Transcranial Doppler for Cerebrovascular Disease

Jointly provided by Swedish Medical Center and Pacific Vascular, in collaboration with Swedish Neuroscience Institute.

June 12-14, 2023

Seattle University College of Nursing
Clinical Performance Lab
Swedish Cherry Hill, James Tower
550 17th Avenue, Suite 410
Seattle, WA 98122

Registration is required as space is limited (36 people)
Live, In-Person Only

The Transcranial Doppler for Cerebrovascular Disease course is designed for physicians, sonographers, technologists, and other health care professionals seeking to acquire the skill sets and knowledge base to apply, perform, and interpret Transcranial Doppler (TCD) and TCD Imaging studies.

The daily afternoon session options are (1) Physician Interpretation track, or (2) Guided Hands-on Scanning track:

  1. The Physician Interpretation track will allow physicians to complete the full 100 TCD cases required for the American Society of Neuroimaging Neurosonology Exam to acquire the RPNI credential.
  2. The faculty-guided Hands-on Scanning sessions will provide learners with the opportunity to view and practice TCD and TCD Imaging techniques.

This course has been endorsed by the American Society of Neuroimaging, European Society of Neurosonology and Cerebral Hemodynamics, Neurocritical Care Society, and  Neurohospitalist Society

View more information about the course below. Registration options and fees are listed under the "Fees" tab.

Register

Course Cancellation Policy

  • Cancellation thirty (30) days or more prior to the course results in a full refund less a $125 administrative fee
  • Cancellation less than thirty (30) days prior to the course results in a full refund less a $250 administrative fee
  • Pacific Vascular reserves the right to cancel any course within thirty (30) days of the course, with a full refund. A minimum of 8 students is required to confirm a course. We also reserve the right to cancel due to events outside of human control (i.e. health concerns like the coronavirus or other natural disasters), with a full refund

                              

Details Agenda Hotels Faculty Credit Fees Endorsements Supporters
Details

Ultrasound has been used for the evaluation of cerebrovascular disease for decades and has made considerable progress. Transcranial Doppler sonography is a non-invasive, non-ionizing, inexpensive, portable and safe technique for assessment of intracerebral blood flow.

TCD can be performed at the bedside and repeated as needed (even for continuous monitoring). It is non-invasive and does not need a contrast agent. Its chief limitations are that it is an operator dependent technique and requires considerable skill and experience for accurate interpretation.

Despite the clinical usefulness of TCD and TCDI, there are few trained and experienced physicians available to interpret and operators available to perform these studies in many regions of the U.S.

There is a shortage of accredited facilities, experienced physicians, and sonographers in order to appropriately utilize these non-invasive diagnostic tests in many regions across the United States and around the world. There are few comprehensive courses available that teach the applications, performance and interpretation of transcranial Doppler and TCD Imaging, although the clinical utility of this non-invasive ultrasound modality has been well established for the management of patients with vasospasm, stroke and pediatric sickle cell disease.

Monday, June 12, 2023

All times listed below are in Pacific Time

7:00 a.m.
Check-in & Breakfast (provided)

7:30 a.m.
Welcome and Introduction
Aaron Stayman, M.D.
Emily L. Ho, M.D., Ph.D.

7:40 a.m.
Neuroanatomy
Aaron Stayman, M.D.

8:40 a.m.
Basic Physics and Instrumentation
Leni N. Karr, RVT

9:50 a.m.
Break

10:00 a.m.
TCD Non-Imaging Technique
Brenda Rinsky, RVT, RDMS, NVS

10:40 a.m.
Transcranial Doppler Imaging Technique
Colleen Douville, RVT, CPMM, NVS

11:25 a.m.
Lunch (provided)

12:00 p.m.
Hemodynamics and Waveform Interpretation
Colleen Douville, RVT, CPMM, NVS

1:00 p.m.
Effects of Extracranial Arterial Occlusive Disease on Intracranial Hemodynamics: Collateral Flow
Emily L. Ho, M.D., Ph.D.

1:45 p.m.
Break

Track 1 Physician Interpretation

2:00 p.m.
Case Studies and Interpretation for Physicians
Aaron Stayman, M.D.
Emily L. Ho, M.D., Ph.D.

Track 2 Guided Hands-on Practicum

2:00 p.m.
Guided Hands-on Scanning
Renée Borowski, RVT, NVS; Colleen Douville, RVT, CPMM, NVS; Julie Harrold, RVT, NVS; Anne Heneberry, RVT, NVS; Ridge Johnson, RVT, NVS; Brenda Rinsky, RVT, RDMS, NVS; Ahmad Siyar, RVT, NVS

5:00 p.m.
Adjourn

Tuesday, June 13, 2023

7:15 a.m.
Breakfast (provided)

7:30 a.m.
Recognizing Cerebral Emboli
Renée Borowski, RVT, NVS

8:00 a.m.
Clinical Applications of TCD Emboli Monitoring
Aaron Stayman, M.D.

8:40 a.m.
Break

8:55 a.m.
Transcranial Doppler in Endovascular Carotid Revascularization
Akshal S. Patel, M.D.

9:35 a.m.
Transcranial Doppler in Carotid Endarterectomy
Colleen Douville, RVT, CPMM, NVS

10:10 a.m.
TCD Case Studies: Transcranial Doppler in Endovascular Carotid Revascularization
Aaron Stayman, M.D.

10:30 a.m.
Break

10:45 a.m.
Subclavian Steal
Bonnie Brown, RVT, NVS

11:15 a.m.
Extrinsic Compression of the Vertebral Arteries with Head Rotation
Bonnie Brown, RVT, NVS

11:45 a.m.
Lunch (provided)

12:15 p.m.
Building a Neurovascular Lab
Brenda Rinsky, RVT, RDMS, NVS

12:35 p.m.
Effects of Extracranial Arterial Occlusive Disease on Intracranial Hemodynamics: Vasomotor Reserve
Emily L. Ho, M.D., Ph.D.

1:15 p.m.
Break

Track 1 Physician Interpretation

1:30 p.m.
Case Studies and Interpretation for Physicians
Andrei V. Alexandrov, M.D.
Aaron Stayman, M.D.

Track 2 Guided Hands-on Practicum

Choose One

1:30 p.m.
Demonstration: Carbon Dioxide Challenge and Breath Holding: Assessment of Vasomotor Reserve
Brenda Rinsky, RVT, RDMS, NVS

OR

Guided Hands-on Scanning
Renée Borowski, RVT, NVS; Colleen Douville, RVT, CPMM, NVS; Anne Heneberry, RVT, NVS; Ridge Johnson, RVT, NVS; Morgan Martin, RVT; Ahmad Siyar, RVT, NVS

2:15 p.m.
Guided Hands-on Scanning (Part 2)
Renée Borowski, RVT, NVS; Colleen Douville, RVT, CPMM, NVS; Anne Heneberry, RVT, NVS; Ridge Johnson, RVT, NVS; Morgan Martin, RVT; Brenda Rinsky, RVT, RDMS, NVS; Ahmad Siyar, RVT, NVS

4:30 p.m.
Adjourn

Wednesday, June 14, 2023

7:15 a.m.
Breakfast (provided)

7:30 a.m.
Subarachnoid Hemorrhage and Vasospasm: Physiology and Pathophysiology
James Wang, M.D.

8:15 a.m.
Use of TCD in the Detection of Vasospasm
James Wang, M.D.

8:45 a.m.
Break

8:55 a.m.
Intracranial Stenosis, Occlusion & Acute Stroke
Andrei V. Alexandrov, M.D.

9:55 a.m.
Break

10:05 a.m.
Sickle Cell Disease
Michael Bender, M.D., Ph.D.

10:50 a.m.
Sickle Cell TCD Protocol & Criteria
Brenda Rinsky, RVT, RDMS, NVS

11:20 a.m.
TCD in Raised Intracranial Pressure and Cerebral Circulatory Arrest
Brian Schmidt, M.D.

11:50 a.m.
Lunch (provided)

12:20 p.m.
TCD with Trauma Patients
Emily L. Ho, M.D., Ph.D.

12:35 p.m.
Right-to-Left Shunt/Patent Foramen Ovale (PFO): Anatomy, Pathology, Diagnosis, and Treatment Strategy
Mark Rubin, M.D., RPNI, NVS

1:20 p.m.
Right-to-Left Shunt/Patent Foramen Ovale (PFO) Evaluation Using TCD Bubble Study: Protocol and Interpretation Criteria
Ahmad Siyar, RVT, NVS

1:50 p.m.
Break

Track 1 Physician Interpretation

2:00 p.m.
Case Studies and Interpretation for Physicians
Emily L. Ho, M.D., Ph.D.
Aaron Stayman, M.D.
Andrei V. Alexandrov, M.D.
Mark Rubin, M.D., RPNI, NVS

Track 2 Guided Hands-on Practicum

Choose One

2:00 p.m.
Demonstration: Right-to-Left Shunt/PFO Study
Ahmad Siyar, RVT, NVS

OR

Guided Hands-on Scanning (Part 1)
Renée Borowski, RVT, NVS; Colleen Douville, RVT, CPMM, NVS; Anne Heneberry, RVT, NVS; Ridge Johnson, RVT, NVS; Morgan Martin, RVT; Brenda Rinsky, RVT, RDMS, NVS

2:30 p.m.
Guided Hands-on Scanning (Part 2)
Renée Borowski, RVT, NVS; Colleen Douville, RVT, CPMM, NVS; Anne Heneberry, RVT, NVS; Ridge Johnson, RVT, NVS; Morgan Martin, RVT; Brenda Rinsky, RVT, RDMS, NVS; Ahmad Siyar, RVT, NVS

5:00 p.m.
Adjourn

Jointly provided by Swedish Medical Center and Pacific Vascular, in collaboration with Swedish Neuroscience Institute.

                              

Hotel Recommendations

The recommended hotels listed below are within 1 mile of our conference and both are giving all attendees 10% off the best price available at time of booking. Discount rates will fluctuate as the arrival date nears and is subject to availability. Please book early to ensure the best rate and availability as summer is a busy place in Seattle!

Hotel Sorrento
900 Madison St.
Seattle, WA 98104
https://www.hotelsorrento.com/

Hotel Sorrento Reservation Instructions
ONLINE BOOKING LINK: SWEDISH MEDICAL CENTER
PHONE RESERVATIONS: Call the hotel directly at 800-426-1265 ask for the “Swedish Medical Center” group rate and a guest service agent will assist with booking your reservation.

Silver Cloud Hotel Seattle - Broadway
1100 Broadway
Seattle, WA 98122
https://www.silvercloud.com/seattlebroadway/

Silver Cloud Hotel Broadway Reservation Instructions
ONLINE BOOKING LINK: SEATTLE TCD COURSE
PHONE RESERVATIONS: Call the hotel directly at 206-325-1400 ask for the "SEATTLE TCD COURSE" group rate and a guest service agent will assist with booking your reservation.

As a reminder, the TCD Course is held at the address is below, in the Capitol Hill area of Seattle:

Swedish Cherry Hill Medical Center, James Tower
Seattle University Clinical Performance Lab
550 17th Ave., Suite 410
Seattle, WA 98122

You are also welcome to check out other options in Seattle too, if you like.

Andrei V. Alexandrov, M.D.
Professor and Chairman, Department of Neurology
University of Arizona College of Medicine - Phoenix
Phoenix, AZ

Michael Bender, M.D., Ph.D.
Associate Professor, University of Washington
Fred Hutchinson Cancer Research Center
Director, Odessa Brown Comprehensive Sickle Cell Clinic
Seattle, WA

Renee Borowski, RVT, NVS
Vascular Technologist
Swedish Vascular Ultrasound
Seattle, WA

Bonnie Brown, RVT, NVS
President | Technical Director
Pacific Vascular, Inc.
Bothell, WA 

Colleen Douville, RVT, CPMM, NVS
Director, Cerebrovascular Ultrasound & Neurophysiology
Swedish Neuroscience Institute
Seattle, WA

Julie Harrold, RVT, NVS
Vascular Technologist
Pacific Vascular, Inc.
Bothell, WA

Anne Heneberry, RVT, NVS
Vascular Technologist
Pacific Vascular, Inc.
Bothell, WA

Emily L. Ho, M.D., Ph.D.
Neurology
Swedish Medical Center
Clinical Assistant Professor, University of Washington
Seattle, WA

Ridge Johnson, RVT, NVS
Vascular Technologist
Pacific Vascular, Inc.
Bothell, WA

Leni N. Karr, RVT, ELI-MP
Vascular Technologist
Swedish Medical Center
Seattle, WA

Morgan Martin, RVT
Vascular Technologist
Pacific Vascular, Inc.
Bothell, WA

Akshal S. Patel, M.D.
Neurosurgery
Swedish Cerebrovascular Center
Seattle, WA

Brenda Rinsky, RVT, RDMS, NVS
Assistant Manager, Neurovascular Laboratory
Cedars-Sinai Medical Center
Los Angeles, CA

Mark N. Rubin, M.D., RPNI, NVS
Service Chief, Neurology
Associate Professor of Neurology
Edward Hines, Jr. VA Medical Center
Hines, IL

Brian Schmidt, M.D.
Anesthesiology
Swedish Medical Center
Seattle, WA

Ahmad Siyar, RVT, NVS
Vascular Technologist
Swedish Vascular Ultrasound
Seattle, WA

Aaron Stayman, M.D.
Neurology
Swedish Neuroscience Institute
Seattle, WA

James Wang, M.D.
Medical Director, Neurohospitalist Team
Swedish Medical Center
Seattle, WA

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. It is our policy to identify and mitigate all relevant faculty and planner financial relationships with ineligible organizations.

Planning Committee

 

  • Aaron N. Stayman, M.D. - Course Co-Chair
  • Colleen Douville, RVT, CPMM, NVS - Course Co-Chair
  • Emily L. Ho, M.D., Ph.D.
  • Julie Guide, RVT
  • Laurie Turay, BA Ed - Senior CME Specialist, Swedish Medical Center
Accreditation with Commendation

This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of Swedish Medical Center and Pacific Vascular, Inc. Swedish Medical Center is accredited by the ACCME to provide continuing medical education for physicians.

AMA PRA Category 1 Credits™

Swedish Medical Center designates this live activity for a maximum of 24.5 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Other health professionals

Many credentialing bodies, societies, and boards accept AMA PRA Category 1 Credits™ as an equivalent as long as the topic is relevant to the applicant’s field or discipline. If you have any doubts whether an activity will qualify for CE, contact your board prior to registering for the course.

For nurses

AMA PRA Category 1 Credits™ are accepted for Washington State RN Continuing Education requirements as well as for application and renewal of specialty and advance practice certification through both ANCC and AANP (1 CNE hour is equivalent to 1 CME hour).

Fees
MD/DO

$1,800

Resident/Fellow

$1,600

Allied Health Professional (RVT, ARNP, RN, PA, PA-C, ND)

$1,475

Registration information

Registration is required as space is limited. Registrations will only be processed when accompanied by full payment. Problems with registration, please contact Swedish CME at cme@swedish.org

Cancellation
  • Cancellation thirty (30) days or more prior to the course results in a full refund less a $125 administrative fee
  • Cancellation less than thirty (30) days prior to the course results in a full refund less a $250 administrative fee
  • PVICME, a division within Pacific Vascular, reserves the right to cancel any course within 30 days of the course, with a full refund.  A minimum of 8 students is required to confirm a course.  We also reserve the right to cancel due to events outside of human control (i.e. health concerns like the coronavirus or other natural disasters), with a full refund.
Special accommodations

If you require dietary or physical accommodations, please contact Julie Guide at jguide@pacificvascular.com or 425-398-7762.

Parking

Swedish Cherry Hill, James Tower, is located at 550 17th Avenue, Seattle 98122. Parking is available for a fee in the garage at 511 16th Avenue.

COVID-19/Flu/RSV precautions

The safety of our attendees, faculty, and staff are of highest priority. Precautions will be put in place to ensure safe participation in this program, and we will be following all hospital, local, and state COVID-19 guidelines for any indoor meetings. Masks are currently required at all hospital venue settings. Registrants will be notified of any changes or attendance requirements prior to the program date. Please use caution if booking travel accommodations as we cannot be held responsible for any charges incurred for planned participation in this symposium.

To see a complete list of organizations endorsing this course, click here, and select Exhibitors & Supporters

This course has been endorsed by the following organizations:

To see a complete list of organizations supporting this course, click here, and select Exhibitors & Supporters

The Planning Committee gratefully acknowledges educational grant support for this conference from:

Imaging Monitoring USA
Canon Medical Systems USA

The Planning Committee gratefully acknowledges in-kind donation support for this conference from:

DWL USA
Imaging Monitoring USA
NovaSignal
Canon Medical Systems USA
Sheehan Medical LLC