Across our eight stroke centers at NewYork-Presbyterian (NYP), we are dedicated to achieving the best outcomes and continuously work to improve the care and treatment of our stroke patients. We participate in Get With The Guidelines® - Stroke (GWTG), an in-hospital program designed to improve the management of people who have had a stroke. We measure our stroke care against the standards established within the program in collaboration with the American Heart Association and the American Stroke Association.
Our hospitals are designated as Stroke Centers by the New York State Department of Health and certified by The Joint Commission and have continuously received the highest levels of recognition from the American Heart Association and American Stroke Association for outstanding stroke care.
NYP/Weill Cornell Medical Center stroke's program has earned the American Heart Association/American Stroke Association Get With The Guidelines®-Stroke Gold Plus award as well as a spot on the Target: Stroke Honor Roll Elite Plus and Target: Stroke Advanced Therapy.
NYP/Columbia University Irving Medical Center's stroke program has earned the American Heart Association/American Stroke Association Get With The Guidelines®-Stroke Gold Plus award as well as a spot on the Target: Stroke Honor Roll Elite Plus and Target: Stroke Advanced Therapy.
Our network of Stroke Centers provide the most appropriate level of care to the communities they serve:
- 1Comprehensive Stroke Centers provide a full range of around-the-clock services including care for the most complex stroke patients and a full range of neurosurgical interventions.
- 2Thrombectomy Capable Stroke Centers offer advanced treatment options for Ischemic Stroke and care for the majority of complex stroke patients.
- 3Primary Stroke Centers provide triage and treatment for the majority of stroke patients, and we offer rapid transfer to Comprehensive Stroke Centers for those requiring a higher level of care.
1NewYork-Presbyterian/Columbia University Irving Medical Center (NYP-CU) and NewYork-Presbyterian/Weill Cornell Medical Center (NYP-WC)
2NewYork-Presbyterian Brooklyn Methodist (NYP-BMH) and NewYork-Presbyterian Queens (NYP-Q)
3NewYork-Presbyterian Allen Hospital (NYP-AH), NewYork-Presbyterian Hudson Valley (NYP-HVH), NewYork-Presbyterian Lower Manhattan Hospital (NYP-LMH), NewYork-Presbyterian Westchester (NYP-W).
Below are examples of the performance measures that we monitor and report in order to improve the care and outcomes of our stroke patients.
Safe Diagnosis
Diagnostic cerebral angiography is a minimally invasive procedure to evaluate the blood vessels in the head or neck to assess for blockages or abnormalities of such blood vessels. This procedure is used to help diagnose and determine the best treatment for certain patients with stroke and other cerebrovascular disease and is conducted by highly trained specialists.
The Joint Commission (TJC) standard for 24-hour peri-procedure stroke and death rate after diagnostic cerebral angiography is <1%. In 2023 and 2024, the 24-hour stroke and death rate following diagnostic cerebral angiography at NewYork-Presbyterian Hospital was well below this threshold.
| NYP-CU | NYP-WC | NYP-BMH | NYP-Q | TJC Standard | ||||||
|---|---|---|---|---|---|---|---|---|---|---|
| 2023 | 2024 | 2023 | 2024 | 2023 | 2024 | 2023 | 2024 | |||
| Diagnostic Angiography | 24-hour Stroke rate | 0.2% | 0.2% | 0.5% | 0.0% | 0.0% | 0.0% | 0.0% | 0.0% | ≤ 1% combined |
| Diagnostic Angiography | 24-hour Death rate | 0.0% | 0.0% | 0.0% | 0.0% | 0.0% | 0.0% | 0.0% | 0.0% | |
Rapid Acute Stroke Treatment
Treating patients with ischemic stroke as quickly as possible is critical to achieving a good recovery. The clot-busting drugs used to treat ischemic stroke are generally only effective if administered within 4.5 hours of stroke symptoms onset, and the sooner it is administered, the better. For many years the focus was on achieving treatment times within 60 minutes of patient arrival, however in recent years the focus has shifted to drive treatment times to be faster. Over the past few years our centers have continued to perform well against this measure, and we are always striving to improve our treatment times for all patients.
Endovascular Therapy
Endovascular therapy (EVT), which involves using tools like stent retrievers to open up a blocked artery, is now the standard of care for treatment of acute ischemic stroke due to large-vessel occlusion (LVO). In the past few years, our centers specializing in EVT for acute ischemic strokes have consistently achieved high rates of procedural success.
Procedures to Reduce Stroke Risk
Blockages or narrowing of the carotid arteries, which are the arteries in the neck that supply blood to the brain, can lead to a first or recurrent stroke. Carotid endarterectomies (CEA) and carotid artery stenting (CAS, TCARs) are procedures that are performed to remove the blockages in the carotid arteries to reduce the risk of stroke.
Cerebral aneurysms are abnormal outpouchings of arteries in the brain, which can rupture and lead to bleeding into and around the brain which is known as a subarachnoid hemorrhage. Endovascular procedures to plug or divert flow from these aneurysms can prevent these aneurysms from bleeding and improve long-term patient outcomes. Historically, complication rates for these procedures to reduce stroke risk at NewYork-Presbyterian Hospitals have generally been below the Joint Commission standards.
| NYP-CU | NYP-WC | ||||
|---|---|---|---|---|---|
| 2023 | 2024 | 2023 | 2024 | ||
| Carotid procedures (CEA/CAS/TCARs) | 30-Day Complications* | 2.5% | 1.1% | 1.6% | 6.5% |
*Include stroke, death, and MI
| NYP-CU | NYP-WC | ||||
|---|---|---|---|---|---|
| 2023 | 2024 | 2023 | 2024 | ||
| Aneurysm clipping | 30-Day Mortality | 0.0% | 0.0% | 0.0% | 0.0% |
| Endovascular Aneurysm Procedures (coil/embolization, stents) | 30-Day Mortality | 3.6% | 2.9% | 0.0% | 0.0% |
Related Links
Columbia Neurosurgeons - Department of Neurosurgery
NewYork-Presbyterian/Columbia - Department of Neurology
Weill Cornell Brain and Spine Center - Department of Neurosurgery
NewYork-Presbyterian/Weill Cornell - Department of Neurology
NewYork-Presbyterian Queens - Stroke Center
NewYork-Presbyterian Brooklyn Methodist Hospital - Stroke Center