After completing his undergraduate training in medicine from the University of Otago in 2003, Nicholas completed his neurology training in Auckland. In 2012 he was awarded the ANZAN Clinical Neurology Fellowship to the Mayo Clinic in the USA, then completing 2 further years of specialist training. In 2015 he returned to Auckland becoming a member of the Department of Neurology at Auckland City Hospital and Clinical Lead for Stroke at WDHB
CT Perfusion The Future Of Hyperacute Stroke Decision Making
In the last 3 years there have been rapid advances in hyperacute stroke management with clot retrieval becoming a routine consideration up to 6 hours, significantly improving patient outcomes. To more accurately select patients that may benefit from intervention, advanced imaging techniques, primarily CT Perfusion, have been developed and in the last year this has started a move from time based to an imaging based paradigm for decision making in patients presenting with stroke. Using CT Perfusion, as the key decision tool, two large studies in the last year were positive for clot retrieval up to 24 hours in carefully selected patients. This talk will discuss these changes, the likely move to a CT Perfusion based model for thrombolysis decisions in the near future and the effects on stroke management.