Catheter Lysis of Thromboembolic Stroke (CLOTS)

Educational Program

Sunday, October 21, 2012


7:00 AM    Registration and Breakfast   
       
Course Overview: Format and Objectives                   

8:00 AM   
Introduction and Preliminary Survey   
Vance Edmond McCollom, MD

8:15 AM   
Training Standards and QA Standards for Intra-arterial Catheter-directed Treatment of Acute Ischemic Stroke   
David Sacks, MD, FSIR

8:30 AM   
CLOTS Learning Resources   
MJ Bernadette Stallmeyer, MD, PhD

8:40 AM   
Overview of Workshops   
MJ Bernadette Stallmeyer, MD, PhD, Vance Edmond McCollom, MD & Leanne Casaubon, MD, MS

8:55 AM   
Written and Practical Evaluation   
David Sacks, MD, FSIR
       
Session I: Pathophysiology, Assessment and Medical Management       
Moderator: John W. Cole, MD, MS       


9:05 AM   
Pathophysiology of Ischemic Stroke
John W. Cole, MD, MS

9:25 AM   
Cardiogenic Considerations in Ischemic Stroke
Bryan Kluck, DO

9:50 AM    Exhibitor coffee break

10:10 AM   
Clinical Presentation of Stroke   
John W. Cole, MD, MS   

10:40 AM   
Inclusion and Exclusion Criteria for IV tPA   
Leanne Casaubon, MD, MS

10:55 AM   
Medical Management of Acute Stroke: Nonintervention   
John W. Cole, MD, MS

11:20 AM   
Primary and Secondary Prevention: Transient Ischemic Attack- A Window of Opportunity   
Leanne Casaubon, MD, MS

11:35 AM   
Panel Discussion: All Session Faculty   
Moderator: John W. Cole, MD, MS

11:50 AM     Lunch
   
12:50 PM   
Cerebral Angiography - The Basics    
MJ Bernadette Stallmeyer, MD, PhD

1:20 PM   
Drugs Used in the Neurointerventional World - Part I   
J.J. "Buddy" Connors, MD, FSIR

2:00 PM
Cerebral Angiography in Ischemia - Collaterals and their Implications    
Firas Al-Ali, MD

2:25 PM    Exhibitor coffee break

2:45 PM   
Flush Lines, Guide Catheters and Microcatheters: How They Work: VIDEO   
J.J. Buddy Connors, MD, FSIR

3:00 PM   
Vascular Training Video and Intro to Vascular Labs: VIDEO   
Vance Edmond McCollom, MD

3:40 PM   
Q&A   

3:50 PM    Break   

4:00 - 6:00 PM    Workshops (run concurrently)
CT Perfusion, Getting There: Full Scale Vascular Models and Simulators, Neurology Basics   

6:00-7:30 PM    Welcome Reception in Exhibit Hall   

 

Monday, October 22, 2012

       
7:15 AM     Breakfast   

Session II: CerebroVascular Imaging (Session Approved for 1 SAM)        
Moderator: Howard A. Rowley, MD       

8:00 AM   
Imaging Triage of Stroke: CTA/CT Perfusion   
Howard A. Rowley, MD

8:45 AM   
Imaging Triage of Stroke: MRA/MR Perfusion   
Howard A. Rowley, MD

9:30 AM   
Summary of Contemporary Imaging-based Trials   
Howard A. Rowley, MD

10:00 AM    Exhibitor coffee break   

10:20 AM
Implications of CT Head Findings in Acute Stroke    
J.J. "Buddy" Connors, MD, FSIR

10:45 AM   
Imaging Protocols: Multimodal CT and MR   
Jeffrey S. Carpenter, MD

11:10 AM   
Panel Discussion: All Session Faculty   
Moderator: MJ Bernadette Stallmeyer, MD, PhD

11:30     Lunch    


Session III: Review of Evidence       
Moderator:  Leanne Casaubon, MD, MS

12:30 PM   
Understanding Clinical Outcomes: The Modified Rankin Scale (mRS): Telephone mRS   
John W. Coles, MD, MS

12:50 PM   
Overview of Evidence for Intravenous Thrombolytic Therapy   
John W. Cole, MD, MS

 
1:20 PM   
The Evidence for Benefit of IA Lysis   
J.J. "Buddy" Connors, MD, FSIR

1:45 PM   
Stroke Mimics & Wake-up Strokes: Why Treat or Not   
Leanne Casaubon, MD, MS

2:05 PM    Exhibitor coffee break   

2:25 PM   
Drugs Used in the Neurointerventional World: Part II   
Bryan Kluck, DO

2:55 PM   
New Devices and Trials: The Future    
Robin Novakovic, MD

3:25 PM   
Panel Discussion: All Session Faculty   
Moderator: J.J. "Buddy" Connors, MD, FSIR

3:35 PM    Break   

3:45 PM   
Workshops (run concurrently)
 CT Perfusion, Getting There: Full-scale Vascular Models and Simulators, Neurology Basics   

5:45 PM    Break   

6:00 PM
Evening Dinner Symposium - Perfusion Imaging   
Moderator: MJ Bernadette Stallmeyer, MD, PhD
    Schedule of Events
  • 6:15pm -6:45pm- Welcome
  • 6:45pm-7:05pm - DWI/PWI in Acute Stroke, Gil Gonzalez, MD
  • 7:05pm-7:20pm- Dinner served
  • 7:20pm-7:50pm- Importance of Perfusion Imaging in Stroke, Ansar Rai, MD
  • 7:50pm-8:00pm- Desserts & Coffee
  • 8:00pm-8:30pm- How to get a Technically Good CT Perfusion Study, MJ Bernadette Stallmeyer, MD, PhD
  • 8:30pm- Proctored exam time sign-ups

Tuesday, October 23, 2012

       
7:15 AM    Breakfast   
       
Session IV: Strategy and Technique         
Moderator: Joan Wojak, MD, FSIR   
   
       
8:00 AM   
Implications of Specific Locations of Vascular Occlusion   
J.J. "Buddy" Connors, MD, FSIR

8:40 AM   
Intra-arterial Thrombolytic Therapy - How I Do It (Case Based)   
MJ Bernadette Stallmeyer, MD, PhD, Joan C. Wojak, MD, FSIR, & J.J. "Buddy" Connors, MD, FSIR

9:10 AM   
Intra-arterial Pharmacomechanical Therapy - How I Do It (Case Based)   
Jeffrey S. Carpenter, MD, Kennith Layton, MD, Lee Pride, MD

10:10 AM    Exhibitor coffee break   

10:30 AM
Do Collaterals Trump "Faster is Better?"
Firas Al-ali, MD

10:45 AM   
Selection of Revascularization Techniques   
Donald V. Heck, MD

11:15 AM   
General Anesthesia vs. Sedation: Pros and Cons?   
Adam Schiavi, MD, PhD

11:30 AM   
Improving Peri-Procedural Care: Recognizing Risks and Managing Complications   
Romergryko G. Geocadin, MD

12:00 AM   
Q&A   

12:10 PM    Lunch
   
1:10 PM   
Bridging Therapy: Is There a Future Despite Futility?   
Thomas Tomsick, MD

 
1:40 PM
Overview of Closure Devices
Carl M. Black, MD

1:55 PM   
"Comparing Equipment, a Discussion"   
Carl Black, MD; Joseph H. Hise, MD; Kennith Layton, MD

2:25 PM   
Hands-on with the CLOTS Guide Catheters, Microcatheters, Wires and Devices

2:45 PM   
Panel Discussion With Case-based Review   
TBD
Moderator: TBD

4:00 PM    Exhibitor coffee break   

4:15 PM - 6:15 PM   
Workshops (run concurrently)
CT Perfusion, Getting There: Full-scale Vascular Models and Simulators, Neurology Basics   

 

Wednesday, October 24, 2012

       
7:15 AM   
Breakfast   
       
Session V: The Stroke Team Concept       
Moderator: Carl M. Black, MD       

       
8:00 AM   
Patient Selection: CLINICAL: Risk/Benefit Evaluation   
David Sacks, MD, FSIR

8:30 AM   
Patient Selection: ANGIO: What Not to Treat and Why   
Vance Edmond McCollom, MD

8:50 AM   
My First Cases   
David Sacks, MD, FSIR

9:15 AM   
Potential Complications, Technical Pitfalls and Errors to Avoid    
Vance Edmond McCollom, MD

9:45 AM   
Q&A   

10:00 AM    Exhibitor coffee break   

10:20 AM   
An IR's Perspective on Stroke Building an Interventional Stroke Program From Scratch: The Interventionist   
Scott C. Goodwin, MD, FSIR Scott McPherson, MD

10:35 AM   
Building an Interventional Stroke Program from Scratch:  The Stroke Coordinator   
Wendy Barrilleaux, PT, DPT, NCS

10:50 AM
Building an Interventional Stroke Program from Scratch: The Nurse's Role in Neurointervention
Paul Clemmons, RN, BSN

11:05 PM   
Building a Stroke Intervention Program from Scratch: Impact of Neurocritical and Neurovascular Care
Romergryko G. Geocadin, MD

11:20 PM   
24/7 Neurology Call: Challenges and Solutions   
Heather Linn , MD

10:35 AM   
An IR's Perspective on Stroke   
Scott C. Goodwin, MD, FSIR
11:50 AM    Lunch

12:45 PM   
The Economics of Stroke Centers   
Debbie Lombardi Hill

1:00 PM   
Building a Stroke Program: The Hospital Administrator   
Jim R. Gebhart, FACHE

1:15 PM   
Medico-legal Implications of Acute Stroke Care   
Rob Portman, JD

2:00 PM   
Just Say No: An Ethical Issue
Mark A. Casanova, MD

2:20 PM   
Q&A: Medico-legal and Ethics
   
2:35 PM    Exhibitor coffee break   

2:55 PM   
Guidelines: ASA Metrics, ASA Acute Stroke Management, Accreditation    
J.J. "Buddy" Connors, MD, FSIR

3:25 PM   
Written Protocols and Order Sets   
Carl M. Black, MD

3:40 PM   
Tracking Outcomes: An Absolute Necessity   
J.J. "Buddy" Connors, MD, FSIR

4:10 PM
Entering Data: How We do it and Who does it
Wendy Barrilleaux, PT, DPT, NCS

4:25 PM   
Workforce: Point/Counterpoint   
J.J. "Buddy" Connors, MD, FSIR; Michael Froehler, MD

 
Session VI: Bringing It All Together
       
4:30 PM   
Basic Next Steps
Carl M. Black, MD

4:40 PM   
Conclusion and Exit Survey   
Carl M. Black, MD



Thursday, October 25, 2012

       

7:15 AM   
Breakfast   
       
8:00 AM   
Group A: Take Practical Exam   
Group B: Take Written Exam   
       
11:00 AM   
Break   
       
11:30 AM   
Group A: Take Written Exam   
Group B: Take Practical Exam   
       
2:30 PM   
Meeting Adjourns