Raul Guisado

Raul Guisado, MD
Medical Director Neurology/Stroke Program

Stroke Warning Signs

Comprehensive Stroke Center

Your Comprehensive Stroke Center in San Jose is here when you need us.

Regional’s Comprehensive Stroke Center, certified by The Joint Commission, provides advanced, prompt treatment to stroke patients. Immediate care is crucial and allows for a smoother recovery and better quality of life post-stoke.

Why Choose Regional’s Comprehensive Stroke Center?

If you or a loved one is experiencing stroke symptoms, you can take comfort in knowing Regional‘s multi-disciplinary stroke team is available 24 hours a day, 7 days a week. We ensure you receive the most advanced stroke treatment quickly.

Our highly specialized physicians (neurologists, neurosurgeons, neuro interventional radiologists and neuro intensivists), nurse practitioners, technologists and nurses are passionate about caring for stroke patients. Our team responds immediately with treatments, from stroke medications, including intravenous tPA, to interventional techniques. Advanced imaging systems located in the Neuro Interventional Radiology Suite help save valuable time, preserve viable brain tissue and help identify the exact nature of the stroke.

Regional’s advanced care and treatment techniques have the ability to extend the treatment window significantly by dissolving and extracting brain blood clots deep in the brain.

Our Neuro ICU is staffed 24/7 by neuro intensivists, physicians with neuro critical care privileges, an additional level of training and certification in critical care medicine. This unit is dedicated to treating stroke patients and patients with other neurological injuries or diseases.

Regional was certified as a Comprehensive Stroke Center in January 2014, under the medical leadership of Dr. Raul Guisado (Neurologist), and Dr. Arash Padidar, (Neuro Interventional Radiologist), who completed the first cerebral neurointerventional procedure at Regional in February 2005. In 2005, with the advent of our ACS Accredited Level II(TWO) Trauma Center, RMC added a Neurocritical Care Program. Clinical excellence and careful incorporation of nationally recognized Stroke Clinical Practice Guidelines have guided Regional's move towards Comprehensive Stroke Center Certification in 2013. Clinically, the Stroke Center is among the busiest in the county. Regional's very active Vascular Neurology, Neurosurgical, Interventional Neuroradiology and Neurocritical Care Service Lines, treat hundreds of stroke patients every year. These patient volumes are growing exponentially and allow us to design and execute Investigational Research Trials and Humanitarian Use Device studies, coordinated with Stanford, Good Samaritan Hospital, and the Santa Clara EMS system. Regional Medical Center's ability to treat and care for patients at elevated risk for stroke is exponentially increased via the synergetic infrastructure of stroke, trauma, and our Specialized Cardiac Services.

Joint Commission, American Heart Association, and American Stroke Association Certified Stroke Center

Regional Medical Center of San Jose's Joint Commission Certified Comprehensive Stroke Center offers diagnosis, treatment, rehabilitation, education and outreach. A trained Stroke Team of doctors and nurses works to identify stroke symptoms as quickly as possible, beginning with emergency medical service workers in the field. By the time a patient arrives at the hospital, the regional Medical Center Stroke Team is ready.

2017 Get With the Guidelines Stroke Certification

Regional Medical Center of San Jose has consistently received recognition for stroke excellence from the American Stroke Association's Get With The Guidelines (GWTG) program. This quality improvement program keeps participating hospitals aligned with the latest scientific stroke guidelines and has proven to improve outcomes in stroke patients. Each year since 2005, Regional Medical Center of San Jose has been recognized with GWTG awards including the Silver Plus and Gold Plus. The GWTG awards illustrate Regional Medical Center's commitment to improving quality care for our stroke patients.

The center also increases education and awareness of stroke symptoms to both healthcare professionals and the community. The road to stroke recovery continues with inpatient and outpatient neuro rehabilitation programs, which are designed to help patients regain physical and speech function, and adapt to their new lifestyles with optimum capabilities.

  • Arteriovenous Malformation (AVM)
  • Carotid Stenting Extracranial (Brachiocephalic) Angioplasty
  • Intracranial Angioplasty
  • Vasospasm Treatment
  • Cerebral Angiogram/stenting/balloon angioplasty
  • Cerebral Thrombectomy-blood clot removal
  • Cerebral Coiling- controlling bleeding from hemorrhagic stroke

The carotid arteries are located in the neck and bring oxygenated blood to the brain. These arteries may develop build-up of cholesterol and calcium over time resulting in the narrowing of the vessel. This can either lead to decreased flow of blood to the brain or even a stroke. Our MD specialists may recommend a procedure to open the artery. These procedures open the carotid artery to restore normal blood flow to the brain.

Carotid Artery Stenting

Regional Medical Center of San Jose has very experienced surgeons and neurointerventional radiologists performing these procedures.

  • Regional Medical Center of San Jose Mortality Rate   


Oct 2016 – Sept 2017

  • Compared to the National Benchmark


Our rate of complications was 0%, which is better than the national benchmark.

A cerebral aneurysm is a weak spot in an artery that bulges outward and fills with blood. This potentially dangerous weakened artery has a potential to rupture and can be life threatening. Whether ruptured or unruptured, there are two procedures commonly used to either clamp off or place coils inside of the aneurysm to clot it off.

Intracranial Aneurysm Clipping & Coiling

Regional Medical Center has an excellent track record for both coiling and clipping aneurysms. There has been one complication though no mortalities, in our patients with unruptured aneurysms attributed to the clipping or coiling of their cerebral aneurysms at Regional.

  • Regional Medical Center of San Jose   


Oct 2016 – Sept 2017

  • Coiling
    • Mortality
    • Complication 
Our rate of  coiling complications was 2.3% with no national benchmark at this time.
  • Clipping
    • Mortality
    • Complication 
  • POINT Trial - Platelet inhibition for TIA and ischemic stroke patients
  • Santa Clara Assessment of Missed Posterior Strokes (SCAMPS) - A new assessment tool used to identify strokes occurring in the back of the brain.
  • Wingspan Stent - Used to open arteries for patients with repeated strokes (TIAs), to treat atherosclerosis (narrowing of the intercranial arteries)
  • Neuroform Stent - used to treat brain aneurysms
  • Codman Enterprise Stent- used to treat brain aneurysms
  • tREvo-Retriever - Device used to revascularize stroke patients
  • Microvention Low - profile Visualised Intraluminal Support Device used to revascularize stroke patients
For more information, contact the Stroke Center at (408) 928-7006

Learn More About Stroke