Stroke Care

Comprehensive Stroke Center in West Michigan

Ascension Michigan Borgess stroke care teams in Southwest Michigan provide personalized, 24/7 care at our Comprehensive Stroke Center.

Certified Stroke Center at Ascension Borgess Hospital

Our stroke center offers 24/7 emergency stroke care

If you have symptoms of a stroke, it’s important to get medical care immediately. Ascension Michigan Borgess Hospital has a Comprehensive Stroke Center certified by the Joint Commission, called Compstroke. Our vascular neurologists specialize in the diagnosis and treatment of stroke and stroke-like symptoms. We have developed a system to rapidly diagnose and treat patients admitted to the emergency department with stroke symptoms. Using brain imaging and advanced stroke assessments, we deliver prompt care and clot-dissolving medication if needed.

A stroke is an emergency. If you are experiencing a life-threatening emergency, go directly to the ER or call 911.

Preventing stroke with vascular neurology treatments

Our stroke care teams deliver timely stroke treatments for hemorrhagic and ischemic stroke and transient stroke attack (TIA). At our stroke center, we deliver advanced brain imaging to help improve the diagnosis of stroke when minutes count. We provide vascular neurology treatments for brain bleeds. Our doctors provide neuroendovascular interventions to treat:

  • Arteriovenous malformation (AVM)
  • Brain aneurysm
  • Carotid artery blockage
  • Epilepsy and seizure

At Ascension Borgess, we act quickly to understand you and your health concerns. Then, we deliver personalized care that’s right for you.

Comprehensive Stroke Center outcomes

Ascension Michigan stroke care teams regularly monitor carotid and cerebral angiogram procedural outcomes to evaluate and improve how we deliver 24/7 stroke care.

Current outcomes data for Ascension Borgess Comprehensive Stroke Center

The stroke center documents the average total case time to receive thrombectomy stroke treatment in our neurointerventional lab. National stroke guidelines indicate thrombectomy can be performed up to 24 hours after stroke onset.

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

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