P1: Updated Guidelines and Unresolved Controversies in Carotid Disease

Thursday, June 16, 2022

1:30 PM – 4:30 PM EDT

Location:309

Moderator(s)

Vikram Kashyap, MD

Professor of Surgery
University Hospitals Cleveland Medical Center
Cleveland, Ohio
Hernan Bazan, MD

John Ochsner Endowed Professor of Surgery and Program Director, Section of Vascular/Endovascular Surgery, Dept of Surgery Ochsner Clinic
Ochsner Medical Center
New Orleans, Louisiana
RM

Ross Milner, MD

Professor of Surgery, Director, Center for Aortic Diseases
University of Chicago
Chicago, Illinois

Learning Objectives:

Review the recent data on cognitive changes related to cerebrovascular disease.
Understand the implications of plaque morphology and plaque progression.
Contrast the outcomes of different revascularization techniques.

Presentations:

1:30 PM – 1:40 PM EDT

Natural History Outcomes after TIA, Amarousis Fugax and Stroke: The Rationale for Carotid Intervention for >50% Symptomatic Stenosis
Speaker: Efthymios D. Avgerinos, MD – University of Pittsburgh Medical Center
1:40 PM – 1:50 PM EDT

Are We Missing Neurocognitive Changes in the Setting of Extracranial Carotid Stenosis? An Unrecognized Symptom
Speaker: Wei Zhou, MD – University of Arizona
1:50 PM – 2:00 PM EDT

The Optimal Timing and Patient Selection for Intervention after an Acute Stroke
Speaker: R. Clement Darling, III, MD – Albany Medical College / Albany Medical Center Hospital / The Vascular Group
2:00 PM – 2:10 PM EDT

The Optimal Sequence for Intervention in Patients with Combined Carotid and Coronary Artery Disease
Speaker: Timur Sarac, MD – Ohio State University
2:10 PM – 2:20 PM EDT

Carotid Endarterectomy Provides the Best Outcomes in Low-Risk Symptomatic Patients
Speaker: Richard J. Powell, MD – Dartmouth-Hitchcock Medical Center
2:20 PM – 2:30 PM EDT

Trans-femoral or Trans-carotid Approaches with Flow-reversal are Safer in Acute Stroke
Speaker: Mahmoud B. Malas, MD, MS – University of California San Diego
2:30 PM – 2:50 PM EDT

Panel Discussion
2:50 PM – 3:10 PM EDT

Break
3:10 PM – 3:20 PM EDT

The Appropriate Role for Screening for Carotid Artery Stenosis in Asymptomatic Patients: When is it Indicated?
Speaker: Caron B. Rockman, MD – NYU Langone Health
3:20 PM – 3:30 PM EDT

Carotid Plaque Imaging: Are We Closer to Finding an Embolic Risk Factor?
Speaker: Brajesh K. Lal, MD
3:30 PM – 3:40 PM EDT

Maximum Medical Therapy is Ideal for the Asymptomatic Patient
Speaker: Thomas L. Forbes, MD – University of Toronto
3:40 PM – 3:50 PM EDT

Maximum Medical Therapy is Rarely Achieved: Carotid Endarterectomy Provides the Most Durable Benefit
Speaker: Robert W. Chang, MD – Kaiser Permanente Foundation Hospital
3:50 PM – 4:00 PM EDT

Not So Fast: ACST 2 and TCAR Data Indicate Stenting is as Safe in the Asymptomatic Patient
Speaker: Marc L. Schermerhorn, MD – Beth Israel Deaconess Medical Center, Harvard Medical School
4:00 PM – 4:30 PM EDT

Panel Discussion