Stroke treatment needs no surgery
The National Institute of Neurosciences & Hospital for the first time in Bangladesh brought the treatment to restore blood flow by dissolving the blood clot causing the stroke without cutting the scull open, reports UNB.
Dr Shiraji Shafiqul Islam, an associate professor at the institute and one of the specialists of the hospital’s Neurointervention Team, told that in developed countries, an alteplase (recombinant tissue plasminogen activator) injection is pushed into patient’s vein in the arm within 4.5 hours from the stroke symptoms begin.
But, if the patient comes to the hospital within 4.5 hours then doctors apply a treatment called ‘Mechanical Thrombectomy’ through which they remove clots that block large blood vessels. This procedure is particularly beneficial for people with large clots that cannot completely be dissolved with alteplase injection. In medical term, the process is called stent retriever, and it does not require any kind of surgery, said the neuroscience specialist.
Though the Mechanical Thrombectomy treatment has been so far widely used in countries like Singapore, Japan, European countries and even in neighbouring country India, Bangladesh Institute of Neurosciences and Hospital has for the first time started the treatment in Bangladesh as well, said Dr. Shiraji Shafiqul Islam.
After identifying the clot through CT scan and angiogram test, a catheter is threaded into the vein to reach the blood clot and the process of dissolving the clot is continued then, the doctor added.
In February last, Dr. Shiraji along with his specialist team conducted the first successful Mechanical Thrombectomy procedure at the hospital.
On February 23, when a 55-year-old patient, Harun Ur Rashid, was brought to the hospital, Dr Shiraji along with his team conducted the procedure in their cath lab and removed the clot within half an hour saving the patient’s life, said the doctor.
“The patient had multiple clotting on the right side of his brain and the left side of his body was already paralysed. Though we managed to save his life, it would take some time for him to fully recover,” he said.
Jafar Iqbal, brother of the patient, said that his brother’s condition started improving two days after the operation and still under doctor’s observation.
Mentioning the treatment as a costly one, Dr Shiraji Shafiqul Islam said the cost is about Tk3-4 lakh, but it may decrease in near future if the government comes forward with its support.
If the government takes initiative to modernise the cath labs already exist in all the institutes which deal with heart diseases , then the treatment can be possible in those hospitals as well widening the door of facilities for the general people, said the doctor adding that training country’s neurologists about on updated neurointervention technologies is also equally important.
Meanwhile, Dr Md Badrul Alam, Joint Director at the institute, said that the institute has sent its specialists abroad for special training on this procedure in addition to developing with all the necessary software and machines.
The alteplase injection, which is still not available in Bangladesh, will soon be introduced in the country as a company has received its licence recently, he added.
According to a research finding, stroke is the third leading cause of death in Bangladesh and the World Health Organization (WHO) ranks Bangladesh's mortality rate due to stroke as number 84 in the world.
This treatment can be a boon while the risk is getting higher with the changing lifestyle of people and the government needs to come forward so that other hospitals of the country can also start this treatment to save people’s lives as well, said the doctors.