Stroke and Neuroendovascular Care

Overview

  • Large Ischemic Core: What to do
  • CT Perfusion in Acute Ischemic Stroke: Do we still need it?
  • Cryptogenic Acute Ischemic Stroke and PFO Closure
  • Advances in Endovascular Treatment of Intracranial Aneurysms
  • Advancements in Endovascular Management of Subdural Hematomas
  • Post-Intensive Care Syndrome: Know the Data and What Happens to Patients

Commercial Supporter
Baptist Health gratefully acknowledges the commercial support provided by Boston Scientific, Cerenovus, Eisai, Medtronic, Terumo Neuro, and Supernus Pharmaceuticals for the Miami Neuroscience Institute Advances in Stroke Care course.

 

Target Audience

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

Learning Objectives

Large Ischemic Core: What to Do

  •     Examine the implications of a large ischemic core on stroke outcomes.
  •     Evaluate current treatment options and their effectiveness for patients with a large ischemic core.
  •     Discuss emerging therapies and strategies for managing large ischemic core strokes.

CT Perfusion in Acute Ischemic Stroke: Do We Still Need It?

  •     Review the role of CT perfusion imaging in the diagnosis and management of acute ischemic stroke.
  •     Analyze the benefits and limitations of CT perfusion in clinical practice.
  •     Discuss alternative imaging modalities and their potential impact on stroke care.

Cryptogenic Acute Ischemic Stroke and PFO Closure

  •     Identify the causes and diagnostic challenges of cryptogenic acute ischemic stroke.
  •     Evaluate the evidence supporting patent foramen ovale (PFO) closure in stroke prevention.
  •     Discuss patient selection criteria and outcomes for PFO closure procedures.

Advances in Endovascular Treatment of Intracranial Aneurysms

  •     Explore the latest advancements in endovascular techniques for treating intracranial aneurysms.
  •     Discuss the indications, risks, and benefits of various endovascular treatment options.
  •     Review case studies to highlight successful endovascular interventions and outcomes.

Advancements in Endovascular Management of Subdural Hematomas

  •     Review the pathophysiology and clinical presentation of subdural hematomas.
  •     Evaluate the latest endovascular approaches for managing subdural hematomas.
  •     Discuss the outcomes and potential complications associated with endovascular treatment.

Post-Intensive Care Syndrome: Know the Data and What Happens to Patients

  •     Define post-intensive care syndrome (PICS) and its impact on patients' long-term health.
  •     Review the latest data on the prevalence and risk factors for PICS.
  •     Discuss strategies for preventing and managing PICS in clinical practice.
Additional information
Bibliography: 
  • Mas, J. L., Derumeaux, G., Guillon, B., Massardier, E., Hosseini, H., Mechtouff, L., ... & Chatellier, G. (2017). Patent foramen ovale closure or anticoagulation vs. antiplatelets after stroke. New England Journal of Medicine, 377(11), 1011-1021.
  • White, R., Gembreska, K., Chaubal, V., AlMajali, M., Ashouri, Y., Olvany, J. M., ... & Hajjar, M. M. (2024). Thrombectomy for stroke with large infarct on noncontrast CT: the TESLA randomized clinical trial. Jama, 332(16), 1355-1366.
  • Cagino, L. M., Seagly, K. S., & McSparron, J. I. (2022). Survivorship after critical illness and post-intensive care syndrome. Clinics in Chest Medicine, 43(3), 551-561.
  • Kabbasch, C., Goertz, L., Siebert, E., Herzberg, M., Borggrefe, J., Krischek, B., ... & Liebig, T. (2019). WEB embolization versus stent-assisted coiling: comparison of complication rates and angiographic outcomes. Journal of neurointerventional surgery, 11(8), 812-816.
  • Qiao Y, Alkarawi S, Provasek VE, Zhang YJ, Tsappidi S, Hui F. Chronic subdural hematoma: What precisely are we treating? Interventional Neuroradiology. 2024;0(0).
  • Molad, J. (2021). CT perfusion: more than what you thought. AJNR: American Journal of Neuroradiology, 42(1), 73.
Course Summary
Available credit: 
  • 1.25 ABS Accredited CME
  • 1.25 AMA PRA Category 1 Credit™
  • 1.25 General certificate of attendance
  • 1.20 Florida Board of Dietitians
  • 1.25 Nurse Practitioners
  • 1.00 Florida Board of Nursing
  • 1.25 Florida Board of Pharmacy
  • 1.00 Florida Board of Respiratory Therapy
Course opens: 
03/01/2025
Course expires: 
02/29/2028

Faculty

Kiwon Lee, M.D., FACP, FAHA, FCCM
Professor, Neurology and Neurosurgery
Chief of Stroke and Neurocritical Care
Director of Comprehensive Stroke Center
Rutgers-Robert Wood Johnson Medical School
New Brunswick, New Jersey

Kevin Abrams, M.D.
Chief, Radiology
Medical Director, Neuroradiology and Magnetic Resonance Imaging
Baptist Hospital of Miami
Clinical Associate Professor of Radiology
Florida International University Herbert Wertheim College of Medicine
Miami, Florida

Nish Patel, M.D.
Interventional Cardiologist and Structural Heart Interventionalist 
Miami Cardiac & Vascular Institute
Miami, Florida
 
Guilherme Dabus, M.D.
Co-director, Interventional Neuroradiology
Miami Neuroscience Institute
Medical Director, Fellowship Program in Interventional Neuroradiology and Endovascular Neurosurgery
Miami Cardiac & Vascular Institute and Miami Neuroscience Institute
Clinical Professor, Department of Neuroscience
Florida International University Herbert Wertheim College of Medicine
Miami, Florida

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

Karel Fuentes, M.D.
Neurointensivist and Medical Director, Neurocritical Care
Miami Neuroscience Institute
Clinical Assistant Professor of Neurology
Florida International University Herbert Wertheim College of Medicine
Miami, Florida

                
Nothing to Disclose
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*.
 
Kiwon Lee, M.D.
Karel Fuentes, M.D.
Starlie Belnap, Ph.D.
Ashley Bolling, DNP, APRN
Nina Cruz, MSN, APRN

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.

Kevin Abrams, M.D., director and faculty for this educational activity, is a consultant for Viz.AI, and is a shareholder for Cleerly and Viz.AI. 

Guilherme Dabus, M.D.,** director and faculty for this educational activity, is a proctor for Medtronic; a consultant for Cerenovus, Medtronic, Microvention, Penumbra, Route92, Stryker and Viz.Ai; a member of the speakers’ bureau for Medtronic, Microvention and Penumbra; a shareholder in InNeuroCo, Neurofine, Deinde, Synchron, TRM, Cleerly, Prometheus, FreeOx, Navigantis, Kandu, Hyperion, Global Intervention, GHIF; receives research support from SUMMIT MAX; and is a committee member for CREST-2 Interventional Management.

Italo Linfante, M.D.,** director and faculty for this educational activity, is a proctor for Medtronic, Stryker; a consultant for Medtronic, Cerenovus, Stryker, Viz.Ai, Penumbra, Q’Appel; a speaker for Medtronic, Stryker, Cerenobus, Viz.Ai, Penumbra, Q’Appel; and is a shareholder for Deinde, InNeuroCo, InNeuroFine, Prometheus, Bend-it, Prolong Pharmaceuticals, Three Rivers, Galaxy, Insera Therpeutics.

Nish Patel, M.D., faculty for this educational activity, is a consultant for Gore, proctor for Edwards Lifesciences and Medtronic, and is on the speakers’ Bureau for Abbott, Edwards Lifesciences, Gore and Medtronic.

These financial relationships have been mitigated. 

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

Accreditation

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 1.25 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. 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.

Available Credit

  • 1.25 ABS Accredited CME
  • 1.25 AMA PRA Category 1 Credit™
  • 1.25 General certificate of attendance
  • 1.20 Florida Board of Dietitians
  • 1.25 Nurse Practitioners
  • 1.00 Florida Board of Nursing
  • 1.25 Florida Board of Pharmacy
  • 1.00 Florida Board of Respiratory Therapy

Register/Take course

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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