The UPMC Stroke Institute was the first stroke center in Western Pennsylvania certified by the Joint Commission and the first hospital in the region to achieve the Target Stroke Designation by the American Stroke Association. The Stroke Institute continues to expand its role as the leading regional referral center, providing the highest quality stroke care in areas that include acute stroke management, stroke prevention, and stroke rehabilitation. In addition the UPMC Stroke Institute continues to consolidate its position at the forefront of stroke research through its major contributions to the design and implementation of national and international multi-center stroke trials in interventional acute stroke therapy, carotid and intracranial stenting, acute stroke imaging, stroke prevention and stroke regeneration through stem cell therapy and stroke care via telemedicine services.
Bradley J. Molyneaux, MD, PhD, associate director of the UPMC Stroke Institute, leads a program focused on delivering outstanding patient care integrating all stroke-related aspects of care within a multi-disciplinary system involving stroke and interventional neurologists, vascular neurosurgeons, neurointensivists, neuroradiologists and neuro-rehabilitation specialists as well as stroke nurse practitioners and nurses. In addition to providing excellence in patient care and research, the UPMC Stroke Institute is reaffirming its commitment to education through its ongoing educational programs for health professionals and the community at large.
The Stroke Institute is comprised of stroke-specific clinical inpatient services at UPMC Presbyterian and UPMC Mercy providing care for over 2000 patients admitted with cerebrovascular conditions each year. Outpatient stroke care is provided at the same two locations staffed by six fellowship-trained stroke specialists, 3 stroke fellows, and 3 nurse practitioners. Multiple medical and ancillary services work together to provide patients with a comprehensive approach to care thus maximizing the potential for excellent outcomes. The UPMC Mercy integrated neurovascular clinic staffed by stroke neurologists, neuroendovascular specialists, and vascular neurosurgeons, with an on-site extra- and intracranial ultrasound lab is a prime example of a fully integrated neurovascular clinic capable of providing expert care for the whole gamut of neurovascular conditions (ischemic or hemorrhagic) in a “one-stop-shop” approach.
Advanced training in interventional vascular neurology is being offered through the UPMC neuroendovascular program that sponsors interventional fellows annually. In addition to the dedicated vascular and interventional neurology training programs, stroke-specific education is offered to fellows, residents, medical students and physicians visiting from abroad who are able to enjoy a rich educational experience supported by multiple resources and experts from other disciplines involved in cerebrovascular disease and research.
Throughout the year the Stroke Institute faculty and staff provide educational opportunities for health professionals and the community at large. An annual CME program is offered for physicians to provide current information on medical and surgical management of the stroke patient and to update clinical trial activity. Additionally, an annual all-day stroke nursing conference with CUE’s takes place in the spring. The Stroke Institute supports community stroke awareness programs through many venues. Both faculty and staff are active on the local, state and national level providing education and participating in legislative activities to promote stroke care.
The unique UPMC hospital system allows faculty and staff to work with the 11 UPMC community-based hospitals, improving the standards of stroke care with the availability of telemedicine technology. The Stroke faculty now shares call and provides acute stroke management at partner hospital UPMC Shadyside and UPMC Mercy. Telemedicine equipment for 24/7 stroke assessment has been implemented at all UPMC hospital sites and 6 additional non-UPMC facilities to improve the availability of acute stroke care for patients who lack direct access to stroke specialists in the region.