How do we implement ANNEXXa-I into our Clinical Practice?

November 30, 2023

For acute care physicians, anticoagulated patients presenting with intracranial hemorrhage (ICH) is an incredibly challenging clinical scenario. ANNEXa-I is a randomized, controlled, clinical trial which provides clinicians with important information on appropriate reversal of anticoagualtion to optimally care for these patients.

0 Comments

Tweet Share

Real World Evidence for Management of Severe Bleeding in the Anticoagulated Patient: Impact of Specific Reversal Therapy for Intracranial Hemorrhage and Gastrointestinal Bleeding

July 28, 2023

Real World studies can provide the foundational support necessary for clinicians to effectively manage anticoagulated patients with severe, often life-threatening intracranial and gastrointestinal bleeding. While randomized controlled clinical trials have provided the initial data necessary for appropriate use of reversal agents such as andexanet alfa for Factor Xa associated bleeding, broader studies enrolling thousands of patients, many with significant co-morbidities, are extremely valuable to clinicians. New information regarding the randomized controlled trial ANEXXA-I, which was halted due to andexanet alfa efficacy, provides additional information supporting reversal therapy for severe bleeding.

0 Comments

Tweet Share

The Role of Real World Evidence in Driving Clinical Care for Anticoagulated Patients with Life-Threatening Bleeding

March 31, 2023

Experts in Emergency Medicine, Pharmacy, and Neurocritical Care describe the impact of real world evidence on the care of life-threatening bleeding in the anticoagulated patient. While clinical trial data remain the standard for clinicians, real world data provide important additional information on the use of a particular Repletion or Reversal therapy for these patients.

1 Comments

Tweet Share

What Are the Barriers to Success When Implementing Care Pathways for ICH Patients?

July 12, 2022

ICH remains deadly and pathways matter but they aren't always what we need and barriers can be overcome with knowledge.

0 Comments

Tweet Share

How Do We Coordinate Care Within Our Hospitals To Improve Outcomes in Hemorrhagic Stroke Patients?

July 5, 2022

Coordinating the necessary care for hemorrhagic patients is complicated- learn the ropes from experts on the UC Stroke Team. "Smoother, faster better" is the name of the game.

0 Comments

Tweet Share

RSS

1 2 3 4 5 6 7 8 9 10 Next Last

Jun 8

CT Angiography - What Should the Rest of Us Know?

Haemin Go posted on 6/8/2021

Moderator: William A. Knight IV, MD, FACEP, FNCS
Other Participants: Achala Vagal, MD, MS

Neuroradiologist Achala Vagal, MD, discusses the fundamentals of CT Angiography for non-radiologists in podcast recorded with Dr. William Knight. Dr. Vagal decribes her techniques and approach to efficiently reviewing and interpreting a CT Angiogram of the head and neck in suspected stroke patients. Drs. Vagal and Knight review the checklist approach to minimize errors of omission, MIPS, and the challenges of difficult lesions such as M2 occlusions. They agree on optimal communication with the consulting radiologist, and discuss the benefits and pitfalls of artifical intelligence radiology software.

ED First Patient Contact, Care Team, EM, Neuro, Stroke Team, Topics, CT Image, Tx Approach, Types Of Content, Podcast, Testing, Triage & Disability Assessment, Care Team, EM, Neuro, Neurorad, Stroke Team, Topics, Imaging, Stroke Teams, Types Of Content, Podcast, Imaging & Diagnostics, Care Team, EM, Neurorad, Stroke Team, Topics, Best Practices, Controversies, Diagnostics, Types of Content, Podcast, Endovascular Therapy, Care Team, EM, Neuro, Neurorad, Stroke Team, Diagnosis, IS, Topics, Controversies, Types of Content, Podcast, ICU & Critical Care, Care Team, Critical Care, Stroke Team, Diagnosis, IS, Topics, Controversies, Types of Content, Podcast, Content Types, Podcast

2 Comments

Tweet Share

2 Comments

2 comments on article "CT Angiography - What Should the Rest of Us Know?"

Mohammad Kassem

I'd love to hear what your personal checklists are that you have found successful when reading a CTA. Thanks!

William Knight

Great question! Here is Dr. Vagal's approach to having a systematic evaluation of CTAs - particularly for a non-radiologist:

1. Look for the LVO (ICA/M1/basilar).

2. Check the MIPs for smaller vessels such as M2

3. Check the MIPs for collaterals/decreased branching of M2 (as we know M2 occlusions are hard and easy to miss)

4. Check CTA source images for ASPECTS, especially if NCCT is normal.

Hope this helps!

Please login or register to post comments.

Pitfalls in CTP: Why CTP Isn’t Always the Holy Grail in Acute Stroke Imaging

March 8, 2022

CTP is alluring in acute stroke and continues to become more available. But it's complicated. Learn the pitfalls and traps from a true expert in perfusion...

0 Comments

Ataxia and Dystaxia: How To Examine and Discuss These Disabling Symptoms With Your Patients

March 29, 2022

Ataxia and dystaxia are often missed clinically. But they're important and potentially disabling. Listen to this podcast to learn more and help you identify...

0 Comments

A Review of the Different Types of Anticoagulants and Their Clinical Applications

January 18, 2022

Anticoagulation in clinical practice is more common and more complicated every day. Understanding what they are, how they're used and when you'll see them...

0 Comments

What Key Lessons Have I Learned Managing Hemorrhagic Bleeding in the ICU & Critical Care?

January 25, 2022

Intracerebral hemorrhages are challenging to manage and patients need immediate interventions to preserve life and limit morbidity. Lessons learned from the...

0 Comments

MRI In Acute Stroke: Promises and Pitfalls

April 12, 2022

MRI imagining is becoming more available in acute settings; understanding MRI in stroke is critical to staying ahead of the curve.

0 Comments

First Previous 1 2 3 4 5 6 7 8 9 10 Next

STAY CONNECTED

Let’s expand your stroke education network. Follow us on Twitter to get the latest updates about stroke education and stay up-to-date on hot topics in stroke care.

ABOUT THE STROKE JOURNEY

The Stroke Journey is an initiative developed by The National Stroke Education Center (NSEC) that strives to be the premier source of educational information for the diagnosis and treatment of stroke in the United States. NSEC extends the world-class educational expertise of the University of Cincinnati Department of Emergency Medicine and its partners via a variety of traditional and digital resources. NSEC and The Stroke Journey are dedicated to providing outstanding stroke education with timely material that mirrors the real-time changes in the medical education and stroke care landscape.

OUR PARTNERS

The Stroke Journey is a collaboration between the NSEC, EMCREG-International, and MedEd On The Go. Together we are committed to providing high-quality stroke education for healthcare professionals.

How do we implement ANNEXXa-I into our Clinical Practice?

Real World Evidence for Management of Severe Bleeding in the Anticoagulated Patient: Impact of Specific Reversal Therapy for Intracranial Hemorrhage and Gastrointestinal Bleeding

The Role of Real World Evidence in Driving Clinical Care for Anticoagulated Patients with Life-Threatening Bleeding

What Are the Barriers to Success When Implementing Care Pathways for ICH Patients?

How Do We Coordinate Care Within Our Hospitals To Improve Outcomes in Hemorrhagic Stroke Patients?

Archive

Categories

More Entries

CT Angiography - What Should the Rest of Us Know?

2 comments on article "CT Angiography - What Should the Rest of Us Know?"

Please login or register to post comments.