Michael Mendoza, MD

Wellstar Health System announced today that The Joint Commission recognized Wellstar North Fulton Medical Center as a Comprehensive Stroke Center, the most demanding stroke certification recognizing hospitals that have specific abilities to receive and treat the most complex stroke cases. With two of the eight Comprehensive Stroke Centers in Georgia, Wellstar Health System now offers stroke patients greater access to the highest level of stroke and aneurysm care. Wellstar Kennestone Regional Medical Center is also Joint Commission certified as a Comprehensive Stroke Center.

“For years, we have provided world-class stroke care for each and every patient when they need it most. This designation represents how hard we have worked to provide the very best quality care for patients in North Fulton County and across Georgia. We’re proud that our work and subsequent positive patient outcomes are being recognized,” said Dr. Michael Mendoza, medical director of the Stroke Program at Wellstar North Fulton.

Wellstar North Fulton’s certification allows more Georgians to have access to the most advance diagnostics and treatments for cerebrovascular disease such as stroke. This is important because Georgia is located in the Stroke Belt, which is comprised of 11 states in the Southeast where the associated mortality rate for stroke patients is 10 percent above the national average.

At Wellstar North Fulton and Wellstar Kennestone, patients have access to advanced diagnostics and therapies to care for even the most complicated strokes faster and more effectively. These include:

• Neuro Intensive Care Units –  A multidisciplinary team of physicians and nurses who specialize in neurocritical care.
• Minimally-invasive treatment – Wellstar is one of only four programs in the state that offer neuroendovascular treatment, such as minimally-invasive clot retrieval, patients can be provided with a much less invasive treatment technique.
• Cutting-edge imaging – Neurointerventional biplane imaging shows detailed, 3D views of blood vessels in the brain. This allows neurosurgeons to flip neuroendovascular cases to an open neurosurgical case when needed.
• Pioneering technology – Wellstar North Fulton was among the first hospitals in the country to use the groundbreaking Artemis Neuro Evacuation device to treat brain bleeds, a condition that was nearly impossible to treat in the past.
• Around-the-clock care – Artificial intelligence such as VizAi allows quicker identification of patients who are candidates for thrombectomy and organizes care in a connected system by quicker response to identify and provide care as quickly as possible.

“Our team of neurosurgeons, neurocritical care physicians, neuroradiologists, advanced practice practitioners and nurses work together to perform world-class thrombectomies, aneurysm treatments, carotid surgeries and cerebral bypass procedures so that patients can regain their best quality of life. Additionally, our dedicated hybrid neurovascular suite is equipped with innovative bi-plane technology. This allows neurosurgeons to view highly detailed images of brain vessels, so we as a team can customize treatments in real time,” said Dr. Arthur Grigorian, neurosurgeon, Wellstar North Fulton.

“When you have a stroke, every second counts. Getting fast, expert stroke care can mean the difference between life, death, or lasting brain damage. We are proud to receive this prestigious certification at Wellstar North Fulton, informing the surrounding community that they don’t have to go far to receive the best treatment possible. We will continue to work hard to provide an interdisciplinary, innovative, and compassionate approach to safe and quality comprehensive stroke care to all the communities we serve,” said Jon-Paul Croom, president, Wellstar North Fulton and senior vice president, Wellstar Health System.

Wellstar is a leading provider of stroke and aneurysm services in Georgia and performs one of the highest numbers of thrombectomy and aneurysm treatments in the country. The Joint Commission is a United States-based nonprofit organization that accredits more than 22,000 healthcare organizations and programs.

To say Cindy Mejia is “busy” is an understatement. 

She’s constantly crunching numbers as an accounting manager for a large research institute, trying out new recipes in her kitchen at her Roswell home, or trying to keep up with her little granddaughter (who just discovered how much fun it is to run).

But one Wednesday in September, Cindy woke up and reached for her computer, trying to get an early start to her workday. She felt a little groggy and couldn’t remember her password but didn’t immediately realize something was wrong.

Then she stood up. Her right arm and leg weren’t functioning, and that’s when Cindy knew what was happening — she was having a stroke.

“The first thing I thought was, ‘I need to get to Wellstar North Fulton right away,’” Cindy said. “I knew the hospital was nearby and has a good reputation.”

That decision ultimately saved her brain and life.

For Cindy, the critical care she needed was close to home, too — she lives four miles from Wellstar North Fulton Medical Center. There, her care team sprang into action, bringing her the treatment and peace of mind in a moment of crisis.

“From then on, I felt well taken care of,” Cindy said. “I was relieved, and I knew I was going to be OK.”

Cindy's close-to-home 'pit crew'

When a patient has a stroke, every second matters. Each minute that ticks by could be the difference between a permanent stroke and a return to routine. So at North Fulton, Cindy’s care team assembled quickly to save her brainpower.

“We’re like the pit crew on a NASCAR team,” said Dr. Ed Malcom, a Wellstar emergency medicine physician. “We have our emergency stroke care response down to a science. Everyone knows their role and works together to act quickly.”

Cindy was one of the first patients at North Fulton to benefit from the hospital’s newest addition to its stroke program. While North Fulton has been a primary stroke center for years, the introduction of thrombectomies at the hospital gives patients a close-to-home, life-saving option for stroke care — saving them both time and brainpower.

A thrombectomy is a minimally invasive procedure used to unclog an artery, restoring blood flow to the brain and preventing further damage. It does not involve cutting of the brain but instead starts with the insertion of a catheter through the patient’s groin.

“Recently, we’ve developed our own capability right here in the North Fulton area to pull the clot out of the brain. That’s a giant leap forward,” Dr. Malcom explained. “It's good for the whole state because there's only a handful of hospitals that do that, and it's good for the residents that live in that North Fulton area to have a hospital so close. They don't have to take a helicopter ride somewhere to get that procedure done. It saves time.”

For Cindy, having that procedure just a few miles from her home, right when she needed it, helped save her brain function.

“If Cindy would have gone to a different hospital that didn't provide this care, then it would have been a long time before she was able to have blood flow restored to the brain,” Wellstar Neurosurgeon Dr. Benjamin Zussman said, explaining how critical each section was when it came to Cindy’s care. “The delay could have been 30 minutes or even an hour, and it's possible that she would have had permanent stroke, permanent damage to her brain instead of making the recovery she did.”

Offering thrombectomies at North Fulton has brought long-needed stroke services to the area north of Atlanta, so patients like Cindy don’t have to travel into the city through busy traffic to get the treatment they need.

“In a city like Chicago or New York, there are almost eight or nine stroke centers that provide thrombectomy in a city,” said Dr. Rishi Gupta, director of the stroke and neurocritical care program at Wellstar. “Here in metro Atlanta, we have only had three for a long, long time. So, being able to provide care for patients in the northeast corner of our city is crucial because almost 2 million people live in that quadrant.”

Proximity to care is especially important for critical situations like strokes, Dr. Gupta said.

“Any disease that is time-sensitive where patients need to get to the hospital quickly, get treated quickly — the geography is everything, particularly in bad weather when helicopters cannot fly,” he said, explaining how logistics can impact life-saving stroke care. “We need to be able to provide services in the communities the patients reside and the North Fulton program is uniquely positioned to do that.”

Signs of a stroke can include a loss of balance, dizziness, blurry vision or sudden vision loss, drooping in the face, arm or leg weakness, and difficulty speaking. Patients who experience any of those symptoms should call 911 and seek medical care right away. 

Cindy said she is glad she got to the hospital as soon as she could — “I am so thankful that I took quick action and that I had Wellstar so close.” At North Fulton, she not only received the highest level of stroke care. Wellstar takes a multidisciplinary approach to stroke care, including specialists such as critical care specialists, neurologists, neurointerventionalists and physical therapists on the care team. 

“When you're feeling pretty healthy, you don't think a stroke can happen to you. It happens so quickly. You don't necessarily get a warning,” Cindy said, sharing the importance of listening to your body’s signals when it comes to health. “You can feel one way one day or one minute, and the next minute, it changes.”