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Would you perform carotid artery stenting with embolic protection in an 80 year old man with an asymptomatic, 80-99%, unilateral internal carotid artery stenosis?
Always, if the anatomy can be negotiated.
Only in a clinical registry or trial.
Only if transcranial Doppler (TCD) detects cerebral emboli, denoting high risk for adverse neurological events.
Never.
Refer for carotid endarterectomy if not surgically high-risk.
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SIS Conference 2008
SIS 2008 Core Curriculum:
Friday, July 11th and Saturday, July 12th
 
Friday, July 11th   |   7:00 AM – 12:00 PM
Seattle Science Foundation and Swedish
Education Center
7:00 AM Registration

Structural Heart Disease and BioSkills Lab – PFO /
ASD Session

Seattle Science Foundation BioSkills Lab and
Teleconference Center

Session Co-Director: Thomas K. Jones, MD
7:30 AM Seattle Science Foundation BioSkills Lab
Sixth Floor, James Tower

Break / Visit Exhibits
Plenary Session
Seattle Science Foundation Teleconference Center
  Natural History of ASD: Physiology, defect size, symptoms and when to intervene
Karen Stout, MD
  Imaging Choices for Evaluation of ASD
Kimberly Krabill, MD
  Tips for ASD Closure
Thomas K. Jones, MD
  Live Case
Lab: SIS 2008 Live Case Faculty
Podium: Jonathan M. Tobis, MD
Panel: Steven L. Goldberg, MD, Kimberly Krabill, MD, David Lee, MD, and Karen Stout, MD
  Differentiation of PFO Devices
David P. Lee, MD
  PFO and Stroke: Where’s the clot?
Steven L. Goldberg, MD
  The Complex PFO: Case examples
Amish Desai, MD
12:00PM Lunch / Visit Exhibits

Coronary Artery Disease
Swedish Education Center, Rooms C & D
Session Co-Director: S. Chiu Wong, MD
Session Moderator: Reginald Low, MD
7:30 AM Live Cases
Lab: SIS 2008 Live Case Faculty
Podium: Ted Feldman, MD
Panel: Peter Fitzgerald, MD, PhD, Mitchell W. Krucoff, MD, Reginald Low, MD, Robert S. Schwartz, MD, and S. Chiu Wong, MD
  Evolving Perspectives on Drug Eluting Stents: Let the evidence speak!
S. Chiu Wong, MD
  Courage Nuclear Sub-study: A reprieve for the interventionalist in the drug eluting stent era?
Ted Feldman, MD
 

What is the Culprit for Continued Late Loss and Late/Very Late Stent Thrombosis?

Robert S. Schwartz, MD
  Imaging Modalities that May Enhance Drug Eluting Stent Safety and Efficacy
Peter Fitzgerald, MD, PhD
  Cost Effectiveness of Drug Eluting Stents: A critical re-appraisal
David J. Cohen, MD

Break / Visit Exhibits
  Do All Drug Eluting Stents Have Similar Safety Profiles?
Mitchell W. Krucoff, MD
  What is the Clinical Impact of Drug Eluting Stents on Endothelial Function?
Steven R. Bailey, MD
  Drug Eluting Stents for Acute Myocardial Infarction and ACS Recommendations
John L. Petersen, Jr., MD
12:00PM Lunch / Visit Exhibits

Endovascular Therapies and BioSkills Lab – Neuro Session
Swedish Education Center, Room B and Seattle Science Foundation BioSkills Lab
Session Co-Director: Robert M. Bersin, MD
7:30 AM Plenary Session
Swedish Education Center, Room B
  Asymptomatic vs. Symptomatic, High-risk vs. Low-risk: Who benefits from carotid stenting?
William A. Gray, MD
  The Future of Embolic Protection: Anatomy, pathology and when to treat
Lance Diehl, MD
  Intracranial Disease: Anatomy and PCI strategies
William A. Gray, MD
  Acute Stroke Intervention: How to choose the best strategy
Andrei V. Alexandrov, MD
  Stroke Neurology for the Interventionalist
Andrei V. Alexandrov, MD
  Live Case
Lab: SIS 2008 Live Case Faculty
Podium: Lance Diehl, MD
Panel: Andrei V. Alexandrov, MD, Peter Casterella, MD, William A. Gray, MD, and William Likosky, MD
Break/Visit Exhibits
Seattle Science Foundation BioSkills Lab
Sixth Floor, James Tower
12:00PM Lunch / Visit Exhibits

 

Friday, July 11th    |    1:00 PM – 5:00 PM


Structural Heart Disease and BioSkills Lab –
PFO Migraine, Stroke, and LAA Session

Seattle Science Foundation, Teleconference Center
Session Co-Director: Thomas K. Jones, MD
1:00 PM Seattle Science Foundation BioSkills Lab
Sixth Floor, James Tower

Break / Visit Exhibits
  Plenary Session
Seattle Science Foundation Teleconference Center
  PFO and Migraine
Jonathan M. Tobis, MD
  Interpreting Outcomes of PFO Stroke Trials
Mark Reisman, MD
  A Neurologist’s Perspective on Embolic Stroke Prevention
Andrei V. Alexandrov, MD
  Live Case
Lab: SIS 2008 Live Case Faculty
Podium: Thomas K. Jones, MD
Panel: Andrei V. Alexandrov, MD, Ted Feldman, MD, John V. Olsen, MD, Karen Strout, MD, and, Jonathan M. Tobis, MD
  Co-Arctation of the Aorta and PDA: Natural history and when to treat
Karen Strout, MD
  Left Atrial Appendage Closure
Maurice Buchbinder, MD
  New Devices for Non-valvular Structural Heart Disease: CHF, CHF monitoring, LV support and more.
Peter Fitzgerald, MD, PhD
5:00 PM Adjourn / Reception at The W Hotel

Coronary Artery Disease
Swedish Education Center, Rooms C & D
Session Co-Director: S. Chiu Wong, MD
1:00 PM Live Case
Lab: SIS 2008 Live Case Faculty
Podium: John J. Young, MD
Panel: David J. Cohen, MD, Steven L. Goldberg, MD, Reginald Low, MD, R. Jeffrey Westcott, MD, and S. Chiu Wong, MD
  Treatment Approaches for Bifurcation Lesions
Peter Casterella, MD
  Histopathology of Chronic Total Occlusion and Rationale for Treatment
Robert S. Schwartz, MD
  Recanalization of Chronic Total Occlusion’s in Asymptomatic Patients: Where is the evidence?
R. Jeffrey Westcott, MD
  Imaging Modalities that May Enhance Chronic Total Occlusion Success
Robert S. Schwartz, MD

Break / Visit Exhibits
  Live Case Transmission from Bellingham
Lab: William Lombardi, MD
Podium: David J. Cohen, MD
Panel: Steven L. Goldberg, MD, R. Jeffrey Westcott, MD, and S. Chiu Wong, MD
  An Overview of Advanced Chronic Total Occlusion Techniques
William Lombardi, MD
  An Update on the Optimal Pharmacological Regimen: ACUTE MI
Steven L. Goldberg, MD
  Anti-platelet Agents for Percutaneous Coronary Interventions: Current and future therapies for stable and unstable angina
David J. Cohen, MD
5:00PM Adjourn / Reception at The W Hotel

Endovascular Therapies and BioSkills Lab – Renal and AAA Session
Swedish Education Center, Room B, and Seattle Science Foundation BioSkills Lab
Session Co-Director: Robert M. Bersin, MD
1:00 PM Plenary Session
Swedish Education Center, Room B
  Renal Artery Intervention: Case selection and technique
Robert M. Bersin, MD
  Renal Artery Intervention: Interpreting the data.
  John J. Young, MD

Break / Visit Exhibits
  AAA Endograft: Case selection and technique
Lance Diehl, MD
  AAA New Device and Non-device Solutions
Robert M. Bersin, MD
  Thoracic Aneurysm Endografting: Techniques, outcomes and new frontiers
William A. Gray, MD
  Live Case
Lab: SIS 2008 Live Case Faculty
Podium: Robert M. Bersin, MD
Panel: Steven R. Bailey, MD, Peter Casterella, MD, Lance Diehl, MD, William A. Gray, MD, and Gary Weeks, MD,
Break/Visit Exhibits
Seattle Science Foundation BioSkills Lab
Sixth Floor, James Tower
5:00 PM Adjourn / Reception at The W Hotel

Non-invasive Imaging
Swedish Education Center, Room A
Session Co-Director: Vinay Malhotra, MD
1:00 PM CTA State of the Art
Michael Poon, MD
  Non-invasive Assessment of Coronary Artery Stenosis: Are we ready to say goodbye to conventional angiography?
Dieter Ropers, MD
  Data Acquisition and Radiation Safety
Robert S. Schwartz, MD
  Role of MR in Interventional Cardiology
Uma Valeti, MD
  CT Angiography for the Assessment of Chest Pain in the Emergency Room
Vinay Malhotra, MD
  Assessment of Cardiomyopathy and Pericardial Disease by CT
James Min, MD
  Emerging Role of Perpheral Vascula CTA in the Managemetn of PVD
TBD
  Role of CTA in the Interventional Cardiology
Vinay Malhotra, MD
Break/Visit Exhibits
  Plaque Characterization: Vulnerable plaque
Michael Poon, MD
  Atherosclerotic Plaque Quantification and Characterization using CT: Is it competitive with angiography and IVUS?
James Min, MD
  Plaque Characterization: Visualization of plaque in the carotid using MR
Chun Yuan, PhD
  Role of the Calcium Score: Does it add to risk assessment?
Uma Krishnan, MD
  Presentations Regarding Future Technologies in CT and MR
Vinay Malhotra, MD
5:00 PM Adjourn / Reception at The W Hotel
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