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PA leading the way in stroke management

6 September 2019

Radiology nurses at Princess Alexandra Hospital (PAH) are revolutionising the execution of Endovascular Clot Retrieval (ECR) to prevent the need for surgery and manage increasing demand for the procedure offered 24/7, 365 days a year within the hospital.

Clinical Nurse Consultant, Monica Piskor, said PAH is leading the state when it comes to the prevention and management of one of Australia’s biggest killers and causes of disability.

“ECR is revolutionary for patients and proving very popular as the preferred treatment option with demand for clot retrieval increasing by 25-50 per cent each year since 2013. 

“In 2017, almost half of all Endovascular Clot Retrievals in Queensland were undertaken here at the PAH,” she said.

The minimally invasive procedure undertaken in Radiology with a catheter-based technology removes clots from the blood vessel in the brain, allowing patients to be ready to go home within hours and return to work within days. 

By upskilling 100 per cent of radiology nurses to assist in ECR procedures, the PAH is keeping up with demand and enabling a fast, efficient and safe procedural set-up with no additional resources.

PAH Interventional Radiologist, Dr Justin Whitley, said the competency of radiology nurses is essential in the ECR set-up.

“The competency of our entire nursing cohort has allowed ​seamless transfer of patients from Emergency to the Angio lab without any delays and time is the most important variable in preventing stroke.

“All of our nurses are confident with each step of the procedure resulting in reduced reperfusion times and this is great news for our patients,” he said.  

The increase in skilled nurses has allowed quicker and more efficient procedures, less radiation and better patient outcomes.

“Our reported door-to-needle and door-to-revascularisation times are well above the national standards,” said Monica.  

Endovascular Clot Retrieval is a 24/7 service offered at PAH.  

Last updated 6 September 2019
Last reviewed 6 September 2019

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