{"id":562,"date":"2010-06-03T15:33:22","date_gmt":"2010-06-03T15:33:22","guid":{"rendered":"https:\/\/wp.uthscsa.edu\/neurosurgery\/?p=562"},"modified":"2021-10-07T12:28:35","modified_gmt":"2021-10-07T17:28:35","slug":"device-retrieves-clot-helps-retired-bus-mechanic-beat-stroke","status":"publish","type":"post","link":"https:\/\/lsom.uthscsa.edu\/neurosurgery\/device-retrieves-clot-helps-retired-bus-mechanic-beat-stroke\/","title":{"rendered":"Device retrieves clot, helps retired bus mechanic beat stroke"},"content":{"rendered":"

Patricia Ozuna can tell you all about the night her husband, Lino, suffered a stroke. The couple lay in bed at 1:15 a.m. on Oct. 2, 2009, when Patricia felt his body lean into hers. \u201cI said, \u2018Lino, you\u2019re squashing me.\u2019 It didn\u2019t take me more than a minute to realize something was wrong. He was looking at me and talking, but I couldn\u2019t understand him.\u201d<\/p>\n

Lino Ozuna, a retired San Antonio bus mechanic, doesn\u2019t smoke and eats right. He is usually happy and friendly. Mrs. Ozuna quickly called her son, Richard, a San Antonio paramedic trainer. \u201cI said, \u2018He\u2019s very heavy, like dead weight, and he is babbling at me.\u2019<\/p>\n

\u201cRichard said, \u2018Mom, go to the door. Someone will be there in a minute.\u2019\u201d<\/p>\n

Brain & Stroke Network<\/h3>\n

Mr. Ozuna was completely paralyzed on his left side when Christopher Koebbe, M.D., clinical assistant professor of neurosurgery at The University of Texas Health Science Center at San Antonio, greeted him at the hospital. Dr. Koebbe is one of the dedicated team of Health Science Center faculty neurosurgeons who treat stroke patients 24 hours a day, seven days a week, through the Brain & Stroke Network at Baptist Health System. He is also on active duty in the U.S. Air Force.<\/p>\n

Special coil used to remove clot<\/h3>\n\n\n\n
Related link:
\nView an animation of the Merci Retrieval System\u00ae<\/strong><\/a><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n

At St. Luke\u2019s Baptist Hospital a block from the Health Science Center, Dr. Koebbe used a Merci Retrieval System\u00ae* to remove the clot that had halted blood flow in Mr. Ozuna\u2019s brain. The Merci system includes a wire snake with a coiled end like on a corkscrew wine opener. It is advanced from the groin through blood vessels to just past the site of the clot. Then the surgeon uses the coiled end to grab the clot and reels the snake back in.<\/p>\n

Dr. Koebbe has done 50 such procedures as part of the Brain & Stroke Network. Follow-up visits are next door to the hospital in a UT Medicine San Antonio neurosurgery clinic. UT Health San Antonio Long School of Medicine is the faculty physician practice of the Health Science Center School of Medicine.<\/p>\n

Sole San Antonio physician performing procedure<\/h3>\n

\u201cUp to a year ago, no treatment like this was available in San Antonio, a city of 1.5 million people,\u201d Dr. Koebbe said. \u201cThese therapies are available only at stroke tertiary care centers. There is no other person who does the technique in San Antonio.\u201d<\/p>\n

In the past, patients such as Mr. Ozuna were brought to emergency rooms with little hope of effective treatment. In the last 15 years, the clot-softening drug tPA (tissue plasminogen activator) has been administered in the first three hours after stroke onset and has helped many.<\/p>\n

More time for recovery<\/h3>\n

The Merci system lengthens the window of possible effective stroke treatment.<\/p>\n

tPA was administered to Mr. Ozuna within three hours of his stroke onset but his condition did not improve, Dr. Koebbe said. The team used CT perfusion imaging to show the area of Mr. Ozuna\u2019s brain that was salvageable. \u201cHe was a good candidate for the Merci retriever because he still had considerable brain tissue left that was not dead,\u201d the neurosurgeon said.<\/p>\n

Quick action necessary for those with a stroke<\/h3>\n

This was because Mrs. Ozuna recognized the stroke immediately and called for help. In addition, Dr. Koebbe said he was able to retrieve the clot fairly early in the operation. \u201cI got it on the first pluck,\u201d he said.<\/p>\n

Three days after the surgery, Mr. Ozuna was joking with his son, Richard, about doing engine work. The elder Ozuna spent 28 days in the hospital, mostly because of its convenient stroke rehabilitation unit.<\/p>\n

Today, he walks and talks, drives to the store with lists from his wife, and even reminds her to take her medication. \u201cI feel completely normal,\u201d he said to Dr. Koebbe. \u201cI feel very lucky you were handling my case.\u201d<\/p>\n","protected":false},"excerpt":{"rendered":"

Patricia Ozuna can tell you all about the night her husband, Lino, suffered a stroke. The couple lay in bed at 1:15 a.m. on Oct. 2, 2009, when Patricia felt his body lean into hers. \u201cI said, \u2018Lino, you\u2019re squashing me.\u2019 It didn\u2019t take me more than a minute to realize something was wrong. He […]<\/p>\n","protected":false},"author":161,"featured_media":563,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[14,6],"tags":[],"class_list":["post-562","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-news","category-patient-stories"],"yoast_head":"\nDevice retrieves clot, helps retired bus mechanic beat stroke - Neurosurgery<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/lsom.uthscsa.edu\/neurosurgery\/device-retrieves-clot-helps-retired-bus-mechanic-beat-stroke\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Device retrieves clot, helps retired bus mechanic beat stroke - Neurosurgery\" \/>\n<meta property=\"og:description\" content=\"Patricia Ozuna can tell you all about the night her husband, Lino, suffered a stroke. 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