The Stroke Center at University Hospital Extraordinary Care for Area Patients

chebl_remmel_1428.jpgWith its innovative protocols and groundbreaking clinical trials, the Stroke Center at University Hospital is creating the knowledge to heal.

As the first certified stroke center in Kentucky, The Stroke Center provides stroke patients with an aggressive and unique approach to stroke assessment by providing a “fast track” system. The system is designed to diagnose a stroke and begin treatment quickly – saving precious time and, therefore, brain.

We are above the national average in the administration of IV tPA (intravenous tissue plasminogen activator) for acute ischemic stroke. IV tPA must be given within the first three hours of stroke onset and only after ruling out hemorrhagic stroke. In 2007, University Hospital’s Stroke Team treated 13.5% of stroke patients with IV t-PA. The number includes patients who had the drug administered at University Hospital, as well as those patients that had it administered at an outlying hospital after talking with one of our Stroke Neurologists and then the patient was transferred to UofL for management. The national average for tPA administration is 3-5%.

remmel_1455.jpgWithin 30 minutes of a patient’s arrival, the Stroke Center Team can research patient history, perform neurological exams, blood tests and CT scans. In some instances when time and initial assessment permit, drugs can be administered within the emergency room that can reverse the effects of stroke.

The leaders of this multidisciplinary team are Stroke Center Director, neurologist Kerri Remmel, MD, Ph.D, and Interventional Neurologist and Director of Interventional Neurology at University Hospital, Alex Abou-Chebl, MD.

Under the direction of Dr. Remmel, the University Hospital Stroke Center became the first healthcare facility in Kentucky to receive national accreditation as a primary stroke center.

Department of Interventional Neurology


chebl_1452.jpgDr. Abou-Chebl, who came to the Stroke Center from the Cleveland Clinic, is one of fewer than 15 interventional neurologists in the country.

When the 3-hour treatment window has expired, Dr. Abou-Chebl uses the most advanced technology at University Hospital’s Stroke Center to identify qualified patients whose strokes can be reversed. If a patient qualifies, Dr. Abou-Chebl can use a number of different devices to go into the brains vessels and remove, break-up or pull out the blood clot causing the stroke, thus saving patients from the debilitating affects of stroke.

stroke_clock.jpgThe Joint Commission accredited Stroke Center has an in-house team of specialists available 24-hours a day, seven days a week to meet the needs of stroke patients. The interdisciplinary team consists of:

  • neurologists
  • neuro interventionalists
  • neuro surgeons
  • cardiologists
  • neuro critical care physicians
  • nurses and nurse practitioners
  • occupational therapists
  • physical therapists
  • speech therapists
  • nutritionists
  • diabetic coordinators
  • social workers

All Stroke Center patients have access to leading edge drug therapies through the University Hospital’s clinical trial research.





Know the warning signs for stroke.

If you have any of the following warning signs for stroke, call 911 immediately:

  • Sudden weakness or numbness of the face, arm, or leg-especially along one side of the body.
  • Sudden confusion.
  • Sudden dimness or loss of vision, particularly in one eye.
  • Sudden difficulty speaking or trouble understanding speech.
  • Sudden severe headache with no known cause.
  • Unexplained dizziness, unsteadiness, or sudden falls, especially with any of the other signs.

Recognizing and responding to these symptoms right away could save a life - maybe even your own. Remember, call 911 immediately if you see anyone experiencing any of these symptoms, or are experiencing them yourself.

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Hospitals receiving Get With The Guidelines Gold (Sustained) Performance Achievement Award have reached an aggressive goal of treating stroke patients with 85% or higher compliance to core standard levels of care as outlined by the American Heart Association/American Stroke Association for 24 consecutive months.

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