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

KP Planners (varies): 

1. VR: Vivek Rao, MD / Neuroscience
2. SC: Sean P. Cullen, MD/Interventional Neurology Radiology
3. WS: William Sheridan, MD, Neurosurgery
4. NM: Nicole Moayeri, MD/Neurological Surgery
5. DH: Daniel Hsu, MD/Neurointerventional Radiology
6. SC: Sheila Chan, MD/ Neurointerventional Radiology
7. AWL: Aleksandyr Lavery,MD /Neorosurgery
8. PR: Prasad Reddy, MD/ Neurointerventional Radiology
9. AE: Allen Efron, MD/ Neurological Surgery
10. NE: Nancy Edwards, MD/Neuroscience
11. PB: Paulomi K. Bhalla, MD
12. Chase Babcock, Clinical Director of Neuro/Surgery Clinic
13. Kolece McBride, SNA, CPI 1

KP Speakers (Varies): 

1. VR: Vivek Rao, MD / Neuroscience
2. SC: Sean P. Cullen, MD/Interventional Neurology Radiology
3. NM: Nicole Moayeri, MD/Neurological Surgery
4. DH: Daniel Hsu, MD/Neurointerventional Radiology
5. SC: Sheila Chan, MD/ Neurointerventional Radiology
6. AWL: Aleksandyr Lavery, Neorosurgery
7. PR: Prasad Reddy, MD/ Neurointerventional Radiology
8. AE: Allen Efron, MD/ Neurological Surgery
9. PB: Paulomi K. Bhalla, MD
10. NE: Nancy Edwards, MD/Neuroscience

KP CME Staff:

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

Resources:

^{1. AHA/ASA Guidelines for the Management of Aneurysmal Subarachnoid Hemorrhage sahguidelines09.pdf}

^{2. AHA/ASA Guidelines for the Prevention & Management of Stroke 2 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 3 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.}

^{4 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 5 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}

^{6 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 and program planners of this conference have disclosed that he/she has no relevant financial relationships with commercial interest. The CME Department has reviewed their disclosure information for the planner(s) and/or committee / faculty for this program and they do not have relevant financial relationships with commercial interest that present a conflict of interest with this CME Activity.

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 Permanente Medical Center - Redwood City is accredited by the California Medical Association (CMA) to provide continuing medical education for physicians

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.