Miami Neuroscience Institute: Integrated Stroke and Neurovascular Solutions - Emerging Techniques, Technologies and Clinical Insights

This course provides a streamlined review of essential stroke-readiness practices, including rapid recognition, evidence-based acute treatment with TNK and mechanical thrombectomy, and efficient imaging workflows such as NCCT, CTA/CTP and carotid POCUS. Learners will also strengthen skills in secondary prevention—especially diabetes and vascular risk management—and explore modern rehabilitation strategies, including Vagus Nerve Stimulation (VNS). Through focused cases and practical tools, the course supports consistent, high-quality stroke care across the continuum.

This course includes topics presented at the 13th annual Miami Neuroscience Symposium.

Featured Topics Include:
▪    Update on Indications and Treatment Options for Unruptured Intracranial Aneuryms
▪    Update on State-of-the-Art Treatment of Acute Ischemic Stroke
▪    Surgical Treatment of Moya-Moya Disease
▪    Diabetes and Inpatient Stroke
▪    Interesting Stroke Cases – Is It a Stroke?
▪    Point-of-Care Ultrasound in Neurology: Detecting Carotid Artery Disease in Stroke Patients
▪    VNS & Stroke Cases

Commercial Supporter
Baptist Health gratefully acknowledges the educational grants provided by: Boston Scientific, Cerenovus, Medtronic and Penumbra

Target Audience

Adult and Pediatric Neurologists, Neurosurgeons, Stroke Neurologists, Neuroradiologists, Diagnostic Radiologists, Critical Care Physicians, Neurointensive Care Physicians, Emergency Medicine Physicians, Internal Medicine Physicians, Interventional Neuroradiologists, Family Physicians, General Internists, Physician Assistants, Physician Associates, Critical Care and Neuroscience Nurses, Neurosurgery Nurses, Advanced Practice Registered Nurses, Clinical Neurophysiology Technicians, Clinical Pharmacists, Respiratory Therapists, Rehabilitation and Pain Management Specialists, as well as other specialists interested in the field of neuroscience.

Learning Objectives

Upon completion of this course, participants should be better able to:

  • Recognize and rapidly assess acute stroke presentations using validated tools (e.g., NIHSS, ASPECTS) to determine stroke severity, differentiate stroke subtypes and identify candidates for emergent therapies
  • Apply current evidence-based guidelines for acute stroke treatment, including intravenous thrombolysis (e.g., TNK, alteplase) and mechanical thrombectomy, incorporating advanced imaging and perfusion criteria for both standard and extended time windows
  • Interpret neuroimaging and vascular assessment modalities — including CTA, CTP, MRI and point-of-care carotid ultrasound (POCUS) — to support timely diagnosis, identify large-vessel occlusions or carotid disease, and optimize stroke triage and workflow
  • Implement comprehensive secondary stroke prevention strategies, including management of vascular risk factors (e.g., diabetes), guideline-driven pharmacotherapy (e.g., GLP1 agonists, SGLT2 inhibitors) and appropriate referral for carotid revascularization when indicated
  • Integrate principles of neuroprotection, cerebral hemodynamics and emerging therapeutic technologies (e.g., collateral support, oxygen-delivery agents, perfusion-based decision-making) to enhance clinical decision-making across the stroke continuum of care
  • Apply rehabilitative and neuroplasticity-based strategies, including evidence-supported therapies such as task-oriented practice, CIMT and vagus nerve stimulation (VNS), to improve functional outcomes and support long-term recovery in stroke survivors 

 

Resources

Additional information
Bibliography: 
  • AbuRahma, A. F., Avgerinos, E. D., Chang, R. W., et al. (2022). Society for Vascular Surgery clinical practice guidelines for management of extracranial cerebrovascular disease. Journal of Vascular Surgery, 75(1S), 4S–22S.
  • Antonovich, N., Basch, J. K., Buelt, A., et al. (2024). Management of stroke rehabilitation. Department of Veterans Affairs.
  • Bassett, D. S., Cullen, K. E., Eickhoff, S. B., Farah, M. J., Goda, Y., Haggard, P., ... & Ueda, H. R. (2020). Reflections on the past two decades of neuroscience. Nature Reviews Neuroscience, 21(10), 524-534.
  • Dabus, G., Hacein-Bey, L., Varjavand, B., Tomalty, R. D., Han, P. P., Yerokhin, V., ... & Turk, A. S. (2017). Safety, immediate and mid-term results of the newer generation of hydrogel coils in the treatment of ruptured aneurysms: a multicenter study. Journal of Neurointerventional Surgery, 9(4), 419-424.
  • Dawson, J., Liu, C. Y., Francisco, G. E., et al. (2021). Vagus nerve stimulation paired with rehabilitation for upper limb motor function after ischaemic stroke (VNS-REHAB): A randomised, blinded, pivotal, device trial. The Lancet, 397(10284), 1545–1553.
  • Kimberley, T. J., Cramer, S. C., Wolf, S. L., Liu, C., Gochyyev, P., Dawson, J., & VNS-REHAB Trial Group. (2025). Long-term outcomes of vagus nerve stimulation paired with upper extremity rehabilitation after stroke. Stroke, 56(8), 2255–2265.
  • Nectow, A. R., & Nestler, E. J. (2020). Viral tools for neuroscience. Nature Reviews Neuroscience, 21(12), 669-681.
  • Saxhaug, L. M., Graven, T., Olsen, Ø., Kleinau, J. O., Skjetne, K., Ellekjær, H., & Dalen, H. (2021). Feasibility and clinical impact of point-of‑care carotid artery examinations by experts using hand‑held ultrasound devices in patients with ischemic stroke or transitory ischemic attack. Journal of Stroke and Cerebrovascular Diseases, 30(12), 106086.
  • Suttie, R., Woo, M. Y., Park, L., Nemnom, M. J., Stotts, G., & Perry, J. J. (2020). Can emergency physicians perform carotid artery point‑of‑care ultrasound to detect stenosis in patients with TIA and stroke? A pilot study. Western Journal of Emergency Medicine, 21(3), 626–632.
  • UCAS Japan Investigators. (2012). The natural course of unruptured cerebral aneurysms in a Japanese cohort. New England Journal of Medicine, 366(26), 2474-2482.
Course Summary
Available credit: 
  • 2.25 ABIM Medical Knowledge
  • 2.25 ABS Accredited CME
  • 2.25 AMA PRA Category 1 Credit™
  • 2.25 General certificate of attendance
  • 2.25 Nurse Practitioners
  • 2.00 Florida Board of Nursing
  • 2.25 Florida Board of Pharmacy
  • 2.00 Florida Board of Respiratory Therapy
Course opens: 
04/10/2026
Course expires: 
04/09/2029

Unruptured Cerebral Aneurysms in the XXI Century: Why and How?

Guilherme Dabus, M.D.    
Co-director, Interventional Neuroradiology
Baptist Health Miami Neuroscience Institute
Medical Director, Fellowship Program in Interventional Neuroradiology and Endovascular Neurosurgery 

Update on State-of-the-Art Treatment of Acute Ischemic Stoke

Italo Linfante, M.D., FAHA  
Director, Interventional Neuroradiology 
Baptist Health Miami Neuroscience Institute 
Clinical Professor of Radiology and Neuroscience 
Florida International University Herbert Wertheim College of Medicine
Miami, Florida 

Moyamoya – Surgical Options

Robert Wicks, M.D.   
Co-director, Cerebrovascular Surgery
Director, Neurosurgery Anatomy Laboratory
Baptist Health Miami Neuroscience Institute
Miami, Florida

Diabetes and Inpatient Stroke

Angel R. Alejandro, M.D.
Endocrinologist
Baptist Health Medical Group
Baptist Health Quality Network
Miami, Florida

Interesting Stroke Cases

Felipe De Los Rios La Rosa, M.D., FAHA  
Medical Director, Stroke Program
Irma Bass Endowed Chair in Stroke Neurology
Baptist Health Miami Neuroscience Institute
Miami, Florida

Point-of-Care Ultrasound in Neurology: Detecting Carotid Artery Disease in Stroke Patients

Carolina Bajaj, MHSC, PA-C
Advanced Practice Provider Neurology Fellow 
Baptist Health Miami Neuroscience Institute 
Baptist Health South Florida
Miami, Florida

Alexander Navarro, MSN, APRN, AGACNP-BC
Advanced Practice Provider Fellow
Baptist Health Miami Neuroscience Institute
Miami, Florida

Vagus Nerve Stimulation for Upper Limb Rehabilitation After Stroke 

Natalia Miranda-Cantellops, M.D.  
Physical Medicine and Rehabilitation
Baptist Health Miami Neuroscience Institute 
Baptist Health Medical Group
Miami, Florida.

Justin Sporrer, M.D.  
Neurosurgeon
Director, Functional Neurosurgery
Baptist Health Miami Neuroscience Institute 
Baptist Health Medical Group
Baptist Health Quality Network
Miami, Florida

Darcie Garcia Hendricks, OTR/L, C/NDT, FWEC
Occupational Therapist 
Baptist Health South Florida
Miami, Florida

Yaneli Martija OTD, OTR/L, CSRS
Occupational Therapist  
Baptist Health South Florida
Miami, Florida


Disclosures and Resolution of Conflict of Interest

The following individuals involved in the planning, development, review, presentation, authoring and/or editing of the symposium content do not have relevant financial relationships with ineligible companies.  
**Indicates that this individual’s presentation(s) will include discussion of off-label or unapproved usage.
Angel R. Alejandro, M.D. 
Carolina Bajaj, PA-C**
Felipe De Los Rios La Rosa, M.D.**
Darcie Garcia Hendricks, OTR/L, C/NDT, FWEC
Noor Mahmoud, M.D. 
Alexander Navarro, APRN
Justin Sporrer, M.D.
Robert Wicks, M.D.

 

Relevant Financial Relationships

The following individuals involved in the planning, development, review, presentation, authoring and/or editing of the symposium content have disclosed relevant financial relationships with ineligible companies*, and the CME Department has mitigated these potential conflicts of interest.
**Indicates that this individual’s presentation(s) will include discussion of off-label or unapproved usage.

  • Guilherme Dabus, M.D.,** director and faculty for this educational activity, is a consultant for Microvention, Stryker, Medtronic, Penumbra, Cerenovus, Route92, Phenox, Viz.Ai, InNeuroCo and Philips, and is a shareholder for Neurofine, Deinde Medical, Endovascular Horizons, TRM, Cleerly, Synchron, Prometheus Labortories Inc., GHIF, Navigantis, Hyperion, Piraeus, FreeOx and Kandu Health.
  • Italo Linfante, M.D.,** director and faculty for this educational activity, is a consultant for Medtronic, Stryker, Penumbra, Deinde, InNeuroCo, InNeuroFine, Prometheous, Bend It, Prolong Pharmaceuticals, and Insera Therapeutics, and is a shareholder of Prolong Pharmaceuticals, InNeuroCo, Prometheous, Bend It, Three Rivers, Galaxy, Insera Therapeutics and Endovascular Horizons.

*Ineligible companies - Companies whose primary business is producing, marketing, selling, reselling, or distributing healthcare products used by or on patients.

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 2.25 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

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American Board of Surgery - Maintenance of Certification (MOC) - Accredited CME- General Surgery

Successful completion of this CME activity, which includes participation in the evaluation component, enables the learner to earn credit toward the CME of the American Board of Surgery’s Continuous Certification program. It is the CME activity provider's responsibility to submit learner completion information to ACCME for the purpose of granting ABS credit.

Your participation information will be shared with specialty boards through the ACCME's PARS reporting system. Submissions are recorded in approximately 48 hours. You will receive an email when your credits have been processed.

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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 2.25 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 specialty boards through the ACCME's PARS reporting system. Successful completion of a course examination is required. 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

  • 2.25 ABIM Medical Knowledge
  • 2.25 ABS Accredited CME
  • 2.25 AMA PRA Category 1 Credit™
  • 2.25 General certificate of attendance
  • 2.25 Nurse Practitioners
  • 2.00 Florida Board of Nursing
  • 2.25 Florida Board of Pharmacy
  • 2.00 Florida Board of Respiratory Therapy
Please login or register for a Baptist Health CME account to take this course.

Your participation information will be shared with specialty boards through the ACCME's PARS reporting system. Successful completion of a course examination is required. Submissions are recorded in approximately 48 hours. You will receive an email when your credits have been processed.

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