{"id":2340,"date":"2026-08-19T17:27:08","date_gmt":"2026-08-19T22:27:08","guid":{"rendered":"https:\/\/unab.edu.co\/cienciaabierta\/?p=2340"},"modified":"2026-08-19T17:45:33","modified_gmt":"2026-08-19T22:45:33","slug":"centers-of-excellence-and-medical-talent-key-drivers-in-addressing-stroke-in-colombia","status":"publish","type":"post","link":"https:\/\/unab.edu.co\/cienciaabierta\/centers-of-excellence-and-medical-talent-key-drivers-in-addressing-stroke-in-colombia\/","title":{"rendered":"Centers of Excellence and Medical Talent: Key Drivers in Addressing Stroke in Colombia\u00a0"},"content":{"rendered":"<p>[et_pb_section fb_built=\u00bb1&#8243; custom_padding_last_edited=\u00bbon|desktop\u00bb _builder_version=\u00bb4.27.6&#8243; _module_preset=\u00bbdefault\u00bb background_color=\u00bb#D6D6D6&#8243; background_image=\u00bbhttps:\/\/unab.edu.co\/cienciaabierta\/wp-content\/uploads\/2026\/07\/cva-1jpg.jpg\u00bb parallax=\u00bbon\u00bb background_blend=\u00bbmultiply\u00bb width=\u00bb100%\u00bb max_width=\u00bb100%\u00bb min_height=\u00bb550px\u00bb min_height_tablet=\u00bb510px\u00bb min_height_phone=\u00bb400px\u00bb min_height_last_edited=\u00bbon|phone\u00bb height=\u00bb1000px\u00bb max_height=\u00bb510px\u00bb custom_margin=\u00bb||||false|false\u00bb custom_margin_tablet=\u00bb||||false|false\u00bb custom_margin_phone=\u00bb||||false|false\u00bb custom_margin_last_edited=\u00bbon|desktop\u00bb custom_padding=\u00bb54px|0px|||false|false\u00bb custom_padding_tablet=\u00bb54px|0px|||false|false\u00bb custom_padding_phone=\u00bb54px|0px|||false|false\u00bb background_last_edited=\u00bbon|phone\u00bb box_shadow_style=\u00bbpreset2&#8243; 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_builder_version=\u00bb4.27.2&#8243; _module_preset=\u00bbdefault\u00bb global_colors_info=\u00bb{}\u00bb][et_pb_button button_url=\u00bb@ET-DC@eyJkeW5hbWljIjp0cnVlLCJjb250ZW50IjoicG9zdF9saW5rX3VybF9wYWdlIiwic2V0dGluZ3MiOnsicG9zdF9pZCI6IjIzMzAifX0=@\u00bb button_text=\u00bbBack to Issue 11&#8243; button_alignment=\u00bbleft\u00bb _builder_version=\u00bb4.27.7&#8243; _dynamic_attributes=\u00bbbutton_url\u00bb _module_preset=\u00bbdefault\u00bb custom_button=\u00bbon\u00bb button_text_color=\u00bb#CE4F18&#8243; button_bg_color=\u00bbRGBA(255,255,255,0)\u00bb button_border_color=\u00bbRGBA(255,255,255,0)\u00bb button_font=\u00bbPoppins|700|||||||\u00bb button_icon=\u00bb&#x38;||divi||400&#8243; button_icon_placement=\u00bbleft\u00bb button_on_hover=\u00bboff\u00bb global_colors_info=\u00bb{}\u00bb][\/et_pb_button][\/et_pb_column][\/et_pb_row][et_pb_row column_structure=\u00bb1_3,2_3&#8243; use_custom_gutter=\u00bbon\u00bb gutter_width=\u00bb2&#8243; _builder_version=\u00bb4.27.5&#8243; _module_preset=\u00bbdefault\u00bb background_color=\u00bb#f8f8f8&#8243; width=\u00bb100%\u00bb max_width=\u00bb100%\u00bb custom_margin=\u00bb||||false|true\u00bb custom_padding=\u00bb1%|10%|1%|10%|true|true\u00bb global_colors_info=\u00bb{}\u00bb][et_pb_column type=\u00bb1_3&#8243; _builder_version=\u00bb4.27.4&#8243; _module_preset=\u00bbdefault\u00bb global_colors_info=\u00bb{}\u00bb][et_pb_blurb title=\u00bbBy Luis Fernando Rueda Vivas\u00bb image=\u00bbhttps:\/\/unab.edu.co\/cienciaabierta\/wp-content\/uploads\/2021\/12\/IMG_6978-2.jpeg\u00bb icon_placement=\u00bbleft\u00bb image_icon_width=\u00bb90px\u00bb module_class=\u00bbblurb-img-90&#8243; _builder_version=\u00bb4.27.7&#8243; _module_preset=\u00bbdefault\u00bb header_font=\u00bb|600|||||||\u00bb header_font_size=\u00bb14px\u00bb header_line_height=\u00bb1.2em\u00bb body_font_size=\u00bb13px\u00bb body_line_height=\u00bb1.3em\u00bb body_link_text_color=\u00bb#E09900&#8243; background_color=\u00bb#FFFFFF\u00bb custom_padding=\u00bb1em|0.9em|1em|0.9em|true|true\u00bb hover_enabled=\u00bb0&#8243; custom_css_free_form=\u00bb\/* Forzar contenedor cuadrado *\/||.blurb-img-90 .et_pb_main_blurb_image span {||  width: 90px;||  height: 90px;||  display: block;||}||||\/* Imagen circular real *\/||.blurb-img-90 .et_pb_main_blurb_image img {||  width: 90px;||  height: 90px;||  border-radius: 50% !important;||  object-fit: cover;||  display: block;||}||\u00bb border_radii=\u00bbon|5px|5px|5px|5px\u00bb border_width_all=\u00bb1px\u00bb border_color_all=\u00bb#FFFFFF\u00bb global_colors_info=\u00bb{}\u00bb sticky_enabled=\u00bb0&#8243;]<\/p>\n<p>Director of Organizational Communication, UNAB. Journalist with a Master\u2019s Degree in Digital Communication and a Specialization in Electronic Journalism.<\/p>\n<p><strong><a href=\"mailto:publicaciones@unab.edu.co\"><span>publicaciones@unab.edu.co<\/span><\/a><\/strong><span><\/span><\/p>\n<p>[\/et_pb_blurb][\/et_pb_column][et_pb_column type=\u00bb2_3&#8243; _builder_version=\u00bb4.27.4&#8243; _module_preset=\u00bbdefault\u00bb global_colors_info=\u00bb{}\u00bb][et_pb_text _builder_version=\u00bb4.27.7&#8243; _module_preset=\u00bbdefault\u00bb text_font=\u00bbPoppins|300|||||||\u00bb text_text_color=\u00bb#000000&#8243; link_font=\u00bb||||on||||\u00bb link_text_color=\u00bb#CE4F18&#8243; ul_text_color=\u00bb#E09900&#8243; ul_line_height=\u00bb1.5em\u00bb header_text_color=\u00bb#CE4F18&#8243; header_font_size=\u00bb28px\u00bb header_3_font=\u00bb|700|||||||\u00bb header_3_text_color=\u00bb#000000&#8243; header_3_font_size=\u00bb17px\u00bb custom_margin=\u00bb0.5em||1px||false|false\u00bb custom_padding=\u00bb||1em||false|false\u00bb locked=\u00bboff\u00bb global_colors_info=\u00bb{}\u00bb]<\/p>\n<h3 style=\"text-align: justify;\">Associated project<\/h3>\n<ul>\n<li><a href=\"https:\/\/apolo.unab.edu.co\/es\/projects\/eficacia-y-seguridad-del-stent-pipeline-vantage-shield-versus-el--3\/\" target=\"_blank\" data-saferedirecturl=\"https:\/\/www.google.com\/url?q=https:\/\/apolo.unab.edu.co\/en\/projects\/el-derecho-a-la-memoria-y-la-reparaci%25C3%25B3n-a-partir-de-un-enfoque-di\/&amp;source=gmail&amp;ust=1766073413448000&amp;usg=AOvVaw2CcuxNJ9PyUH193AFVtjaT\" rel=\"noopener\">Efficacy and safety of the Pipeline Vantage Shield stent versus the Pipeline Flex Shield stent in patients with unruptured intracranial aneurysms, a multicenter study<\/a><\/li>\n<\/ul>\n<ul><\/ul>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row _builder_version=\u00bb4.27.5&#8243; _module_preset=\u00bbdefault\u00bb max_width=\u00bb80%\u00bb custom_margin=\u00bb||||false|false\u00bb global_colors_info=\u00bb{}\u00bb][et_pb_column type=\u00bb4_4&#8243; _builder_version=\u00bb4.16&#8243; _module_preset=\u00bbdefault\u00bb global_colors_info=\u00bb{}\u00bb][et_pb_text _builder_version=\u00bb4.27.5&#8243; _module_preset=\u00bbdefault\u00bb text_font=\u00bbAlmarai|800|||||||\u00bb text_text_color=\u00bb#D1522A\u00bb text_font_size=\u00bb25px\u00bb header_text_color=\u00bb#D1522A\u00bb header_3_font=\u00bbPoppins||||||||\u00bb header_3_text_align=\u00bbcenter\u00bb header_3_text_color=\u00bb#000000&#8243; header_3_font_size=\u00bb21px\u00bb header_3_line_height=\u00bb1.2em\u00bb custom_margin=\u00bb0em||||false|false\u00bb custom_padding=\u00bb0.5em||||false|false\u00bb global_colors_info=\u00bb{}\u00bb]<\/p>\n<h3 style=\"text-align: justify;\">Through a strategic partnership with FOSCAL Clinic, UNAB is strengthening medical training and driving scientific research to enhance stroke care nationwide.<\/h3>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row _builder_version=\u00bb4.27.5&#8243; _module_preset=\u00bbdefault\u00bb max_width=\u00bb80%\u00bb custom_margin=\u00bb-23px|auto||auto|false|false\u00bb global_colors_info=\u00bb{}\u00bb][et_pb_column type=\u00bb4_4&#8243; _builder_version=\u00bb4.17.3&#8243; _module_preset=\u00bbdefault\u00bb global_colors_info=\u00bb{}\u00bb][et_pb_text _builder_version=\u00bb4.27.7&#8243; _module_preset=\u00bbdefault\u00bb text_font=\u00bbPoppins|300|||||||\u00bb text_text_color=\u00bb#000000&#8243; text_font_size=\u00bb17px\u00bb header_text_color=\u00bb#CE4F18&#8243; header_font_size=\u00bb28px\u00bb header_3_text_color=\u00bb#CE4F18&#8243; header_3_font_size=\u00bb1.9vw\u00bb header_3_line_height=\u00bb1.4em\u00bb text_orientation=\u00bbjustified\u00bb custom_margin=\u00bb0.5em||||false|false\u00bb global_colors_info=\u00bb{}\u00bb]One in four adults worldwide is at risk of experiencing a stroke, one of the leading causes of disability due to the severe neurological impairments it can trigger when not treated promptly. It can even become life-threatening.<\/p>\n<p>According to the World Health Organization (WHO), a stroke is a medical emergency that occurs when blood flow to the brain is interrupted, either by a blockage caused by a blood clot (ischemic stroke) or by the rupture of a blood vessel resulting in bleeding in the brain (hemorrhagic stroke). In either case, every minute counts \u2014 from the onset of symptoms such as sudden vision loss, balance issues, weakness in the arms, facial paralysis, and\/or difficulty speaking \u2014 until the patient arrives at a medical facility.<\/p>\n<p>That decision about where to seek care can be critical to both treatment and recovery. Amid panic and distress, people often go to the nearest emergency room, which does not always guarantee access to the specialized care required. \u201cIt is important to know in every city where the Stroke Center of Excellence is located. When a family member suddenly becomes paralyzed, relatives often take them to the closest hospital, where there may be limited treatment options available,\u201d explains interventional radiologist Daniel Eduardo Mantilla Garc\u00eda, coordinator of the specialty program offered jointly by UNAB and FOSCAL Clinic. The program is designed to train neuro-radiologists in Colombia because there are currently fewer than 100 specialists in this field.<\/p>\n<p>To date, ten hospitals in Colombia have earned certification as Stroke Centers of Excellence from the World Stroke Organization (WSO) after meeting rigorous standards that are regularly evaluated and are closely linked to patient outcomes. \u201cWe must maintain strict control over treatment times. The WSO reviews our performance indicators every quarter to ensure compliance with established standards, and every two years it conducts on-site visits to validate those processes. FOSCAL has held this certification for the past four years,\u201d Mantilla adds.<\/p>\n<p>Although this network is still developing, the Advanced Medical-Surgical Specialization Program in Interventional Radiology aims to ensure that every major city has at least one center staffed by three highly trained specialists in neurovascular diseases, including conditions such as cerebral aneurysms.<\/p>\n<p>&nbsp;<\/p>\n<h3>New Scientific Evidence<img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/unab.edu.co\/cienciaabierta\/wp-content\/uploads\/2026\/08\/info-acv-engl-1024x1001.jpg\" width=\"545\" height=\"533\" alt=\"\" class=\"wp-image-2345 alignnone size-large\" style=\"float: right; padding:1em\" \/><\/h3>\n<p>The development of specialized centers for the treatment of aneurysms in Latin America remains fragmented. Mantilla notes that the region tends to rely on evidence from Europe and the United States, while local clinical research is limited.<\/p>\n<p>This led the physician from Santander to raise concerns in academic discussions with colleagues about the need to generate new knowledge, prompting him to supervise the international doctoral thesis Treatment-related complications of intracranial aneurysms smaller than 5 mm: A multicenter analysis of 1,519 cases in Latin America, a retrospective observational study conducted between 2017 and 2023 across eight hospitals. It is the first analysis of its kind in the region and has the potential to inform clinical practice across the continent.<\/p>\n<p>The study, led by Dr. Alejandra Jaume of the Neurology Department at Maciel Hospital and the Vascular Interventional Center at Cl\u00ednica Americana in Montevideo, Uruguay, confirmed that endovascular treatment is less likely to result in complications causing permanent neurological disability than surgical treatment. The rate was 6 cases per 100 patients with endovascular treatment, compared with 11 per 100 patients undergoing surgery.<\/p>\n<p>There are risks both during surgery and throughout the recovery period. The greatest risks are concentrated in the first 48 hours following the procedure, although additional complications may arise during the following month, depending on the type of treatment. \u201cTypically, after endovascular surgery, the patient spends 24 hours in the Intensive Care Unit for postoperative monitoring. They then spend another 24 hours in a general hospital ward, where they should remain active, walk, and resume their daily activities. Three days after the procedure, patients who undergo endovascular surgery are discharged home and can return to their normal lives,\u201d explains the specialist.<\/p>\n<p>Aneurysms smaller than 5 mm carry a lower risk of rupture. However, clinical practice has shown that 30% of people who arrive at an emergency department with a hemorrhage had an aneurysm of this size. \u201cThis subgroup of patients is particularly interesting to study because the risks of treatment and follow-up must be compared in order to determine, first, which patients are at risk of a small aneurysm rupturing, and second, whether preventive surgery can be performed safely and effectively. The risks of treatment should never exceed those associated with the natural progression of the disease,\u201d Mantilla adds.<\/p>\n<p>Another important finding from the research relates to the training of specialists and the need to ensure adequate clinical experience. The study demonstrated that surgeons who perform more than ten endovascular procedures for cerebral aneurysms per year experience fewer treatment complications, reinforcing the need to concentrate specialized expertise and strengthen medical training across the region.[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=\u00bb1&#8243; _builder_version=\u00bb4.27.4&#8243; _module_preset=\u00bbdefault\u00bb background_color=\u00bb#e0af70&#8243; global_colors_info=\u00bb{}\u00bb][et_pb_row column_structure=\u00bb2_3,1_3&#8243; _builder_version=\u00bb4.27.4&#8243; _module_preset=\u00bbdefault\u00bb global_colors_info=\u00bb{}\u00bb][et_pb_column type=\u00bb2_3&#8243; _builder_version=\u00bb4.27.4&#8243; _module_preset=\u00bbdefault\u00bb global_colors_info=\u00bb{}\u00bb][et_pb_text _builder_version=\u00bb4.27.4&#8243; _module_preset=\u00bbdefault\u00bb text_text_color=\u00bb#FFFFFF\u00bb link_text_color=\u00bb#CE4F18&#8243; global_colors_info=\u00bb{}\u00bb]<\/p>\n<p>Universidad Aut\u00f3noma de Bucaramanga \u2013 UNAB | Sujeta a inspecci\u00f3n y vigilancia por parte del\u00a0<a href=\"https:\/\/www.mineducacion.gov.co\/portal\/\" target=\"_blank\" rel=\"noreferrer noopener\">Ministerio de Educaci\u00f3n Nacional<\/a> | Resoluci\u00f3n 3284 (21 diciembre de 1956), Ministerio de Justicia | Resoluci\u00f3n 012987 del 31 de julio de 2023, mediante la cual otorga la renovaci\u00f3n de la Acreditaci\u00f3n Institucional de Alta Calidad a la Universidad Aut\u00f3noma de Bucaramanga, con domicilio en la ciudad de Bucaramanga, por 6 a\u00f1os. | Avenida 42 No. 48 \u2013 11, Bucaramanga \u2013 Colombia. | PBX (57) (7) 643 6111\/643 6261 | Centro de contacto: <strong>018000 931170<\/strong>|\u00a0Correo institucional:\u00a0<a href=\"mailto:contactenos@unab.edu.co\" target=\"_blank\" rel=\"noreferrer noopener\">contactenos@unab.edu.co<\/a>\u00a0|\u00a0Notificaciones judiciales:\u00a0<a href=\"mailto:juridica@unab.edu.co\" target=\"_blank\" rel=\"noreferrer noopener\">juridica@unab.edu.co<\/a>\u00a0|\u00a0<a href=\"https:\/\/unab.edu.co\/aviso-de-privacidad\/\" target=\"_blank\" rel=\"noreferrer noopener\">Aviso de Privacidad\u00a0<\/a>| \u00a9 Todos los derechos reservados<\/p>\n<p>[\/et_pb_text][\/et_pb_column][et_pb_column type=\u00bb1_3&#8243; _builder_version=\u00bb4.27.4&#8243; _module_preset=\u00bbdefault\u00bb global_colors_info=\u00bb{}\u00bb][et_pb_image src=\u00bbhttps:\/\/unab.edu.co\/cienciaabierta\/wp-content\/uploads\/2024\/06\/logo-unab-bn.png\u00bb title_text=\u00bblogo-unab-bn\u00bb _builder_version=\u00bb4.27.4&#8243; _module_preset=\u00bbdefault\u00bb global_colors_info=\u00bb{}\u00bb][\/et_pb_image][\/et_pb_column][\/et_pb_row][\/et_pb_section]<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Director of Organizational Communication, UNAB. Journalist with a Master\u2019s Degree in Digital Communication and a Specialization in Electronic Journalism. publicaciones@unab.edu.coAssociated project Efficacy and safety of the Pipeline Vantage Shield stent versus the Pipeline Flex Shield stent in patients with unruptured intracranial aneurysms, a multicenter study Through a strategic partnership with FOSCAL Clinic, UNAB is strengthening [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_et_pb_use_builder":"on","_et_pb_old_content":"","_et_gb_content_width":"2880","footnotes":""},"categories":[21],"tags":[],"class_list":["post-2340","post","type-post","status-publish","format-standard","hentry","category-issue-11"],"_links":{"self":[{"href":"https:\/\/unab.edu.co\/cienciaabierta\/wp-json\/wp\/v2\/posts\/2340","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/unab.edu.co\/cienciaabierta\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/unab.edu.co\/cienciaabierta\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/unab.edu.co\/cienciaabierta\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/unab.edu.co\/cienciaabierta\/wp-json\/wp\/v2\/comments?post=2340"}],"version-history":[{"count":7,"href":"https:\/\/unab.edu.co\/cienciaabierta\/wp-json\/wp\/v2\/posts\/2340\/revisions"}],"predecessor-version":[{"id":2364,"href":"https:\/\/unab.edu.co\/cienciaabierta\/wp-json\/wp\/v2\/posts\/2340\/revisions\/2364"}],"wp:attachment":[{"href":"https:\/\/unab.edu.co\/cienciaabierta\/wp-json\/wp\/v2\/media?parent=2340"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/unab.edu.co\/cienciaabierta\/wp-json\/wp\/v2\/categories?post=2340"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/unab.edu.co\/cienciaabierta\/wp-json\/wp\/v2\/tags?post=2340"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}