Lalitha Super specialities hospital

ANKINEEDU STROKE CENTER

Recognized as Advanced Stroke center by Quality And Accreditation Institute (QAI) – India’s 1st Nationally Accredited Advanced Stroke Center

The Ankineedu stroke centre (ASC), First of its kind in A.P was established in 1996 and is developed into a state-of-the-art comprehensive stroke care facility managing “Brain Attack” patients to maximize their recovery. It covers all aspects of stroke management from public education, community screening, emergency evaluation, acute treatments - Medical, interventional, critical care and surgical, rehabilitation and research. It is headed by renowned Stroke Neurologist Dr.P.Vijaya M.D.,D.M with vast experience in the stroke management for the last 20yrs under her supervision ASC has achieved many mile stones like Thrombolytic therapy, Interventional stroke therapies, Stroke Neurosurgery, Multidisciplinary rehabilitation, Physician and Public education programs and clinical research with national and International presentations.

Stroke Team

The core strength of ASC is the multidisciplinary stroke team comprising of Neurologist, Neurosurgeon, Neuroradiologist, Interventional radiologist, Interventional Cardiologist, Emergency Physician, Critical care specialist along with paramedical staff including trained nurses, CT, MRI lab technicians, Cath lab technicians, rehabilitation team with physiotherapists, Speech therapist, Dietician, Stroke coordinator all available 24/7.

Stroke Services

24 hrs stroke services available for acute strokes including

IV thrombolytic therapy in less than 3 hrs
Up to 4.5 hrs in selected patients
Intra arterial therapies of ischemic stroke < 6 hrs,
Intra cranial sinus thrombolysis for CVT
Acute angioplasty of carotids, Vertebrals and Intra cranial arteries
Stroke neurosurgery including Decompressive craniectomies for malignant MCA infarcts, large cerebellar strokes, External Ventricular Drainage and hematoma evacuation.

Stroke clinic 6 days a week

Preventive therapies – Carotid angioplasty and stenting

Vertebral Angioplasty and stenting

Stroke rehabilitation - Starting from Day 1 from stroke unit comprehensive stroke rehabilitation services are provided by physiotherapists, Dietician and Speech therapist. After discharge local patients are provided by extended home based therapy.

Stroke Unit

Interventional Team

Stroke Registry

One of the biggest stroke registries average 1000 patients per year comprising of ischemic strokes (Lacunar syndromes, Cardio embolic strokes, Intra cranial Large vessel diseases, carotid disease, Cortical sinus venous thrombosis) , Hemorrhagic strokes like SAH, ICH, AVM bleed. Special registries are maintained for IVT, LIAT, CVT and Cerebellar strokes.

24hrs Diagnostics

There are in house Siemens 6 slice spiral CT, Hitachi whole body MRI scan, Color Doppler studies, Biochemistry and hematology, Neuroradiology available round the clock for speedy evaluation of acute stroke patients. The door to CT time is 10 minutes.

Achievements

First Stroke Unit to be started in Andhra Pradesh

Comprehensive Stroke Center Managed by Multidisciplinary Team

This center is one of the 12 in India to be selected for a European stroke registry (SITS-NEW)

2009 - Only scientific paper from India to be accepted in Interventional stroke conference- Sandiego

NATIONAL & INTERNATIONAL ACADEMIC ACHIEVEMENTS

2004- Attended World stroke congress Vancouver –Canada and Thrombolysis meeting-Whisler

2005- Dec NSI - Vizag Scientific paper presentation- “Endovascular Interventional Treatment of Acute Ischemic Stroke- An experience of 20 patients from Ankineedu Stroke center, Guntur”.

2006-Jan Indian Stroke association and South East Asian Congress scientific paper presentation

2006- June Member - Thrombolysis subgroup meeting in Goa

2006-Oct World stroke congress, Capetown, South Africa- Scientific paper presentation

“Endovascular Interventional Treatment of Acute Ischemic Stroke -An experience of 40 patients from Ankineedu Stroke Unit, a community center in Guntur, INDIA.”

2007- Jan, Indian stroke Association- Mumbai Chairperson and scientific paper presentation “Management of Acute Carotid Strokes with Catheter based Interventions improve Outcome-A single stroke center experience from India.”

2007- Jan, Act now workshop Guest speaker and participant

2007- Mar, Faculty & Guest speaker in the 4th Asia Pacific Conference Against stroke (APCAS) “INTRA ARTERIAL THROMBOLYSIS- our data”

2008- Feb-Amritsar- 3rd National congress of Indian Stroke Association- scientific paper presentation- “Multimodal Reperfusion therapy in Acute Ischemic Stroke”

2008- Sept 6th World Stroke congress scientific paper presentation- “Endovascular Multimodal reperfusion therapy in 100 consecutive patients of Acute Ischemic strokes with subgroup analysis from a single stroke center, India.”

2008- Oct 12th Asian Oceanian Congress of Neurology and 16th IAN- New Delhi Paper Accepted- “Catheter based Interventional treatment of Acute Ischemic stroke beyond 3 hours – 3 month outcomes and long term follow up”

2008- Oct, Invited speaker for the International Critical care conference held in Mangalore

2008- Dec, Gold Medal Oration given in the State IMA golden Jubilee Conference.

2009-Jan Guest speaker along with International faculty for stroke meeting held in Trivandrum- “Interventional treatment of Acute Ischemic Stroke- Clinician Perspective”

2009- Feb - International Stroke Conference 2009 – San Diego “Angioplasty and Stenting in acute ischemic stroke – outcome and one year follow up from a single center, India.

2009- March Guest Speaker for 4th national Congress of Indian Stroke Association- “Intraarterial thrombolysis : technique and results”

2009- Aug- Dr.Dhakshina Murthy Gold Medal Oration given in the IMA Tenali.

2009- Aug ESC congress 2009- Participation, Barcelona “Emergency PTA with Stenting to Internal Carotid Artery in Acute Ischemic Stroke Improves Recanalization Rates and Outcomes”

2010 –Received Word Stroke Day-2009 Award – First Certificate of Honor, 4th place World wide, from WSO.

2010 – Accepted Paper Presentations in world Stroke Congress-2010 at Seoul, South Korea.

Paper-1 “ Analysis Of 60 Consecutive Cases Of CVT: Clinical, Radiological Features, Risk Factors, Management And Outcome, From A Single Center, India.”

Paper-2 “ Emergency Angioplasty/Stenting In 10 Consecutive Cases Of Acute Basilar Stroke From A Single Center, India”

Public Education

Many public education activities are done every day and intensively during the world stroke day activities. Stroke pamphlets and hoardings describing Stroke symptoms are distributed every day. Stroke risk assessment sheets are also available on request.

Success Stories

Thousands of stroke patients received treatment in ASC and achieved good functional outcome. Some success stories in their own words.

This 45 yr old business man, known diabetic and underwent bypass surgery 6yrs back, reading news paper at 8.30am in lying position was unable to hold the news paper with his left hand, he got up and while walking he noticed that his left arm and left leg was felt heaviness and numbness with slurred speech. He rushed to our Ankineedu Stroke Unit at 09.10 am, seen by Neurophysician Dr.P.Vijaya diagnosed paralysis stroke, immediately send to CT brain and shifted to Intensive care. As he brought to hospital within 3 hours, considered for Intra Venous

Thrombolytic therapy and administered the drug rt-PA. Immediately after 1 hr patient started improving. At the time of discharge patient completely recovered and walked without support.

DNB Education

Lalitha Hospital with ASC services is recognized by the NAT board for the DNB (Super speciality) neurology training after MD general medicine.

Research

ASC is a part of many prestigious International clinical trials.

Acute stroke Trials - REGENESIS study, Interact-2 for ICH
Stroke Prevention Trials - Polypill study.
One of 12 centers in India to participate in SITS NEW registry
Rehabilitation trial – Taping study

World stroke day activities

ASC is one of the first stroke centers in India to pioneer World stroke Day activities. Starting from 2005, every year many stroke awareness programs are conducted involving TV, Electronic media and Print media. For the innovative activities ASC also received the prestigious World stroke Day - 2009 award in a World wide competition from World stroke Organization.