American Heart Association | American Stoke Association Certification - Comprehensive Stroke Center

TriStar Skyline is the first program in Tennessee to earn the newest level of advanced stroke care certification by the Joint Commission, the nation’s predominant health care accrediting body.

TriStar Skyline provides diagnosis, treatment, and preventive care for stroke, aneurysms as well as related issues.

Stroke Treatments

  • Intravenous tPA
  • Intra-arterial tPA
  • Mechanical embolectomy
  • Cerebral stenting
  • Coiling or clipping of aneurysms
  • Stealth-guided hematoma evacuation
  • Ventricular drainage (acute and chronic)

What is Brain Aneurysm?

A brain aneurysm is a balloon-like bulge in the wall of a brain artery. If this bulge tears and bleeds, nearby cells may be damaged. A brain aneurysm can occur in an artery wall that is weak or has a defect. Aneurysm is often associated with hardening of the arteries. High blood pressure, heredity, or head injuries are also risk factors.

Endovascular Procedure

An endovascular procedure may be best for some aneurysms. This is done in an x-ray lab by a specially trained doctor (interventional neuroradiologist). Anesthesia is given to block pain. Then a catheter is guided through the arteries from the groin to the brain. Platinum coils are released into the aneurysm. The coils cause a blood clot to form in the aneurysm, which seals it off. Although this is a very effective and less risky approach to treating aneurysms than open surgery, there is a slightly greater risk of the aneurysms reforming.

Risk and Complications

  • Blood clots
  • Brain swelling or bleeding
  • Weakness, paralysis, or loss of vision
  • Confusion, loss of speech, loss of memory
  • Infection
  • Vasospasm
  • Seizures (jerking or abnormal movements, loss of consciousness)
  • Hydrocephalus
  • Death


Minimizing delays is a crucial step in improving outcomes with acute stroke therapies in which efficacy is clearly time dependent. Logistic and human barriers to rapid stroke care can be overcome with a systematic "Code Stroke" approach provided by a structured multidisciplinary acute stroke response team.

TriStar Skyline serves as the hub for TriStar Health’s telemedicine network to provide patients the most progressive and immediate stroke care available. Telemedicine broadens the reach of TriStar neurologists to residents living in communities where access to specialized stroke care may not be available. This remote technology ensures emergency department patients with stroke symptoms receive instantaneous evaluation by a neurologist specializing in stroke care. Lifesaving treatment can begin without losing the critical time it takes to transfer a patient or wait for a stroke specialist to arrive in the emergency department.

Other stroke and aneurysm services offered by TriStar Skyline include inpatient rehabilitation and stroke and aneurysm support groups.

If you suspect a problem, don’t delay. Call 911 and get to a facility that can help you as quickly as possible. If you would like more information about the stroke program at TriStar Skyline Medical Center, please call (615) 769-2000.