Stroke Care

Comprehensive Stroke Center in West Michigan

Ascension care teams provide high levels of stroke care in the region.

Certified Stroke Center at Ascension Borgess Hospital

Ascension Borgess Hospital has earned Advanced Certification for Comprehensive Stroke Center by The Joint Commission. With this certification, our stroke care team joins an elite group that is focused on specialized stroke care, leading to better outcomes for our patients at a time when they need it most. Ascension Borgess Hospital is one of three Ascension hospitals in Michigan to achieve this certification.

The Ascension Borgess Hospital stroke care team has met rigorous standards for advanced imaging capabilities, 24/7 availability to stroke treatments and extensive staff education. Our Neurointerventional Lab has been awarded the Professional Research Consultants (PRC) 5-Star Award for overall quality of care, which is awarded to healthcare facilities scoring in the top 10 percent of the nation.

The Advanced Certification for Comprehensive Stroke Care and PRC 5-Star Award shows our continued dedication and commitment to our patients. We provide compassionate care with some of the highest levels of expertise and technology to quickly and effectively address the needs of our stroke patients.

Outcomes Data

Ascension stroke care teams closely monitor and evaluate procedural outcomes to ensure the safest care for you and your loved ones. The data below summarizes the most current outcomes at Ascension Borgess Hospital.

 

Cerebral angiography

To better understand your health and potential stroke symptoms, our doctors perform a specialized brain imaging test known as a cerebral angiogram. During this minimally invasive procedure a catheter is placed through an artery in the arm or leg and a contrast dye is used to produce accurate images of the blood vessels in the brain. This test will show any abnormalities and potential risk factors for a stroke.

Number of major complications:

Year Major Complications
2017 0.00% (0/195 cases)
2018 0.44% (1/223 cases)
2019
0.00% (0/128 cases)

 

Neurointerventional Lab Thrombectomy (NIL)

In many cases, patients presenting with an acute stroke are suffering from an intracranial large vessel occlusion. This medical emergency is caused by a blood clot obstructing flow to a major brain artery. This leads to an insufficient amount of blood supply to the brain. If untreated, the brain tissue may die, causing a stroke. Our specialized stroke doctors are proven to operate in less time than the nationally suggested goal of 60 minutes.

Average total case times for a Neurointerventional Lab Thrombectomy:

Year
Average Total
Case Time
2017 
47.3 minutes 
2018 45.3 minutes 
2019
29.7 minutes

 

Thrombectomy Reperfusion (TICI-2b or better)

Reperfusion occurs when blood flow is restored to an organ or artery that had previously been blocked. To measure the success of a reperfusion procedure our doctors use the TICI scale. We strive to reach a TICI score of 2b or better, in keeping with major national and International trials looking at stroke outcomes. In these trials, it has been proven that patients with TICI scores of 2b or better have better long-term outcomes from their stroke treatment.

Our yearly percentage of successful procedures that measure TICI 2b or better: 

Year Cases
2017 76%
2018 91%
2019 81%

 

Endovascular Cerebral Aneurysm Treatment (Aneurysm Coiling)

This minimally invasive procedure is used to treat a brain aneurysm. A brain aneurysm can occur from multiple factors including high blood pressure, trauma to the head or from hereditary means. Ascension Borgess Hospital was the first hospital in southwest Michigan to perform these procedures and have been doing so since 2000.

Number of aneurysm coiling treatments at our institution in the last 6 years:

Year Cases
2014
39
2015 63
2016  64
2017  49
2018  70
2019  61

 

Elective stenting

In the case of a stroke, elective stenting can be an effective procedure to reopen clogged arteries and improve blood flow.

Number of yearly NIL lab cases and major complications:

Year NIL Lab
Cases
Major
Complications 
2016
23 No stroke/death
2017  8
No stroke/death
2018  15
One death
2019  18 
No stroke/death

 

For more information on the Comprehensive Stroke Care at Ascension Borgess:

Ascension Borgess Hospital Comprehensive Stroke Center

Stroke Coordinator: 269-226-6733

Neurointerventional Services and Neurosurgery of Kalamazoo: 269-343-1264

Ascension Borgess Neurology: 269-381-7380