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In light of recently published clinical trials and their implication for clinical practice, does a large catchment area acute hospital require 24  hour CT neck and head angiography and/or neuro-interventional services in the setting of acute ischaemic stroke?
ConclusionUHL should provide routine CT angiography to all patients presenting with acute ischaemic stroke in line with current guidelines. The need for provision of neuro-interventional services on-site proved more difficult to assess and requires further analysis.
Source: Irish Journal of Medical Science - August 15, 2017 Category: General Medicine Source Type: research

CT cervico-cerebral angiography in acute stroke. Can we justify aortic arch imaging?
ConclusionsRoutine inclusion of the upper chest on CTCCA is currently difficult to justify in the evaluation of a suspected acute anterior circulation stroke, contributing significantly to total radiation dose without demonstrating significant extra-cranial vascular findings. Prospective studies adopting narrower fields of view excluding the upper chest are necessary.
Source: Irish Journal of Medical Science - August 24, 2018 Category: General Medicine Source Type: research

A quantitative analysis of CT angiography, large vessel occlusion, and thrombectomy rates in acute ischaemic stroke
To determine the workload of acute computed tomography angiography (CTA) in patients presenting with suspected acute ischaemic stroke (AIS) and rate of large vessel occlusion (LVO) and thrombectomy relative to suspected and confirmed stroke diagnoses across three stroke centres within the Republic of Ireland.
Source: Clinical Radiology - May 20, 2019 Category: Radiology Authors: E. Griffin, D. Herlihy, R. Hayden, M. Murphy, J. Walsh, S. Murphy, J. Shanahan, P. O'Brien, S. Power, P. Brennan, R. Motyer, J. Thornton Source Type: research

57 The Workload Distribution and Response Times of FAST Scans in a Level 3 Hospital in Ireland
ConclusionStroke CT will continue to increase the out of hours work load for CT departments across the country especially with our ageing population. It is vital that services, particularly in level 3 stroke centres, are adequately equipped in terms of staffing to meet the highest standard of care in the management of acute stroke.
Source: Age and Ageing - September 16, 2019 Category: Geriatrics Source Type: research

Intravascular lithotripsy-assisted PCI for severely calcified coronary lesions: evaluating the impact on quality of life and outcomes
ConclusionsCoronary IVL is a safe and effective adjunctive therapy for treating heavily calcified coronary lesions. This cohort shows high procedural success and a significant reduction in CCS angina at follow-up.
Source: Irish Journal of Medical Science - July 9, 2022 Category: General Medicine Source Type: research