Clinical Selection for IV Alteplase and Endovascular Treatment

This lecture will provide learners with best practices for evaluating the care and treatment of patients who are possible candidates for IV alteplase or endovascular treatment, resulting in improved quality of care and better patient outcomes.

Target Audience

Adult and Pediatric Neurologists, Neurosurgeons, Stroke Neurologists, Neuroradiologists, Diagnostic Radiologists, Critical Care Physicians, Neurointensivists, Emergency Medicine Physicians, Internal Medicine Physicians, Interventional Neuroradiologists, Family Physicians, General Internists, and other specialists interested in the field of neuroscience.

Learning Objectives

  • Explain the current treatment for acute ischemic stroke and identify the eligibility criteria for acute stroke reperfusion therapies.
Additional information
Bibliography: 
  • Powers WJ, Rabinstein AA, Ackerson T, Adeoye OM, Bambakidis NC, Becker K, et al. 2018 guidelines for the early management of patients with acute ischemic stroke: A guideline for healthcare professionals from the american heart association/american stroke association. Stroke. 2019; epub ahead of print
  • Nogueira RG, Jadhav AP, Haussen DC, Bonafe A, Budzik RF, Bhuva P, et al. Thrombectomy 6 to 24 hours after stroke with a mismatch between deficit and infarct. The New England journal of medicine. 2018;378:11-21
  • Albers GW, Marks MP, Kemp S, Christensen S, Tsai JP, Ortega-Gutierrez S, et al. Thrombectomy for stroke at 6 to 16 hours with selection by perfusion imaging. The New England journal of medicine. 2018;378:708-718
Course summary
Available credit: 
  • 0.75 AMA PRA Category 1 Credit™
  • 0.75 General certificate of attendance
Course opens: 
04/01/2020
Course expires: 
07/31/2021

Felipe De Los Rios La Rosa, M.D.
Medical Director, Baptist Hospital Comprehensive Stroke Center and Baptist Health South Florida Stroke Program
Associate Professor of Neurology
University of Cincinnati Department of Neurology

Felipe De Los Rios La Rosa, M.D., indicated that neither he nor his spouse/partner has relevant financial relationships with commercial interests, and he will include off-label or unapproved product usage in his presentation(s) or discussion(s).

Kevin Abrams, M.D., indicated that he is a consultant for Keystone Heart. He is also a shareholder in Cleerly and Keystone Heart.

Guilherme Dabus, M.D., indicated that he is a consultant for Microvention, Medtronic, Penumbra, Stryker, Codman, Cerenovus, and InNeuroCo. He is on the speakers bureau for Microvention, Medtronic, and Penumbra. He is a proctor for Medtronic and is on the advisory board for RIST Neurovascular. Dr. Dabus is also a shareholder in Codman Cerenovus, Medina/Medtronic, InNeuroCo, Three Rivers Medical, eLum, Cleerly, and RIST Neurovascular.

Italo Linfante, M.D., indicated that he is a consultant for Medtronic and Stryker. Dr. Linfante is also a shareholder in InNeuroCo and Three Rivers Medical.

Non-faculty contributors and others involved in the planning, development and editing/review of the content have no relevant financial relationships to disclose.

Disclosure Policy and Disclaimer

Baptist Health South Florida is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians. Baptist Health has been re-surveyed by the ACCME and awarded Commendation for 6 years as a provider of CME for physicians.
              
Baptist Health South Florida designates this enduring material for a maximum of 0.75 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

American Board of Internal Medicine Maintenance of Certification

Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to 0.75 Medical Knowledge MOC points in the American Board of Internal Medicine's (ABIM) Maintenance of Certification (MOC) program. Participants will earn MOC points equivalent to the amount of CME credits claimed for the activity. It is the CME activity provider's responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit.

Your participation information will be shared with the ACCME, which will in turn report your points to ABIM. Successful completion of a course examination is required to earn ABIM MOC points.

NOTE: Maintenance of Certification (MOC) points will be automatically reported to the ABIM. Submissions are recorded in approximately 48 hours. You will receive an email when your credits have been processed.

Through an agreement between the Accreditation Council for Continuing Medical Education and the Royal College of Physicians and Surgeons of Canada, medical practitioners participating in the Royal College MOC Program may record completion of accredited activities registered under the ACCME’s “CME in Support of MOC” program in Section 3 of the Royal College’s MOC Program.

Available Credit

  • 0.75 AMA PRA Category 1 Credit™
  • 0.75 General certificate of attendance
Please login or register to take this course.

NOTE: Maintenance of Certification (MOC) points will be automatically reported to the ABIM. Submissions are recorded in approximately 48 hours. You will receive an email when your credits have been processed.

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