Transcarotid Artery Revascularization || Expanding the Patient Selection for Thrombectomy in Acute Stroke: The New Frontiers

The Miami Neuroscience Symposium Online will cover topics related to surgical management, stroke management, neurocritical care, neuro-imaging and neuro-oncology. The expert faculty will engage participants through complex cases and novel treatment strategies. Our goal is to share the most innovative and evidence-based clinical practices available in order to optimize patient outcomes in these areas of neuroscience.

Virtual Exhibit Hall → E-Poster Showcase →

Transcarotid Artery Revascularization

For several decades, carotid endarterectomy has been the criterion standard for carotid revascularization. This portion of the course will review results from recent trials that describe how transcarotid artery revascularization (TCAR) may be an ideal option for reducing the risk for peri-procedural stroke. 

Learning Objectives:
  • Compare outcomes associated with transcarotid artery revascularization, transfemoral carotid artery stenting and carotid endarterectomy.
  • Recognize recent trial results that describe how transcarotid artery revascularization may be an ideal option for reducing the risk for peri-procedural stroke.

Expanding the Patient Selection for Thrombectomy in Acute Stroke: The New Frontiers

It is possible that patients who are eligible for endovascular treatments with one selection method will be ineligible with other selection methods, which may lead to controversies in patient treatment decisions in clinical practice. This portion of the course will describe optimal patient selection for endovascular treatments.

Learning Objectives:
  • Recognize the beneficial effect of endovascular treatment with mechanical thrombectomy in acute ischemic stroke.
  • Optimize patient selection for endovascular treatment in acute ischemic stroke. 
  • Describe the current imaging guideline recommendations for endovascular treatments in clinical practice.

Original Release Date: November 2020
Review Date: October 2021

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, Physician Assistants, Critical Care and Neuroscience Nurses, Neurosurgery Nurses, Nurse Practitioners, Respiratory Therapists (Personal Growth), Pharmacists and Rehabilitation and Pain Management Specialists, as well as other specialists interested in the field of neuroscience.

Additional information
Bibliography: 
  • Boers, A. M., Jansen, I. G., Beenen, L. F., Devlin, T. G., San Roman, L., Heo, J. H., ... & Teitelbaum, J. (2018). Association of follow-up infarct volume with functional outcome in acute ischemic stroke: a pooled analysis of seven randomized trials. Journal of neurointerventional surgery, 10(12), 1137-1142. Slide 13.
  • Nogueira, R. G., Jadhav, A. P., Haussen, D. C., Bonafe, A., Budzik, R. F., Bhuva, P., ... & Sila, C. A. (2018). Thrombectomy 6 to 24 hours after stroke with a mismatch between deficit and infarct. New England Journal of Medicine, 378(1), 11-21.  Slide 14
  • Menon, B. K., Hill, M. D., Davalos, A., Roos, Y. B., Campbell, B. C., Dippel, D. W., ... & Muir, K. (2019). Efficacy of endovascular thrombectomy in patients with M2 segment middle cerebral artery occlusions: meta-analysis of data from the HERMES Collaboration. Journal of neurointerventional surgery, 11(11), 1065-1069.  Slide 34
  • Malas, M. B., Aridi, H. D., Kashyap, V. S., Wang, G. J., Motaganahalli, R. L., Cronenwett, J., ... & Schermerhorn, M. L. (2019). SS01. Outcomes of Transcarotid Revascularization With Dynamic Flow Reversal Versus Carotid Endarterectomy in the Transcarotid Revascularization Surveillance Project. Journal of Vascular Surgery, 69(6), e95-e96.
  • Gupta, N., Corriere, M. A., Dodson, T. F., Chaikof, E. L., Beaulieu, R. J., Reeves, J. G., ... & Kasirajan, K. (2011). The incidence of microemboli to the brain is less with endarterectomy than with percutaneous revascularization with distal filters or flow reversal. Journal of vascular surgery, 53(2), 316-322.
  • Brott, T. G., Hobson, R. W., Howard, G., Roubin, G. S., Clark, W. M., Brooks, W., ... & Howard, V. J. (2010). Stenting versus endarterectomy for treatment of carotid-artery stenosis. New England Journal of Medicine, 363(1), 11-23.
Course Summary
Available credit: 
  • 1.25 AMA PRA Category 1 Credit™
  • 1.25 General certificate of attendance
  • 1.00 Nurse Practitioners
  • 1.00 Florida Board of Nursing
  • 1.00 Florida Board of Pharmacy
  • 1.00 Florida Board of Respiratory Therapy
Course opens: 
11/12/2020
Course expires: 
10/31/2022

Libby L. Watch, M.D.   
Vascular Surgeon
Miami Cardiac & Vascular Institute
Miami, Florida

Guilherme Dabus, M.D., MBA, FAHA
Director, Neuroendovascular Surgery Fellowship
Miami Neuroscience Institute
Miami Cardiac & Vascular Institute
Baptist Health South Florida
Clinical Professor
Florida International University Herbert Wertheim College of Medicine
Miami, Florida

Libby L. Watch, M.D., symposium director/planning committee member and speaker for this educational activity, disclosed that she is a member of the speakers' bureau for Bard and that she will not include off-label or unapproved product usage in her presentation or discussion. 

Guilherme Dabus, M.D., symposium director/planning committee member and speaker for this educational activity, disclosed that he is a consultant and member of the speakers' bureau for Medtronic, Microvention, Penumbra and Cerenovus, and that he is a shareholder in eLum, RIST, InNeuroCo, Deinde Medical, Synchron and Three Rivers. Dr. Dabus also disclosed that he will include off-label or unapproved product usage in his presentation or discussion.  

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.

Symposium Directors and Planning Committee disclosures.

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

Available Credit

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