Neurovascular Stroke Position Paper - Philips (2024)

By Philips∙ Apr 16, 2024 ∙ 3 min read

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Stroke care

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Acute ischemic stroke is the second leading cause of mortality and a key cause of long-term disability worldwide1. Globally, one in four adults over the age of 25 will have a stroke in their lifetime2. Speed is key to delivering time-sensitive, life-saving care. But while hope lies in seconds saved, an average of 46% of stroke patients arrive too late for treatment3. By 2050, we can expect over 30 million new stroke cases every year4. Could we do more together to speed up stroke care and prevent a potential 12 million deaths from stroke4?

Positioning paper

Shaping the future of stroke care. Envisioning the next steps towards a better care pathway.

Download (1.14MB)

This positioning paper focuses on

  • The current landscape in stroke care
  • The global and local burden of stroke
  • Economic challenges in stroke care
  • Advancing stroke care to save lives

Neurovascular Stroke Position Paper - Philips (1)

Technology alone is not enough to transform stroke care

There is no doubt that recent developments in stroke care have been revolutionary. Multiple randomized trials have proven the efficacy of mechanical thrombectomy (MT) for rapid intervention in stroke patients with large vessel occlusions. The results speak for themselves. Despite the overwhelming evidence proving the effectiveness of MT, only a fraction of stroke patients have access to this treatment5.

For health systems that are able to perform MT, there are still many barriers to overcome prior to intervention. These include the availability of trained staff, access to neuro intensive care unit (ICU) beds, and coordination and scheduling of acute patients across regional and country-wide stroke networks. All of which combined can result in the severe undertreatment of stroke patients.

“Mechanical thrombectomy has a treatment effect for stroke patients that is so powerful, it is almost unheard of in modern medicine.”

Mayank Goyal

Clinical Professor, Department of Radiology and Clinical Neurosciences,

University of Calgary, Canada

In this positioning paper, we discuss how best to accelerate the pace of change, and enable health systems to establish the infrastructure and accessibility they require by augmenting access to MT and optimizing the stroke care pathway.

Connecting the dots between caregivers

Our data-driven insights into stroke care infrastructure and inefficiencies reveal the uncomfortable reality of stroke epidemiology on a global and local scale. From marked differences between countries, to inequalities between rural and urban communities, they demonstrate that there is a large variation in access to resources such as 24/7 centers, stroke networks and qualified staff; a situation that must be addressed if we are to encourage the adoption of MT and realize its true potential.

The positioning paper explains why the first vital step in innovating the stroke pathway is to connect the dots between caregivers. It reveals the key solutions that could accelerate care, from integrated networks with simple sharing capabilities to effective ways to reduce uncertainty at first medical contact.

“Direct-to-Angio-Suite workflow has shown a significant improvement in clinical outcomes in patients who suffered a stroke.”

Neurovascular Stroke Position Paper - Philips (3)

Dr. Marc Ribó,

the WE-TRUST study co-Principal Investigator, Interventional Neurologist at the Vall d’Hebron University Hospital, and researcher at the Stroke Research group at the Vall d’Hebron Research Institute (Barcelona, Spain).

Innovations and improvements for current modalities and workflows are also investigated, including why adopting a Direct to Angio Suit (DTAS) approach supports time-saving transfer, drastically reduces the time to treatment, and potentially improves patient outcomes.

Dive into the data

Gaps in information, communication and access to stroke expertise can cause delays that have tragic consequences for stroke patients. Together we can reduce the impact of stroke events, potentially enabling patients to get back to living the lives they love. To learn more and discover how optimizing the stroke pathway can connect care, save precious time, and with that lives, download the positioning paper today.

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[5] Access to and delivery of acute ischaemic stroke treatments: A survey of national scientific societies and stroke experts in 44 European countries - PubMed (
[6] Urban-Rural Inequities in Acute Stroke Care and In-Hospital Mortality | Stroke (

Neurovascular Stroke Position Paper - Philips (2024)


What is the position for ischemic stroke? ›

7, 2024 — Positioning patients with large vessel ischemic (clot-caused) stroke with their heads flat (0-degrees) before surgery to remove the blood clot resulted in significant improvements in neurological function, compared to patients whose heads were elevated (at a 30-degree angle), according to preliminary late- ...

What is a nursing diagnosis for a CVA stroke? ›

Nursing Diagnosis

Based on the assessment data, the major nursing diagnoses for a patient with stroke may include the following: Impaired physical mobility related to hemiparesis, loss of balance and coordination, spasticity, and brain injury. Acute pain related to hemiplegia and disuse.

Can a neurologist tell if you had a stroke? ›

Do a neurological exam. This test checks how well your nervous system is working to show whether you have had a stroke. In this exam, the doctor will ask you questions, test your reflexes, and ask you to do simple actions.

What is the target BP for ischemic stroke? ›

A SBP threshold at an individual target of < 140–160 mm Hg for the first 24–48 hours post stroke onset may be reasonable. It is reasonable to maintain SBP/DBP ≤ 185/110 mm Hg before the procedure. Guidelines are listed in the ascending order of the year of publication for hemorrhagic and ischemic stroke separately.

What position should stroke patients be positioned? ›

Keep the head well supported and in good alignment. Place a pillow under the weak arm to support it, followed by another pillow under the weak leg. If the patient is lying on the weak side: Keep the weak arm placed away from the body before turning the patient over.

What is the supine position for a stroke patient? ›

Some common positions recommended following a stroke

Positioning while lying on the weaker side: When lying on the weaker side, one or two pillows are placed under the head, the weaker shoulder is positioned comfortably on a pillow, the stronger leg is forward on one or two pillows, and the weaker leg is straight out.

Are CVA and stroke the same thing? ›

Stroke Center. A stroke, also referred to as a cerebral vascular accident (CVA) or a brain attack, is an interruption in the flow of blood to cells in the brain. When the cells in the brain are deprived of oxygen, they die.

What are three treatments for an ischemic stroke? ›

Treating ischaemic strokes
  • Thrombolysis – "clot buster" medicine. ...
  • Thrombectomy. ...
  • Aspirin and other antiplatelets. ...
  • Anticoagulants. ...
  • Blood pressure medicines. ...
  • Statins. ...
  • Carotid endarterectomy.

What is the priority nursing assessment for a stroke patient? ›

During the acute phase of stroke care, the nurse will monitor airway, breathing, and circulation (ABCs). Early assessment for neurologic compromise should be ongoing for acute stroke patients are at considerable risk for hemorrhagic transformation (HT), cerebral edema (brain swelling), and secondary strokes.

Does your body warn you before a stroke? ›

The warning signs of stroke include: Weakness or numbness of the face, arm or leg, usually on one side of the body. Trouble speaking or understanding. Problems with vision, such as dimness or loss of vision in one or both eyes.

What condition can mimic a stroke? ›

Some of the most common stroke mimics are seizures, migraine, fainting, serious infections and functional neurological disorder (FND).

Why shouldn't BP be lowered in stroke? ›

Because BP autoregulation is disturbed, BP lowering would reduce penumbral perfusion, which could accelerate loss of penumbral tissue and increase the core of the infarct rapidly.

What is a typical blood pressure during a stroke? ›

Elevated BP or 'hypertension' (i.e. systolic >140 mmHg) is common in stroke, especially in patients with pre-existing hypertension and large strokes, due to variable 'autonomic stress' and raised intracranial pressure.

What is normal BP in stroke? ›

Healthy blood pressure range

A healthy blood pressure is a systolic pressure of less than 120 mm Hg and a diastolic pressure of less than 80 mm Hg. Although any level of high blood pressure raises the risk of stroke, doctors recommend keeping your blood pressure below 130/80 mm Hg to prevent a first-time stroke.

What is a common nursing diagnosis for cardiovascular disease? ›

Nursing Diagnosis
  • Decreased cardiac output.
  • Activity intolerance.
  • Excess fluid volume.
  • Risk for impaired skin integrity.
  • Ineffective tissue perfusion.
  • Ineffective breathing pattern.
  • Impaired gas exchange.
  • Fatigue.

What is the diagnosis term for stroke? ›

Stroke | CVA | Cerebrovascular Accident | MedlinePlus.

What are the nursing needs of stroke patients? ›

The support or care you give a stroke survivor can take many forms. It can include practical help with shopping, cooking or taking medication. It can also mean giving emotional support such as a regular chat on the phone, or helping someone fill in a form. You could help someone communicate, read or write.

What is nursing diagnosis and example? ›

The nurse can conclude a nursing diagnosis based on these symptoms: impaired swallowing. Examples of nursing diagnosis: risk for impaired liver function; urinary retention; disturbed sleep pattern; decreased cardiac output. On the other hand, a medical diagnosis is made by a doctor or advanced health care practitioner.


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