Acute ischemic stroke
Reaching deep into the brain to treat strokes [and aneurysms]
[Star Tribune, June 24, 2017] Today about 70 percent of brain aneurysms are treated with skinny tubes inserted in blood vessels lower in the body and then advanced through the blood vessels until they reach the brain. Now similar types of tools are being used to reach stroke-causing blood clots as well, but the process of rolling out that technology has been slower than for aneurysms - only about 1 in 10 stroke patient who would benefit from the highly recommended therapy get it.
Learn more about how our neurointerventional radiologists are using this life-saving technology for stroke patients at Abbott Northwestern hospital at StarTribune.com.
New technology saves two-time stroke survivor
[Fox 9 News, March 2, 2017] Twin Cities teacher, Viet Le, has suffered two stokes in nine months at only 45 years old. He is back
in the classroom due to a new life-saving technology. "We are very thankful we have devices available to retrieve those clots out of the brain very, very quickly, said Dr. Josser Delgado, who works at Abbott Northwestern. Read more about Le's story at Fox9.com.
Drs. Josser Delgado and Yasha Kayan are lead authors on the first published comparison of the two primary techniques for mechanical thrombectomy for acute strokes!
Comparison of clinical outcomes in patients with acute ischemic strokes treated with mechanical thrombectomy using either Solumbra or ADAPT techniques.
Delgado Almandoz JE, Kayan Y, Young ML, Fease JL, Scholz JM, Milner AM, Hehr TH, Roohani P, Mulder M, Tarrel RM.
J Neurointerv Surg. 2015 Dec 14. pii: neurintsurg-2015-012122. doi: 10.1136/neurintsurg-2015-012122. [Epub ahead of print]
Hidden Factors of Stroke
[KARE 11 News, Nov. 21, 2016] Dr. Josser Delgado reviews lesser known causes of stroke such as trauma to the head or neck, inflammation in blood vessel walls, and genetic or congenital conditions.
Dr. Yasha Kayan discusses the "Neurointerventional Treatment of Acute Stroke in 2015" at the Abbott Northwestern Hospital Innovation Summit, September 26, 2015
Dr. Josser Delgado tours Brazil in August 2015, speaking to neurointerventionalists at major hospitals there about the latest technology in the endovascular treatment of acute stroke.
Inside Your Health Special: Stroke - When Seconds Count
[KSTP, June 29, 2015] Watch Dr. Josser Delgado in this special edition of "Inside Your Health" featuring the Abbott Stroke Team.
Fortune and daughter find their way to Faribault man during stroke
[Faribault Daily News, May 20, 2015] While there were no unusual astrological phenomena on March 13, the stars were definitely aligned in the life of a local man who suffered a stroke while driving in town.
“He was very lucky,” said [Dr. Josser] Delgado. “For every minute that passes, two million neurons die because they’re not getting enough oxygen. It’s lucky he was recognized as having a stroke and taken to the ER in Faribault.” Read the full story at Faribault Daily News.
How a Faribault, Minn. man survived a stroke while driving
[KMSP, April 30, 2015] Jerome Nelson, who lives outside Faribault, Minn. has quite a story to tell. Considering how the odds were stacked against him, it is amazing he is alive to tell it.
The ordeal in question began with a simple trip to the car dealership. He left, with his wife following him, to drop off a car at a dealership, when he suddenly the entire right side of his body went numb.
“My arm wouldn't work, my leg wouldn't work. I couldn't get it off the gas pedal. I just kept speeding up and speeding up,” Nelson said. “Other than that, the rest of the 10 miles into Faribault. I don't remember any of it.”
Nelson was airlifted to Abbott Northwestern, and within 24 minutes of arriving, doctors had the blood clot in his brain removed.
Dr. Josser Delgado, who treated Jerome, says if help hadn't found him so quickly, he wouldn't be doing as well as he is today.
“The moral of the story is when in doubt. It's such a devastating medical condition. And time is so precious, if there are any questions or concerns go to an emergency department right away,” Dr. Delgado said. Read Nelson's full story and watch the news video at Fox9.com.
New technique has stroke patients on the mend
[WCCO-TV, Feb. 9, 2015] Cutting edge technology being used at Abbott Northwestern Hospital Abbott could change the treatment for stroke patients.
Doctors use a machine with a catheter and suction to remove the stroke-causing blood clot, essentially like a miniature vacuum.. The recovery time can be much quicker than the traditional procedure of using medication to dissolve a clot.
Few understand the impact of a fast recovery better than Kyle Smith. Two months ago, Smith was being rushed into Abbott Northwestern. A blood clot in his carotid artery caused a massive stroke, paralyzing the right side of his body and his ability to speak.
“I’ll tell you, it’s a life changing experience, for sure,” Smith said.
Dr. Yasha Kayan (Kadkhodayan) performed the mechanical thrombectomy.
Jimmy Dutch Gaines (Dude Weather) credits 'luck or Prince or baby Jesus' after surviving aneurysm
[City Pages, March 5, 2018] Two hours before an aneurysm burst in his brain, Jimmy Dutch Gaines was on the phone with Chrissie Dunlap, reflecting on how good he felt about his life.
Gaines told Dunlap that he was afraid to admit to how good he felt, as though it would cause the other shoe to drop. “She said, ‘Nope. You should always celebrate when things are going good because those are usually fleeting moments,’” he recalls.
Fleeting indeed. At 5:30 p.m. that evening, February 9, Gaines was typing away on his laptop when he felt his head welling up. “It wasn’t painful, but it was really disconcerting,” he says. Soon he was slammed with a headache.
“My doctor [Dr. Yasha Kayan] told me how, at every corner, I shouldn’t have survived this,” Gaines says. “I’m incredibly lucky to have survived and be pretty much intact.” Read more about who Gaines credits for his survival at citypages.com.
A new beginning at 63
[Crow River Media, July 19, 2017] June 13 will be a date that lives in Litchfield resident Terri (Gutormson) Hopp's memory. It's the day she underwent surgery for a brain aneurysm at Abbott Northwestern Hospital in Minneapolis.
An aneurysm is a weakened area in the wall of an artery. Without treatment, it can burst, creating a life-threatening problem.
Rather than cutting into her skull, Dr. Josser Delgado used a less invasive procedure called endovascular embolization, also known as "coiling."
It allows the surgeon — in Hopp's case — to access the aneurysm through two less-than-one-quarter-inch incisions in her groin. Delgado was able to pack four platinum embolic coils, which are small implantable devices that look like springs into the aneurysm. The coils help with clot formation thus preventing blood from entering. The procedure stabilizes the aneurysm and prevents it from rupturing.
What set Hopp's surgery apart from others was that her procedure was filmed for a Star Tribune story about Minnesota's role in the growing market for less-invasive tools for treating aneurysms and strokes. Read more about Hopp's story at crowrivermedia.com.
Reaching deep into the brain to treat strokes [and aneurysms]
[Star Tribune, June 24, 2017] Minimally invasive endovascular tools are built on the idea that it's possible to perform brain surgery using only surgical tools that are inserted through a small incision in the groin. Doing it this was way allows the surgeon to fix a problem from inside the vessel, avoiding the need to cut into the skull to reach the exterior of the vessel.
Terri Hopp, 63, of Litchfield, is on the people who feels she has benefited. Earlier this month, Dr. Josser Delgado repaired Hopps's non-ruptured aneurysm at Abbott Northwestern by placing four metal coils inside the 5-millimeter balloon of weakened tissue on the left side of Hopp's internal carotid terminus, a major vessel in the brain.
"I'm back to work and everything's good," Hopp said Wednesday. "I'm not nervous and scared that it's going to rupture any minute."
Read the full story at StarTribune.com.
Technology provides Cambridge woman with alternative methods for brain aneurysm treatment
[Isanti County News, November 11, 2015] Diane Nelson was treated using both Pipeline and coils simultaneously - a treatment of larger aneurysms which has the highest chance of being successful.
“[Pipeline has] given us a very, very valuable tool to treat people with brain aneurysms,” Dr. Delgado said. “[It is a] huge advancement in our field for endovascular treatment of aneurysms. It has allowed us to treat aneurysms that were not treatable before.” Read the full story at IsantiCountyNews.com.
Health beat: Specialists screening when to leave brain aneurysms alone
[Star Tribune, September 25, 2015] Using a new assessment tool called “Phases”, interventional neuroradiologists at Abbott receive evidence-based guidance on whether to treat brain aneurysms or leave them alone and follow the patient though the aneurym surveillance program instead. See the full story at StarTribune.com.
For Minnesota woman with an aneurysm, patience was needed every step of the way
[Pioneer Press, September 25, 2015] The Rev. Diane Nelson of Cambridge, Minn., was walking around with a golf-ball sized bomb inside her head.
"It was a giant aneurysm, one of the biggest we've seen here at Abbott," [Dr. Josser] Delgado says. "It probably had been there for a long time." Delgado used a newer piece of technology - a Pipeline Embolization Device, manufactured by Medtronic and approved for use in 2011 - as well as traditional metal (platinum) coils to defuse the bomb in Nelson's head. Learn more about Rev. Nelson's story at StarTribune.com.
Aneurysm device study looking for volunteers
[KARE-TV, Jan. 13, 2015] Wendy Salter keeps a selfie of sorts on her phone. It’s a picture of blood vessels in her brain and an aneurysm protruding from them.
Showing the picture, she laughed, “It looks like a stick person so if you think about it, it’s like your subconscious.”
The head of the stick figure, the aneurysm, was found when she had dental problems. She explained, “I had an infection, an abscess, under my tooth and when they did a CT scan to see how deep it was they found it.”
Neurointerventionalist Dr. Josser Delgado at Abbott Northwestern Hospital said a majority of aneurysms he has treated have been found when doctors are looking for something else. Read the full story at KARE11.com.
Abbott Northwestern Hospital researchers to conduct MRI study of aneurysm-linked strokes
[KMSP Fox 9 News, Nov. 12, 2013] Researchers at Abbott Northwestern Hospital are conducting a first-of-its-kind study in this country in the hopes that understanding a type of stroke caused by aneurysms could yield a life-saving prevention strategy.
Every year, 30,000 Americans suffer a ruptured aneurysm, and though 60 percent survive, many are at risk of fatal or debilitating strokes. Now, interventional neuroradiologist Dr. Yasha Kayan (Kadkhodayan) is trying to prevent those strokes from happening.
Relief through a tiny tube
[Argus Leader, October 21, 2014] Seeing double did Marilyn Kasuske a favor. It led her to Dr. Michael Moran...he examined her and found an aneurysm behind her right eye. That led to a referral to Dr. Jitendra Sharma, an interventional neurologist at Sanford health in Sioux Falls.
Sharma would use a [Pipeline] stent as a tiny artificial pipe to restore proper blood flow and cause the bulge to shrink. Also watching was Dr. Josser Delgado, neuro-interventional radiologist at Abbott Northwestern Hospital in Minneapolis. Abbott has done about 80 of the procedures with the Pipeline, and Delgado himself about 60 since late 2011. He was there as Sharma's proctor and to coach him in deploying the stent. Learn more at ArgusLeader.com.
MN Hospital Using New Device To Treat Deadly Aneurysms
[WCCO, May 2, 2012] It doesn't take a doctor to know that open brain surgery is as invasive a procedure as they come. Now a Twin Cities hospital is taking the lead with a new procedure that helps patients avoid brain surgery all together. Abbott Northwestern is one of 30 hospitals in the nation using a recently-approved device that works to stop blood flow to the aneurysm. Doctors say it's not only safer, but more effective.
Doctors insert a small mesh tube through an artery in the leg and thread it all the way up to the brain. Through the catheter, the pipeline is delivered.
"Over time what happens is the blood flow slows inside the aneurysm and as blood starts slowing down, it wants to make a clot," Dr. Josser Delgado said. Within days, sometimes months, the aneurysm clots and shrinks. Find out more about the procedure at Minnesota/cbslocal.com.
Allina surgeons get new treatment approach for brain aneurysms
[Star Tribune, Jan. 30, 2012] As physicians, nurses and technicians looked on, Dr. Josser Delgado gingerly inserted a catheter into an artery in the leg of a 55-year-old woman.
To guide them, the neuroradiologists watched their progress on several screens showing multiple images of the blood vessels in her brain. It was her brain — or, more accurately, a large 1-inch cerebral aneurysm — that was their destination.
Delgado’s team at Abbott Northwestern is the only group in the Twin Cities area, and one of only two in Minnesota, implanting the Pipeline device. Read the full story at StarTribune.com.
A new treatment for giant aneurysms
[KARE 11, November 29, 2011] A new procedure at a Twin Cities hospital is giving people hope that until now had no option for treating their aneurysms. Abbott Northwestern is now treating what are called giant aneurysms without having to open the skull.
Toni Jo Almstedt of Two Harbors lives with an un-ruptured aneurysm in her brain for 20 years. While non-life-threatening, Dr. Josser Delgado of Abbott Northwestern Hospital said Almstedt's aneurysm began pressing on her optic nerve, but it could not be treated like smaller aneurysms or with traditional brain surgery.
So in mid-November, Almstedt was one of the first three patients in the Twin Cities to have a brand new non-invasive technique at Abbott. It's called the Pipeline Embolization Device. Read more about the Pipeline device at KARE11.com.
Good Question: Why Do We Get Headaches?
[WCCO 4 News, March 2, 2017] Headaches are not pain in a person’s brain because the brain itself doesn’t have any pain sensors in it. “Headaches are usually related to pain sensors in the lining of the brain or in the blood vessels of the brain,” said Dr. Yasha Kayan, an interventional neuroradiologist with Allina Health.