Ultrasound Device May Improve Emergency Stroke Care: Study

Posted: Published on October 29th, 2013

This post was added by Dr Simmons

FRIDAY, Oct. 25 (HealthDay News) -- The use of a hands-free ultrasound device in combination with a clot-busting drug appears safe for patients with a common kind of stroke, a small, new study finds.

An ischemic stroke occurs when blood flow to the brain is blocked. When this happens, the hands-free ultrasound device is placed on the patient's head and delivers ultrasound to boost the effectiveness of the clot-busting medicine tPA (tissue plasminogen activator).

The new trial was funded by the U.S. National Institutes of Health and was published Oct. 24 in the journal Stroke.

"Our goal is to open up more arteries in the brain and help stroke patients recover," study author Dr. Andrew Barreto, an assistant professor of neurology in the Stroke Program at the University of Texas Health Science Center at Houston, said in a journal news release.

Unlike the traditional hand-held ultrasound device that's aimed at a blood clot, the hands-free version uses 18 separate probes and showers the deep areas of the brain where large blood clots cause severe strokes, the researchers said.

The new study included 12 men and eight women with an average age of 63. The patients had moderately severe ischemic strokes and received tPA within four and a half hours after the start of their stroke symptoms. They also received two hours of exposure to the hands-free ultrasound device.

Ninety days after the combined treatment, 65 percent of the patients had either returned home or were in post-stroke rehabilitation. A quarter of the patients had no stroke-related disability, and one patient had slight disability.

"This technology would have a significant impact on patients, families and society if we could improve outcomes by another 5 percent to 10 percent by adding ultrasound to patients who've already received tPA," Barreto said.

Barreto's team has launched an international study of the ultrasound approach combined with the clot buster, to be conducted in 830 ischemic stroke patients.

Two stroke experts not connected to the study said the device shows promise.

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Ultrasound Device May Improve Emergency Stroke Care: Study

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