR thrombectomies continues to spread.
In the near future, we may see thrombectomies successfully performed more than a full day after the onset of a stroke.
Thrombectomies, which have been used in some hospitals for a decade, gained currency after the positive 2014 and 2015 clinical trials.
But thrombectomies are well-reimbursed by Medicare and insurers, and ultimately are more profitable than a lower level of stroke treatment, says Tudor G.
Providence Regional Medical Center in Everett, Wash., treats about 750 clot-based stroke patients annually but doesn't do thrombectomies. Officials there say they are trying to build up a 24-hour-a-day thrombectomy capability.
Some hospitals that aren't capable of doing thrombectomies say they can first give an anticlotting drug called tPA, and, if it isn't enough, quickly transfer patients to a comprehensive center for a thrombectomy.
Many stroke specialists say some hospitals that don't do thrombectomies resist a change in ambulance protocols because these allow the hospitals to admit more patients and hold on to them longer.
In Washington, D.C., there is no requirement ambulances take severely-stricken patients to the three hospitals capable of thrombectomies. Instead, a stroke patient often gets taken initially to a hospital designated as a "primary stroke center." That designation is largely given to U.S.