Interview with Professor Bernd Turowski, Medical Director of Neuroradiology, and Professor Sebastian Jander, Medical Director of Neurology, University Hospital Düsseldorf
Germany registers nearly 270,000 stroke cases each year. Thanks to established structures, patients can rely on acute care management – at least compared to other European countries. Nevertheless, stroke is the third leading cause of death after cancer and heart disease. That’s also the reason why this subject takes center stage at the MEDICA ACADEMY.
Prof. Sebastian Jander and Prof. Bernd Turowski
MEDICA-tradefair.com spoke with Professor Bernd Turowski and Professor Sebastian Jander about modern stroke management.
What is the current status of stroke research?
Prof. Bernd Turowski, Prof. Sebastian Jander: A timely treatment after a stroke is crucial. The saying "Time is brain" should be taken very literally. Qualified clinical diagnostics and medical imaging tests have to be made as quickly as possible within the critical time window to identify candidates for rechanneling treatment via systemic thrombolysis and endovascular thrombectomy. To do this, acute stroke imaging must predominantly define the type of vascular occlusion and provide evidence of potentially salvageable brain parenchyma. An analysis of collateral circulation for the individual and so-called mismatch analysis are increasingly important in this context.
What are the features of today’s "modern stroke management"?
Turowski, Jander: First there is clinical care provided by an experienced core team consisting of specialized neurologists and neuroradiology experts, which is complemented by an extended team of cardiologists, vascular surgeons, and neurosurgeons. Secondly, patients receive treatment at a neuro-intensive care unit that is integrated into a supply chain consisting of emergency medical services, interdisciplinary emergency department, rehabilitation and outpatient follow-up care. And thirdly you have a clearly structured diagnostic investigation and clinical pathways that are available 24 hours a day, 365 days a year and subject to stringent quality controls.
Are there any special technical or organizational resources for this?
Turowski, Jander: First and foremost, we should mention network structures of nationwide and regional stroke units that can also comprehensively provide specialized therapies for maximum care.
Which aspects still require more attention at the moment?
Turowski, Jander: Based on epidemiologic data on stroke, we can assume that not all stroke patients are supported by a stroke unit at this juncture. That’s why there is a need for more awareness and system improvement. Events like the MEDICA ACADEMY can be very helpful to accomplish this goal.
As part of the MEDICA ACADEMY, Professor Bernd Turowski and Professor Sebastian Jander will give a lecture titled "Modern Stroke Management" under the "Update Imaging" umbrella on Monday, November 13, 2017, 2:30 PM – 4:00 PM.
Nadine Lormis Translated by Elena O'Meara MEDICA-tradefair.com