Professor Anna Ranta, Head of Department of Medicine
MD PhD FRACP FAHA FAAN FWSO
Head of Department of Medicine
Professor Ranta is an academic stroke neurologist who is passionate about improving stroke care for people in Aotearoa and globally.
Her current research focuses on translational stroke research to optimize stroke care quality and access, with a strong emphasis on addressing health inequities, especially for rural, Māori and Pacific populations.
Anna has led several large stroke research programmes and collaborates widely with others across Aotearoa, Australia, and globally resulting in 200+ peer reviewed journal articles and conference abstracts. She was born in Germany, trained at the University of Virginia, United States, and has lived with her husband and two daughters in Aotearoa New Zealand since 2007.
In addition to her role as Head of Department of Medicine, University of Otago, Wellington, she also leads the New Zealand National Stroke Registry and Stroke Strategy, co-directs the New Zealand National Hyper-Acute Stroke Programme, is the immediate past President of the Neurological Association of New Zealand, the current Secretary of Stroke Society of Australasia, Board Member of the World Stroke Organization, Board Member of the New Zealand Stroke Foundation, and serves on the editorial boards of Stroke, Neurology, and the Journal of the American Heart Association.
Anna is passionate about teaching and mentoring and always interested in hearing from postgraduate candidates. Some of her current areas of research:
Principal Investigator (PI) for a pragmatic community-based cluster randomized clinical trial (RCT) assessing telestroke inside the ambulance now in establishment phase.
Co-PI for Reducing Ethnic and Geographic Inequity to Optimise New Zealand Stroke Care – Part II – co-designing stroke care improvement strategies with rural Māori whānau and front-line clinicians to improve stroke outcomes for rural Māori.
Tenecteplase for acute ischaemic stroke – PI for Central NZ Study Group and one of the lead contributors to the international CERTAIN collaboration.
Co-PI for Auckland Regional Community Stroke (V) Incidence Study – Project 3: Modelling stroke incidence across Aotearoa through linking ARCOS V, IDI, and other data sources.
PI for Climate Change and Stroke project exploring impact of Climate Change and also Greenspaces on Stroke incidence and outcomes.
PI, Co-PI for the B-SAFE study, an HRC funded research project testing the impact of an atrial fibrillation primary care electronic decision support tool.
Co-PI for Reducing Ethnic and Geographic Inequity to Optimise New Zealand Stroke Care (REGIONS Care study) – Part 1.
PI for the FASTEST trial, an RCT assessing impact of a TIA electronic decision support tool for GPs that was found to significantly reduce stroke and other vascular events.
Contact details
Department of Medicine University of Otago Wellington PO Box 7343 Wellington 6242 New Zealand
Warach, S. J., Ranta, A., Kim, J., Song, S. S., Wallace, A., Beharry, J., … Wilson, D., … Wu, T. Y. (2023). Symptomatic intracranial hemorrhage with tenecteplase vs alteplase in patients with acute ischemic stroke: The Comparative Effectiveness of Routine Tenecteplase vs Alteplase in Acute Ischemic Stroke (CERTAIN) collaboration. JAMA Neurology. Advance online publication. doi: 10.1001/jamaneurol.2023.1449
Journal - Research Article
Rose, D., Cavalier, A., Kam, W., Cantrell, S., Lusk, J., Schrag, M., … Wu, T. Y., Ranta, A., … Mac Grory, B. (2023). Complications of intravenous tenecteplase versus alteplase for the treatment of acute ischemic stroke: A systematic review and meta-analysis [Review]. Stroke. Advance online publication. doi: 10.1161/strokeaha.122.042335
Journal - Research Article
Denison, H. J., Corbin, M., Douwes, J., Thompson, S. G., Harwood, M., Davis, A., Fink, J. N., Barber, P. A., Gommans, J. H., … Levack, W., McNaughton, H., … Ranta, A. (2023). Ethnic differences in stroke outcomes in Aotearoa New Zealand: A national linkage study. International Journal of Stroke. Advance online publication. doi: 10.1177/17474930231164024
Journal - Research Article
Kim, J., Cadilhac, D. A., Thompson, S., Gommans, J., Davis, A., Barber, P. A., Fink, J., Harwood, M., Levack, W., … Ranta, A. (2023). Comparison of stroke care costs in urban and nonurban hospitals and its association with outcomes in New Zealand: A nationwide economic evaluation. Stroke, 54, 848-856. doi: 10.1161/STROKEAHA.122.040869
Journal - Research Article
Dunphy, H., Garcia-Esperon, C., Hong, J. B., Manoczki, C., Wilson, D., Chew, B. L. A., Beharry, J., … Ranta, A., Fink, J. N., & Wu, T. Y. (2023). Endovascular thrombectomy for acute ischaemic stroke improves and maintains function in the very elderly: A multicentre propensity score matched analysis. European Stroke Journal, 8(1), 191-198. doi: 10.1177/23969873221145778
Journal - Research Article
Garcia-Esperon, C., Wu, T. Y., Carraro da Nascimento, V., Yan, B., Kurunawai, C., Kleinig, T., … Ranta, A., … Fink, J., … on behalf of the ANZ Ultra-Long EVT Transfer Group, including Collecutt, W., & Krauss, M. (2023). Ultra-long transfers for endovascular thrombectomy: Mission impossible?: The Australia-New Zealand experience. Stroke, 54, 151-158. doi: 10.1161/strokeaha.122.040480
Journal - Research Article
Meinel, T. R., Wilson, D., Gensicke, H., Scheitz, J. F., Ringleb, P., Goganau, I., … Ranta, A., … for the International DOAC-IVT, TRISP, and CRCS-K-NIH Collaboration. (2023). Intravenous thrombolysis in patients with ischemic stroke and recent ingestion of direct oral anticoagulants. JAMA Neurology. Advance online publication. doi: 10.1001/jamaneurol.2022.4782
Journal - Research Article
Nguyen, T. N., Qureshi, M. M., Klein, P., Yamagami, H., Mikulik, R., Czlonkowska, A., … Ranta, A., … on behalf of the SVIN COVID-19 Global Stroke Registry. (2023). Global impact of the COVID-19 pandemic on stroke volumes and cerebrovascular events: One-year follow-up. Neurology, 100(4), e408-e422. doi: 10.1212/wnl.0000000000201426
Journal - Research Article
Bravata, D. M., & Ranta, A. (2023). Artificial intelligence in clinical decisions support for stroke: Balancing opportunity with caution. Stroke, 54, 1517-1518. doi: 10.1161/STROKEAHA.123.043004
Journal - Research Other
Cadilhac, D. A., Bravata, D. M., Bettger, J. P., Mikulik, R., Norrving, B., Uvere, E. O., … Ranta, A., & Kilkenny, M. F. (2023). Stroke learning health systems: A topical narrative review with case examples. Stroke. Advance online publication. doi: 10.1161/strokeaha.122.036216
Journal - Research Other
Fasugba, O., Dale, S., McInnes, E., Cadilhac, D. A., Noetel, M., Coughlan, K., … Ranta, A., & Middleton, S. (2023). Evaluating remote facilitation intensity for multi-national translation of nurse-initiated stroke protocols (QASC Australasia): A protocol for a cluster randomised controlled trial. Implementation Science, 18, 2. doi: 10.1186/s13012-023-01260-9
Journal - Research Other
Graham, F. P., Williman, J. A., Desha, L. N., Snell, D., Jones, B., Ingham, T. R., Latu, A., Maggo, J. K., Ranta, A., & Ziviani, J. (2023). Occupational performance coaching for children with neurodisability: A randomized controlled trial protocol. Canadian Journal of Occupational Therapy / Revue canadienne d’ergothérapie. Advance online publication. doi: 10.1177/00084174231160976
Journal - Research Other
Thompson, S. G., Barber, P. A., Gommans, J. H., Cadilhac, D. A., Davis, A., Fink, J. N., … Levack, W., … Ranta, A. (2022). Geographic disparities in stroke outcomes and service access: A prospective observational study. Neurology, 99(4), e414-e426. doi: 10.1212/wnl.0000000000200526
Journal - Research Article
Harwood, M., Ranta, A., Thompson, S., Ranta, S., Brewer, K., Gommans, J., … Fink, J., … Levack, W., & Douwes, J. (2022). Barriers to optimal stroke service care and solutions: A qualitative study engaging people with stroke and their whānau. New Zealand Medical Journal, 135(1556), 81-93. Retrieved from https://www.nzma.org.nz/journal
Journal - Research Article
Scott, I. M., Manoczki, C., Swain, A. H., Ranjan, A., McGovern, M. G., Tyson, A. L. S., … Punter, M. M., & Ranta, A. (2022). Prehospital telestroke vs paramedic scores to accurately identify stroke reperfusion candidates: A cluster randomized controlled trial. Neurology, 99(19), e2125-e2136. doi: 10.1212/WNL.0000000000201104
Journal - Research Article
Shahjouei, S., Li, J., Koza, E., Abedi, V., Sadr, A. V., Chen, Q., … Ranta, A., & Zand, R. (2022). Risk of subsequent stroke among patients receiving outpatient vs inpatient care for transient ischemic attack: A systematic review and meta-analysis. JAMA Network Open, 5(1), e2136644. doi: 10.1001/jamanetworkopen.2021.36644
Journal - Research Article
Brown, K., El Husseini, N., Grimley, R., Ranta, A., Kass-Hout, T., Kaplan, S., & Kaufman, B. G. (2022). Alternative payment models and associations with stroke outcomes, spending, and service utilization: A systematic review. Stroke, 53, 268-278. doi: 10.1161/STROKEAHA.121.033983
Journal - Research Other
English, C., Hill, K., Cadilhac, D. A., Hackett, M. L., Lannin, N. A., Middleton, S., Ranta, A., … Campbell, B. C. V. (2022). Living clinical guidelines for stroke: Updates, challenges and opportunities. Medical Journal of Australia. Advance online publication. doi: 10.5694/mja2.51520
Journal - Research Other
McNaughton, H., Weatherall, M., McPherson, K., Fu, V., Taylor, W. J., McRae, A., Thomson, T., … Harwood, M., Ranta, A., Hanger, C., & Riley, J. (2021). The effect of the Take Charge intervention on mood, motivation, activation and risk factor management: Analysis of secondary data from the Taking Charge after Stroke (TaCAS) trial. Clinical Rehabilitation, 35(7), 1021-1031. doi: 10.1177/0269215521993648
Journal - Research Article
Nogueira, R., Qureshi, M. M., Abdalkader, M., Martins, S. O., Yamagami, H., Qiu, Z., … Ranta, A., … Wu, T. Y.-H., … on behalf of the SVIN COVID-19 Global Stroke Registry. (2021). Global impact of COVID-19 on stroke care and IV thrombolysis. Neurology, 96(23), e2824-e2838. doi: 10.1212/wnl.0000000000011885
Journal - Research Article
Owolabi, M. O., Thrift, A. G., Mahal, A., Ishida, M., Martins, S., Johnson, W. D., … on behalf of the Stroke Experts Collaboration Group, including Ranta, A. (2021). Primary stroke prevention worldwide: translating evidence into action. Lancet Public Health, 7(1), E74-E85. doi: 10.1016/S2468-2667(21)00230-9
Journal - Research Article
Sasanejad, P., Hezarkhani, L. A., Arsang-Jang, S., Tsivgoulis, G., Ghoreishi, A., Kristian, B., … Ranta, A., … Azarpazhooh, M. R. (2021). Safety and outcomes of intravenous thrombolytic therapy in ischemic stroke patients with COVID-19: CASCADE initiative. Journal of Stroke & Cerebrovascular Diseases, 30(12), 106121. doi: 10.1016/j.jstrokecerebrovasdis.2021.106121
Journal - Research Article
Balabanski, A. H., Dos Santos, A., Woods, J. A., Thrift, A. G., Kleinig, T. J., Suchy-Dicey, A., … Ranta, A., … Katzenellenbogen, J. M. (2021). The incidence of stroke in indigenous populations of countries with a very high human development index: A systematic review protocol. Frontiers in Neurology, 12, 661570. doi: 10.3389/fneur.2021.661570
Journal - Research Other
Mahawish, K., Gommans, J., Kleinig, T., Lallu, B., Tyson, A., & Ranta, A. (2021). Switching to tenecteplase for stroke thrombolysis: Real-world experience and outcomes in a regional stroke network [Brief report]. Stroke, 52, e590-e593. doi: 10.1161/strokeaha.121.035931
Journal - Research Other
Ranta, A., & Hunter, R. (2021). Should TIA and minor stroke patients be kept out of the hospital? Neurology, 96(8). doi: 10.1212/wnl.0000000000011456
Journal - Research Other
Barber, P. A., Wu, T. Y., & Ranta, A. (2020). Stroke reperfusion therapy following dabigatran reversal with idarucizumab in a national cohort. Neurology, 94, e1968-e1972. doi: 10.1212/wnl.0000000000009155
Journal - Research Article