Session 1: thrombectomy pathways and innovation is well under way. Dr Kiruba Nagaratnam discussing AI decision tools to optimise thrombectomy pathways
🧠⏩ #ITS2024
Just over 6 weeks to go till the annual Imperial Thrombectomy Symposium! Get your tickets now and join our fantastic lineup of speakers as we discuss the hottest updates on stroke thrombectomy.
This year's theme is focusing on using the power of Sports (Physical Activity) to prevent Stroke. Something we need to put into practice.
Also, it highlights the importance of finding strength through support.
#greaterThanChallenge
It feels so good to have spent #WorldStrokeDay2024 in the company of Lipid Nurses, Stroke Research Nurses, Neuro Physiotherapist & OT and our very own Stroke Specialist Teams here at @RWT_NHS
Can you get the diagnosis when it comes to carotid stenosis?
Having some confusion about the strokes you see w/ICA occlusion?
Why are there so many different patterns of infarcts w/ICA occlusion/stenosis?
There are 5 main infarct patterns—and they reflect the different types of disruption to flow you get w/carotid disease: artery to artery emboli, embolic shower, & hypoperfusion
Here’s what you see:
1. Territorial infarction w/cortical or subcortical involvement
--From artery-to-artery or distal embolism.
--More than one occlusion indicates more proximal arterial dz
2. Subcortical infarction
--When ICA, MCA, & ACA perforating deep arteries are occluded
--Can be from MCA occlusion w/good collaterals or emboli directly to deep perforating arteries
3. Combined territorial & smaller cortical and/or subcortical infarcts
--From partial embolism fragmentation or emboli shower of various sizes
4. Multiple small infarcts in the distal territories of the MCA & ACA
--If in more than one arterial territory, it’s suggestive of cardio-embolism
--If single arterial territory, it’s from a parent artery steno-occlusive lesion
5. Watershed infarctions.
Two types:
--External border-zone (located between the cortical territories of ACA, MCA, & PCA)
--Internal borderzone (between the deep & superficial networks of MCA & ACA)
--Traditionally thought from low-flow, but emboli are often a cause
--Hemodynamic mechanism may be more important in internal borderzone infarcts & embolism in external borderzone infarcts
In celebration of #WorldStrokeDay this coming October 29, I am joining the @StrokeAssocNews Stroke Association for #Sing4Stroke and hope to help stroke survivor find their voice again.
1 in 3 stroke survivors will experience aphasia-making it difficult for them to speak.
Of course! Having a manager with advanced knowledge,skills and leadership. Deputy SRL for Stroke CRN West Midlands @Rachaelstroke . I am sooo grateful and If I can go back since day 1 when Iv met u at work and ask what do you do. I would still ask that now and the rest is history
Anyone else get super proud mum vibes when their team achieves above and beyond! 2 MSc on the go, 2 signed off independent prescribers, 1 starting prescribing in Jan, and 3 on health assessment courses in the new year! And they cover 24/7! @RWT_NHS@ISDNNorthMids 🤩🤩#teamstroke
You need to know your teams emotional status; only then can you strive to move upwards to a “happy” workplace
It’s not something you can just jump to with a “teamwork event” - it takes time, nurturing & motivation
Keep checking in on how people feel 🪜