10th Annual Cerebrovascular Symposium: New Innovations from Ambulance to Rehabilitation

Thursday and Friday, May 5-6, 2016
Swedish Education and Conference Center
Swedish Cherry Hill
500 17th Ave.
Seattle, Washington

This meeting will provide attendees with updated information about rapid advances in all major areas of clinical interest in stroke and cerebrovascular disease management that they can apply in their practice. Faculty from a multidisciplinary team of neurovascular specialists will provide an update on advances in the field from the perspectives of neurology, physical medicine and rehabilitation, interventional neuroradiology, neurosurgery, cardiology and tele-neurology. 

Participants will be presented with the latest findings in stroke and cerebrovascular care, including Transcranial Doppler for acute stroke, novel and time-honored anticoagulants, new technological innovations, endovascular treatments, surgical approaches and imaging. Various treatment options will be explored and debated; and panel discussions focused on challenging cases will be used to help determine which option is best for each patient. Controversies in aneurysm and carotid treatment, stroke treatment and guidelines, neuro-intensive care options and updates in neuro-interventions will be discussed. The second day of the symposium will include hands-on demonstrations that will provide learners with the opportunity to view and practice various techniques related to stroke and cerebrovascular disease: carotid endarterectomy, coiling, stenting, cranial surgical techniques, robotic scope and brain imaging, Transcranial Doppler (TCD), new technologies for rehabilitation and the use of a 3-D microscope.

Intended Audience
This symposium is intended for neurologists, neurosurgeons, neuroradiologists, vascular surgeons, cardiologists, emergency physicians, nurse practitioners, physician assistants, nurses and other allied health professionals who are closely involved in the management of patients with cerebrovascular disease and have a specific focus on comprehensive stroke.

View more information about the course below or click the link below to register for this CME event.

Click here to register for the Cerebrovascular Symposium

Click here to register for the Merrill P. Spencer, M.D. Lecture only (complimentary)


Cerebrovascular disease and stroke management are complex and require ongoing education for neurologists, neurosurgeons, cardiologists and other sub-specialists who see patients with these conditions. Physicians have knowledge and practice gaps with regard to primary and secondary prevention of stroke, risk assessment, being up-to-date with pharmacologic treatment options, appropriate use of evaluations and general adherence to clinical guidelines. With the rapid advancements in technology and treatment modalities, clinicians and hospitals need to quickly adapt their practices. Practitioners are faced with a magnitude of choices for managing their patients' conditions and have expressed a need to be more informed on how to select the best option for their patients.

The 10th annual Cerebrovascular Symposium will build on the tradition of educating our attendees about the most recent guidelines and evidence-based practices for the care of stroke patients.  Additionally, this year’s activity addresses a national push toward systems for comprehensive care of the stroke patient.  An integrated system of care only becomes stronger when its individual members appreciate the perspectives and roles of other caregivers in the spectrum.  This symposium aims to shed light on those perspectives and roles. Lastly, for many providers, rehabilitation remains an unknown landscape that patient’s enter after leaving the acute care setting.  A lack of knowledge about services and technologies in the rehab world leads to missed opportunities in continuity and optimization of care.

View Agenda


Day 1 - Thursday, May 5, 2016

At the conclusion of this symposium, the participant will provide better patient care through an increased ability to:
  • Review and interpret the implications of the final data from the CLOTBUSTER trial, recognize and appreciate the evolving role of Transcranial Doppler in the care of acute ischemic stroke
  • Explain the unique perspective of emergency medicine in the care of acute ischemic stroke, specifically with regard to triage, communication with EMS and coordination with neurology; outline how the new ED protocols have streamlined the diagnosis and treatment of acute ischemic stroke
  • Recognize the current role of Telestroke, its benefits and limitations, in the care of patients with acute ischemic stroke, describe and appreciate the challenges of delivering a high standard of Telestroke services across a wide geographic area with diverse institutions
  • Gain a historical perspective on the use of intravenous thrombolytics for acute ischemic stroke, discuss the evolution and current practices with regard to IV tissue plasminogen activator, review other potential IV therapies for stroke in the future, their combination with other agents (e.g. iib/iiia inhibitors), and alternative thrombolytic agents
  • Synthesize the key results of pivotal trials on endovascular management of stroke, counsel patients and their families about risks and benefits of these interventions, review the basic principles of patient selection for endovascular therapy (timing, neuroimaging, functional baseline); explain the technical aspects of the procedure, what tools are available, intraoperative decision-making and potential complications
  • Describe the critical care provider’s approach to the care of a critically ill ischemic stroke patient, anticipate and prevent the complications that can arise in the first days following an acute ischemic stroke
  • Explain the role of an outpatient stroke neurologist in managing the sub-acute patient and late complications of ischemic stroke, optimize secondary prevention and coordinate with rehabilitation services to produce the best possible functional outcomes
  • Review what is currently known about pre-existing sleep apnea as a risk factor for stroke, appreciate the burden of sleep apnea as a result of stroke and how it can precipitate neurological deterioration in the acute setting, identify stroke patients with suspected sleep apnea, facilitate diagnosis and treatment in a timely fashion
  • Explain the pharmacologic properties of both the older and newer anticoagulants, describe the basic principles of the clotting cascade and review at which points clinicians can intervene to manage hemorrhage, outline at which points clinicians can intervene to manage hemorrhage
  • Describe the mechanism of action of the Novel Oral Anticoagulants (NOAC’s), review the clinical trials of these agents vs. warfarin, compare and contrast the various agents
  • Identify incidental unruptured aneurysms that are high-risk for subarachnoid hemorrhage by size, location and morphology; select and interpret surveillance neuroimaging for low-risk unruptured cerebral aneurysms
  • Identify the potential etiologies of intracranial hemorrhage (ICH) and develop comfort with the diagnostic approach for underlying cause, ascertain the principles for acute management of ICH, discuss potential advances and continued challenges in the operative management of parenchymal ICH
  • Describe the latest knowledge on the natural history of arteriovenous malformation’s and the role of resection or embolization in the prevention of subarachnoid hemorrhage, appreciate the treatment options (endovascular, open resection, radiotherapy or combination), technical considerations and potential complications of each
  • Utilize a handheld device to integrate the huge amounts of data collected during management of acute stroke cases, streamline the process of diagnosis, treatment and documentation in acute stroke

11th Annual Merrill P. Spencer, M.D., Endowed Lectureship

  • Explain the concept of electronic neural interfaces, discuss emerging applications of neural interfaces in rehabilitation, review and discuss the potential of new devices on the horizon

Day 2 - Friday, May 6, 2016

At the conclusion of this symposium, the participant will provide better patient care through an increased ability to:

  • Appreciate the scope of care of physical medicine and rehabilitation, including medical complications of ischemic stroke encountered during the rehab phase, recognize the broad array of personnel and technology required for effective rehabilitation, utilize adjunctive therapies such as pharmacotherapy and experimental modalities to optimize recovery
  • Explain the role of a neuropsychologist in the care of the stroke patient and how to access this important resource, identify and treat some of the less overt consequences of stroke, such as mood disorder and sexual dysfunction
  • Utilize advances in assistive technology, both high and low-tech solutions, for cognitive and physical deficits following stroke at both work and home, counsel patients on assistive technology resources available from various agencies
  • Gain insights in to the evaluation of patients for work readiness, list the factors that can affect work performance, describe how to direct therapy toward achieving the goal for work readiness and modifications that can be made to the workplace or job itself
  • Review the role of open surgery in the management of ruptured and unruptured cerebral aneurysms, explain the technical challenges, anatomical considerations and potential complications of these procedures
  • Review carotid anatomy and practice carotid endarterectomy techniques
  • Review the basics of coiling aneurysms and stent placement, describe the anatomy of vascular structures and vascular lesions, demonstrate surgical procedures on vascular lesions
  • Describe the surgical approach to the skull base and review the anatomy of the parasellar region and Sylvian fissure
  • Name the vessels in the Circle of Willis based on depth and angle, identify common sites for aneurysm
  • Describe and demonstrate carotid/vertebral ultrasound, explain the basic principles of Transcranial Doppler, demonstrate the physiologic influence of CO2  on blood flow
  • Demonstrate new modalities for brain imaging, explore alternatives for surgical microscope, incorporate fiber tract imaging in to live surgery
    Describe to patients the therapies that utilize novel technologies, utilize traditional rehabilitation modalities (physical, occupational therapy) with technology-driven alternatives


Accreditation with Commendation
Swedish Medical Center is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

AMA PRA Category 1 Credits™
Swedish Medical Center designates this live activity for a maximum of 15.25 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Nurse CE Contact Hours
15.25 nursing contact hours will be provided by Swedish Medical Center Clinical Education and Practice an approved provider of continuing nursing education by the Washington State Nurses Association Continuing Education Approval & Recognition Program (CEARP), an accredited approver by the American Nurses Credentialing Center’s Commission on Accreditation.


Andrei V. Alexandrov, M.D. 
Semmes-Murphey Professor and Chairman
Department of Neurology
The University of Tennessee Health Science Center
Memphis, Tennessee

Krislynn L. Barnhart, B.S., RVT
Vascular Sonographer
Swedish Medical Center Cherry Hill
Seattle, Washington

James F. Bartscher, M.D.
Critical Care Neurology
Virginia Mason Medical Center
Seattle, Washington

Todd J. Czartoski, M.D.
Swedish Neuroscience Institute
Executive Medical Director 

Providence Health & Services
Seattle, Washington

Johnny B. Delashaw, M.D.
Swedish Neuroscience Institute
Seattle, Washington

Colleen M. Douville, B.S., RVT
Director, Cerebrovascular Ultrasound
Program Manager, Epilepsy and Clinical Neurophysiology
Swedish Neuroscience Institute
Seattle, Washington

Madeleine C. Geraghty, M.D.
Stroke Hospitalist
Deaconess Hospital
Rockwood Clinic
Spokane, Washington

Brenda K. Havellana, Ph.D.
Swedish Rehabilitation
Swedish Medical Center Cherry Hill
Seattle, Washington

Dustin M. Hayward, M.D.
Neurological Surgery
Swedish Neuroscience Institute
Swedish Medical Center
Seattle, Washington

Lori B. Heller, M.D.
Medical Director, Swedish Blood Management Program 
Cardiac Anesthesiologist, Swedish Heart and Vascular Institute 
Acting Instructor, University of Washington
Swedish Heart & Vascular Institute
Seattle, Washington

Maria Kelley, OTR/L, ATP
Senior Assistive Technology Specialist
Washington Assistive Technology Act Program
University of Washington
Seattle, Washington

Sandeep P. Khot, M.D.
Neurology, Stroke and Critical Care
Director, Harborview Medical Center Consult Service 
University of Washington Associate Professor of Neurology
Seattle, Washington

Paul Chuwn Lim, M.D.
Physical Medicine and Rehabilitation
Swedish Neurological Rehabilitation Medicine Cherry Hill
Swedish Neuroscience Institute
Swedish Medical Center
Seattle, Washington

Yince Loh, M.D.
Associate Professor of Neurology, Neurosurgery and Radiology 
Neurointerventional Radiologists 
Swedish Neuroscience Institute
Seattle, Washington

Stephen J. Monteith, M.D.
Cerebrovascular and Endovascular Neurosurgeon
Swedish Neuroscience Institute
Seattle, Washington

Chet T. Moritz, Ph.D.
Associate Professor
Rehabilitation Medicine
Physiology & Biophysics 
University of Washington
Seattle, Washington

David W. Newell, M.D.
Chief of Neurosurgery 
Cerebrovascular Neurosurgeon
Swedish Neuroscience Institute
Seattle, Washington

Akshal S. Patel, M.D.
Swedish Neuroscience Institute
Seattle, Washington

Kevin A. Reinhard, M.D.
Neurological Surgery
Swedish Neuroscience Institute
Swedish Medical Center
Seattle, Washington

Josh M. Renz, B.S., RVT
Vascular Sonographer
Swedish Medical Center Cherry Hill
Seattle, Washington

Benjamin G. Seo, M.D.
Emergency Medicine
Seattle Emergency Physicians
Seattle, Washington

Sheila D. Smith, M.D.
Medical Director
Hospitalists and Stroke Programs
Swedish Neuroscience Institute
Seattle, Washington

Aaron N. Stayman, M.D.
Swedish Neuroscience Institute
Seattle, Washington

Joseph Stuckey, M.S., C.R.C.
Rehabilitation Counselor
University of Washington Medical Center
Seattle, Washington

R. Jeffrey Westcott, M.D.
Interventional Cardiologist
Medical Director
Cardiac Catheterization Lab
Swedish Heart & Vascular Institute
Swedish Medical Center
Seattle, Washington

Swedish CME maintains full control of the content of every course we provide. It is our policy to identify and resolve all speaker and planner conflicts of interest. Each speaker is required to give a balanced, evidence-based presentation that is free of commercial bias.

Planning Committee

David W. Newell, M.D., Course Co-chair
Aaron N. Stayman, M.D., Course Co-chair
Madeleine C. Geraghty, M.D.
Yince Loh, M.D.
Akshal S. Patel, M.D.
Sheila D. Smith, M.D.
Bobby Buglione, CME Specialist
Laurie Turay, Lead CME Specialist


M.D. or D.O.  $550* 
Allied Health Professional  $275*
Medical Student  $25*
Resident or Fellow  $25*

*After April 25, 2016 add $30 to Advance Registration pricing. 

Registration Information

Pre-registration is required as space is limited. Participants who register by the “Advance Registration” deadline will receive a confirmation postcard after Monday, April 25, 2016. Registrations will only be processed when accompanied by full payment.

If using the registration form, please mail or fax it to:

Continuing Medical Education
Swedish Medical Center
747 Broadway
Seattle, WA 98122
Fax: 206-320-7462

To receive a refund, notice of cancellation must be received no later than Friday, April 29, 2016.
Please note: No registrations are accepted by phone or e-mail.

Special Needs
If you have special needs, please contact the CME office at 206-386-2755.

Registration Fees 
The fee for this course includes catering, all instruction and hands-on learning materials, online syllabus access and a certificate of AMA PRA Category 1 Credits™.