Educational Objectives: By the end of the activity, participants will be able to:

1. Identify and apply the best treatment options for patients with neurovascular diseases (i.e aneurysms, AVM, DAVF, Moya-moya, carotid stenosis), using evidence-based practices and expert consensus. Provide recommendations for age-specific related treatment specific to the age and geriatric population as applicable.

2. Integrate cultural competency into the discussions that will assist in integrating the attitudes, evidence based treatment recommendations and skills that enables a health care professional to care effectively for patients from diverse cultures, groups and communities.

3. Transfer the evidence based treatment recommendations of individual practitioners through collaboration of case management.

Target Audience:

Physician Focus: Neurosurgeons, Interventional Neuro- Radiologists. Interventional Radiologists, Neurointensivists, Neuroscience
Non-Physician Professionals: Neuroscience NP, Interventional Neuro NP, Stroke Coordinator

Planners (varies): 

  1. VR: Vivek Rao, MD / Neuroscience
  2. NM: Nicole Moayeri, MD/Neuroscience
  3. SC: Sean P. Cullen, MD/Interventional Neurology Radiology
  4. WS: William Sheridan, MD, Neurosurgery
  5. AF: Alexander C. Flint, MD/Neurointensivist
  6. DH: Daniel Hsu, MD/Neurointerventional Radiology
  7. SC: Sheila Chan, MD/ Neurointerventional Radiology
  8. AWL: Aleksandyr Lavery, Neorosurgery
  9. PR: Prasad Reddy, MD/ Neurointerventional Radiology
  10. AE: Allen Efron, MD/ Neurological Surgery
  11. OP: Owen Palmer, MD/Vascular Surgery
  12. Chase Babcock, Clinical Director of Neuro-Surgery Clinic
  13. Kolece McBride, CNA, CPT I

Speakers (Varies): 

  1. VR: Vivek Rao, MD / Neuroscience
  2. NM: Nicole Moayeri, MD/Neuroscience
  3. SC: Sean P. Cullen, MD/Interventional Neurology Radiology
  4. WS: William Sheridan, MD, Neurosurgery
  5. AF: Alexander C. Flint, MD/Neurointensivist
  6. DH: Daniel Hsu, MD/Neurointerventional Radiology
  7. SC: Sheila Chan, MD/ Neurointerventional Radiology
  8. AWL: Aleksandyr Lavery, Neorosurgery
  9. PR: Prasad Reddy, MD/ Neurointerventional Radiology
  10. AE: Allen Efron, MD/ Neurological Surgery
  11. OP: Owen Palmer, MD/Vascular Surgery

CME Staff:

  1. Julia Carranza, CME Coordinator
  2. Alvin Ting, MD, COE

Resources:

1. AHA/ASA Guidelines for the Management of Aneurysmal Subarachnoid Hemorrhage https://tpmgphysicianed.org/modules/file/icons/application-pdf.pngsahguidelines09.pdf

2. AHA/ASA Guidelines for the Prevention & Management of Stroke https://tpmgphysicianed.org/modules/file/icons/application-pdf.png2 CR_StrokeRecommendations_References_2015_Final.pdf

3. The New England Journal of Medicine, A Randomized Trial of Intraarterial Treatment for Acute Ischemic Stroke,January 1, 2015, N Engl J Med 2015;372:11-20. DOI: 10.1056/NEJMoa1411587 https://tpmgphysicianed.org/modules/file/icons/application-pdf.png3 ESTMRCLEAN.pdf

4. Medical management with or without interventional therapy for unruptured brain arteriovenous malformations (ARUBA): a multicentre, non-blinded, randomised trial. Lancet 2014;383:614 –21 Mohr JP, Parides MK, Stapf C, et al.

https://tpmgphysicianed.org/modules/file/icons/application-pdf.png4 aribalancet.pdf

5. International Study of Unruptured Intracranial Aneurysms (ISUIA), Unruptured intracranial aneurysms: natural history, clinical outcome, and risks of surgical and endovascular treatment, THE LANCET • Vol 362 • July 12, 2003 https://tpmgphysicianed.org/modules/file/icons/application-pdf.png5 lancetISUIA2003.pdf

6.Aggressive medical treatment with or without stenting in high-risk patients with intracranial artery stenosis (SAMMPRIS): the fi nal results of a randomised trial, Lancet 2014; 383: 333–41

https://tpmgphysicianed.org/modules/file/icons/application-pdf.png6 sammprisfinal.pdf

7 N Engl J Med 2018; 378:708-718  Thrombectomy for Stroke at 6 to 16 Hours with Selection by Perfusion Imaging

Disclosure Statement: The presenters, program planners and participants of this case conference have disclosed that he/she has no relevant financial relationships with commercial interest (s). The CME Department has reviewed their disclosure information for the planner(s) and/or committee / faculty/participants for this program and they do not have relationships that present a relevant financial conflict of interest.

Kaiser Permanente Medical Center - Redwood City takes responsibility for the content , quality and scientific integrity of this CME Activity .

Kaiser Permanente does not endorse any brand -name products.

Accreditation Statement:

Kaiser Permanente Medical Center - Redwood City is accredited by the Institute for Medical Quality/California Medical Association (IMQ/CMA) to provide continuing medical education for physicians.

Credit Statement:

The Kaiser Permanente Medical Center - Redwood City designates this Live Activity for a maximum of 1 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

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Session date: 
Wednesday, February 27, 2019 - 12:30pm to 1:30pm
Location: 
Kaiser Permanente
1100 Veterans Blvd.
20 a/b
Redwood City, CA 94063
United States
  • 1.00 AMA PRA Category 1 Credit(s)™
  • 1.00 Geriatrics
  • 1.00 Radiologic Technology
    x-ray use or diagnosis
  • 1.00 Stroke

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