Mayank Goyal MD, FRCPC, Presenter: Shareholder, Calgary Scientific, Inc Research Grant, Covidien AG Consultant, Covidien AG Shareholder, NoNO Inc Investigator, Covidien AG

It is clear that in acute ischemic stroke: Time is brain. Also, based on the results of recent trials including IMS3, we as a collective have been unable to show the benefit of endovascular treatment over standard of care. As such many new trials are being designed and/or conducted. In view of the data from recent trials, there need to be strategies that allow for appropriate patient selection for endovascular treatment using imaging that is widely available and not time consuming. Once selected, organization of workflow to rapidly achieve recanalization is going to be the key to success. This talk expands on both these ideas: rapid imaging and patient selection, rapid workflow and intervention for endovascular recanalization. This session is part of Canada Presents at RSNA 2014.

The topic will be divided into three sub topics: 1. Imaging: balancing information vs time. I would discuss varioius imaging strategies and their pros and cons. Also, I would aim to introduce the basic concepts of Bayesian analysis for decision making 2. Workflow: moving the patient fast through the system including blood work, consent, getting team together and reaching the angio suite 3. Fast recanalization: tips and tricks to achieve rapid and good quality recanalization while keeping the procedural complication rate low.

Goyal, M, Fast and Furious: Imaging to Recanalization in Acute Stroke.  Radiological Society of North America 2014 Scientific Assembly and Annual Meeting, - ,Chicago IL. http://archive.rsna.org/2014/14002199.html