WCHN Neurosurgeon Performs First Intra-Arterial Mechanical Thrombectomy at Norwalk Hospital

New Milford Hospital
Norwalk Hospital's Endovascular Stroke Team – Cardiac Cath Lab - From left: Hanaa Boutros, RN; Jason Grosz, RT; Barbara Spagnuolo, RN; Sonya Clayton, RN; Amanda Silva, RN; Josh Marcus, MD; Anne Bartolone, Director, Cardiology Clinical Operations; Steve Edwards, RT and Romell Cabugao, RN.
NORWALK, Connecticut – January 16, 2017 – Neurosurgeon Dr. Joshua Marcus and the Endovascular Stroke Team at Norwalk Hospital have set a new standard in stroke care for Western Connecticut Health Network (WCHN) and for Fairfield County.

The team successfully performed the first endovascular stroke procedure, an intra-arterial mechanical thrombectomy treatment for ischemic stroke. No other facility in the area offers this cutting-edge, minimally invasive treatment in the emergency management of patients with acute strokes. The procedure expands the window of stroke treatment from 0-4 hours to 6-8 hours.

“I’d like to recognize the greater team whose members worked to establish the new stroke protocol at WCHN, which led to the higher level of care we can perform here for our patients,” said Dr. Marcus.

WCHN Endovascular Stroke Teams at Norwalk and Danbury hospitals have added this advanced alternative to their endovascular capabilities.

“We are so pleased to now have the ability to provide this cutting-edge, minimally invasive treatment. As with heart attacks where time is muscle, for strokes, time is brain,” said Anne Bartolone, RN, Director, Cardiology Clinical Operations at Norwalk Hospital.

Dr. Marcus is the only physician in Fairfield County and one of only a few in the state with advanced training and dual expertise in both the open surgical and minimally invasive treatment of cerebrovascular conditions including cerebral aneurysms, arteriovenous malformations, carotid artery disease as well as hemorrhagic and ischemic stroke.

“When someone is having a stroke, it’s critical for the patient to receive treatment quickly to save their life and reduce the risk of disability,” said Dr. Marcus.

Norwalk Hospital and Danbury Hospital have been certified by The Joint Commission as Primary Stroke Centers since 2006. For more information about stroke services at Norwalk Hospital, call Michele Lecardo, RN, Clinical Coordinator, Rapid Response at (203) 852-2289. At Danbury and New Milford Hospitals, contact Stroke Coordinator Heather Duggan, RN, MSN, CNL, SCRN at (203) 739-6973.

Norwalk Hospital and Danbury Hospital offer a full range of other neuroendovascular and neurosurgical procedures on an emergency basis, including:

• Minimally invasive evacuation of intracranial hemorrhage
• Aneurysm coil embolization
• Aneurysm surgical clipping
• Embolization for epistaxis (severe nosebleeds)
• Arteriovenous malformation (AVM) embolization and resection

About the Intra-Arterial Mechanical Thrombectomy Procedure
Intravenous t-PA is considered and administered to all eligible acute ischemic stroke patients. In addition to IV t-PA and in instances when t-PA is no longer a treatment option, intra-arterial mechanical thrombectomy is an advanced alternative in which a microcatheter is used to access and aspirate a blood clot. It’s quickly becoming the gold standard in ischemic stroke treatment due to its safety, efficacy and expanded treatment window—translating into excellent patient outcomes.