Comprehensive Stroke Center in San Jose, California
Raul Guisado, MD
Medical Director Neurology/Stroke Program
Regional Medical Center’s Comprehensive Stroke Center in San Jose, California provides stroke diagnosis, treatment, rehabilitation and education. Our advanced, fast treatment for stroke patients, which has earned us national recognition, is essential for a smoother recovery and better quality of life post-stroke.
If you or someone you know is having a stroke, call 911 immediately. For more information about our stroke care center in San Jose, please call (408) 928-7006.
Regional Medical Center of San Jose was certified by The Joint Commission as a Comprehensive Stroke Center in January 2014, under the medical leadership of neurologist Dr. Raul Guisado and neuro interventional radiologist Dr. Arash Padidar, who completed the first cerebral neuro interventional procedure at Regional in February 2005.
We have consistently received recognition for stroke care excellence from the American Stroke Association's Get With The Guidelines (GWTG) program since 2005. This quality improvement program keeps participating hospitals aligned with the latest scientific stroke guidelines and has proven to improve outcomes in stroke patients.
What is a stroke?
A stroke occurs when blood flow to the brain is cut off. (This is why stroke is sometimes called a brain stroke.) When blood flow is cut off, brain cells begin to die. As brain cells die, functions and abilities controlled by that area of the brain are lost. The longer the blood flow is cut off, the more serious the problems can become.
Stroke is a life-threatening medical emergency. About 795,000 Americans suffer a new or recurrent stroke each year, according to the American Stroke Association, and stroke kills more than 137,000 people a year.
Our neurologists, neurosurgeons, neuro interventional radiologists, neuro intensivists and nurses in San Jose, California are equipped to quickly identify stroke symptoms and acutely treat stroke patients to reduce long-term effects of stroke.
Signs of a stroke
To determine if someone may be having a stroke, act F.A.S.T.:
Face: Ask the person to smile. Does one side of the face droop?
Arms: Ask the person to raise both arms. Does one arm drift downward?
Speech: Ask the person to repeat a simple sentence. Can they repeat it correctly? Are their words slurred? Are they confused?
Time: Call 911 immediately if the person displays any of these stroke warning signs. These symptoms may also be accompanied by additional signs of a stroke, like:
- Loss of vision or doubled vision
- Severe headache
- Nausea or vomiting
- Sudden loss of strength or sensation in the face, arm and/or leg
Stroke care services in San Jose, California
Regional’s ER implemented an acute stroke protocol to ensure the rapid evaluation and treatment of stroke patients. The team responds immediately with treatments, including medications and interventional techniques. Our advanced care and techniques have the ability to extend the treatment window significantly by dissolving and extracting blood clots deep in the brain.
In addition, the neuro ICU is staffed with neuro intensivists 24/7 to care for stroke patients and patients with other neurological conditions.
Our comprehensive stroke care services include:
Our neurointerventional radiologists perform minimally invasive procedures to treat stroke. Some procedures include:
- Intracranial angioplasty, the widening of blood vessels in the brain
- Treatment for vasospasm, the sudden tightening of blood vessels
- Cerebral angiogram, a minimally invasive test that produces images of the inside of the blood vessels
- Cerebral stenting/balloon angioplasty, procedures to reopen narrowed blood vessels
- Cerebral thrombectomy, a removal of blood clots
Carotid artery procedures
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 lead to decreased blood flow to the brain or a stroke. Our stroke specialists in San Jose, California may recommend a procedure to open the carotid artery to restore normal blood flow to the brain.
A cerebral aneurysm is a weak spot in an artery that bulges outward and fills with blood. The weakened artery has the potential to rupture, which can be life threatening. Clipping and coiling are two common procedures used to clot off an aneurysm, whether it has ruptured or not.
Our stroke center in San Jose, California has an excellent track record for both coiling and clipping aneurysms. There has been one complication and no mortalities among patients with non-ruptured aneurysms attributed to the clipping or coiling of their cerebral aneurysms.
Research trials and studies
Regional Medical Center of San Jose participates in stroke-related research trials and humanitarian use device studies, such as:
- POINT trial, platelet inhibition for patients with repeated strokes 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 and 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