Randomized Trials and Real-Life Registries in Acute Stroke Thrombectomy

Organization of stroke systems of care is critical to ensure fast treatment. This course will discuss implications of randomized clinical trials in the treatment of acute stroke and how patient selection for fast and effective recanalization impact 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, Clinical Pharmacists, and other specialists interested in the field of neuroscience.

Learning Objectives

  • Analyze randomized trials, real-life registries and new interventions in the treatment of acute stroke thrombectomy.
Additional information
Bibliography: 
  • Albers, G. W., Marks, M. P., Kemp, S., Christensen, S., Tsai, J. P., Ortega-Gutierrez, S., McTaggart, R. A., Torbey, M. T., Kim-Tenser, M., Leslie-Mazwi, T., Sarraj, A., Kasner, S. E., Ansari, S. A., Yeatts, S. D., Hamilton, S., Mlynash, M., Heit, J. J., Zaharchuk, G., Kim, S., … Lansberg, M. G. (2018). Thrombectomy for Stroke at 6 to 16 Hours with Selection by Perfusion Imaging. New England Journal of Medicine, 378(8), 708–718.
  • Demchuk, A. M., Goyal, M., Menon, B. K., Eesa, M., Ryckborst, K. J., Kamal, N., Patil, S., Mishra, S., Almekhlafi, M., Randhawa, P. A., Roy, D., Willinsky, R., Montanera, W., Silver, F. L., Shuaib, A., Rempel, J., Jovin, T., Frei, D., Sapkota, B., … ESCAPE Trial Investigators. (2015). Endovascular treatment for Small Core and Anterior circulation Proximal occlusion with Emphasis on minimizing CT to recanalization times (Escape) trial: Methodology. International Journal of Stroke: Official Journal of the International Stroke Society, 10(3), 429–438.
  • Jovin, T. G., Chamorro, A., Cobo, E., de Miquel, M. A., Molina, C. A., Rovira, A., San Román, L., Serena, J., Abilleira, S., Ribó, M., Millán, M., Urra, X., Cardona, P., López-Cancio, E., Tomasello, A., Castaño, C., Blasco, J., Aja, L., Dorado, L., … Dávalos, A. (2015). Thrombectomy within 8 hours after symptom onset in ischemic stroke. New England Journal of Medicine, 372(24), 2296–2306.
  • Linfante, I., & Dabus, G. (2017). Predicting outcomes in the era of endovascular therapy. Stroke, 48(1), 6–7.
  • Nogueira, R. G., Jadhav, A. P., Haussen, D. C., Bonafe, A., Budzik, R. F., Bhuva, P., Yavagal, D. R., Ribo, M., Cognard, C., Hanel, R. A., Sila, C. A., Hassan, A. E., Millan, M., Levy, E. I., Mitchell, P., Chen, M., English, J. D., Shah, Q. A., Silver, F. L., … Jovin, T. G. (2018). Thrombectomy 6 to 24 Hours after Stroke with a Mismatch between Deficit and Infarct. New England Journal of Medicine, 378(1), 11–21.
  • Saver, J. L., Goyal, M., Bonafe, A., Diener, H.-C., Levy, E. I., Pereira, V. M., Albers, G. W., Cognard, C., Cohen, D. J., Hacke, W., Jansen, O., Jovin, T. G., Mattle, H. P., Nogueira, R. G., Siddiqui, A. H., Yavagal, D. R., Devlin, T. G., Lopes, D. K., Reddy, V., … SWIFT PRIME Investigators. (2015). SolitaireTM with the Intention for Thrombectomy as Primary Endovascular Treatment for Acute Ischemic Stroke (Swift prime) trial: Protocol for a randomized, controlled, multicenter study comparing the Solitaire revascularization device with IV tPA with IV tPA alone in acute ischemic stroke. International Journal of Stroke: Official Journal of the International Stroke Society, 10(3), 439–448.
Course Summary
Available credit: 
  • 1.00 ABIM MOC II
  • 1.00 AMA PRA Category 1 Credit™
  • 1.00 General certificate of attendance
  • 1.00 Florida Board of Pharmacy
Course opens: 
04/01/2020
Course expires: 
03/31/2022

Guilherme Dabus, M.D., MBA, FAHA
Director, Fellowship
NeuroInterventional Surgery
Miami Cardiac & Vascular Institute
Miami Neuroscience Institute

Guilherme Dabus, M.D., MBA, FAHA, speaker and member of planning committee, is a consultant with Microvention, Medtronic, Cernovus and Penumbra and shareholder with Surpass Medical/Stryker, InNeuroCo, Medina Medical/Medtronic, eLum, Three Rivers Medical and RIST and proctor with Medtronic. He will include off-label or unapproved product usage in his presentation or discussion.

This online course is a highlight from the 2019 Miami Neuroscience Symposium. The following is the symposium planning committee.

Alberto Pinzon-Ardila, M.D., PH.D., indicated that he is on the speakers' bureau for Sunovion and UCB.

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

Bruno Gallo, M.D., indicated that he is a consultant for Surgimon, Inc. He is on the speakers' bureau for Teva, Acadia, Adamas and Sunovion. Dr. Gallo has also received grant/research support from St. Jude Medical and Medtronic.

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.

Felipe De Los Rios La Rosa, M.D. and Karel Fuentes, M.D. have no relevant financial relationship with ineligible companies* to disclose.

All of the relevant financial relationships listed for these individuals have been mitigated.

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

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

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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 1.0 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 1.0 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.

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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

  • 1.00 ABIM MOC II
  • 1.00 AMA PRA Category 1 Credit™
  • 1.00 General certificate of attendance
  • 1.00 Florida Board of Pharmacy
Please login or register for a Baptist Health CME account 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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