Intraoperative Neuromonitoring for Cardiac Procedures 2022
Intraoperative Neuromonitoring (IONM) is not currently considered a standard of care for cardiothoracic procedures. This course will present evidence that there is good reason to consider using IONM in many specific cardiovascular procedures where patients have been identified as having an elevated risk for stroke.
This course is designed primarily for cardiac surgeons and other medical professionals who provide care for patients undergoing or recovering from cardiovascular surgery including cardiologists, family medicine practitioners, and PM&R physicians. It is also geared towards advanced professionals performing or involved in intraoperative neuromonitoring including, but not limited to, neurologists, anesthesiologists, board-certified neurophysiologists, and senior neurophysiology technologists.
Implementing IONM for at-risk patients requires collaboration and communication between multiple healthcare professionals including (but not limited to) surgeons and their staff, anesthesiologists, perfusionists, neurologists, stroke interventionalists, intensivists, and PM&R doctors. Systems need to be put in place for identifying at-risk patients, developing techniques to avoid intra-operative stroke, identifying intraoperative stroke, planning for treatment of intraoperative stroke, and postoperatively managing patients who have experienced intraoperative stroke.
7:00A -7:20A Continental Breakfast
7:20A – 7:30A Welcome Address – Ibrahim Sultan, MD; Partha Thirumala, MD
7:30A – 8:00A “Last electrically well: Physiological basis for IONM” – Katherine Anetakis, MD
8:00A – 8:30A “Cerebral perfusion and IONM alerts” – Jeffrey Balzer, PhD
8:30A – 9:00A “Cerebral protection devices in transcatheter aortic valve replacement - What is the evidence?” – Dustin Kliner, MD
9:00A – 9:30A “Modern Neuromonitoring – Your ally against intraoperative stroke” – Josh Sunderlin, MS, CNIM
9:30A – 9:45A BREAK – 15 min – Exhibitor Area
9:45A – 10:15A “IONM during endovascular cardio-aortic procedures” – Ibrahim Sultan, MD
10:15A – 10:45A “Your patient has abnormal IONM: Intraoperative maneuvers” – Arminder Jassar, MD
10:45A – 11:15A “Monitoring during open aortic arch procedures” - Brett Reece, MD
11:15A – 11:45A “How viruses evolve” – Vaughn Cooper, PhD
11:45A – 12:45P LUNCH – 1 hour – Exhibitor Area
12:45P – 1:15P “Monitoring during coronary and valvular surgery” – George Arnaoutakis, MD
1:15P – 1:45P “Anesthetic management in cardiac procedures with IONM” – Kathir Subramanian, MD
1:45P – 2:15P “Endovascular management of postoperative stroke” – Bradley Gross, MD
2:15P – 2:45P “Neurocritical Care: Communication is the key” – Bradley Molyneux, MD
2:45P – 3:00P BREAK – 15 min – Exhibitor Hall
3:00P – 3:30P “Perioperative stroke: Risk stratification and predicting the future” – Partha Thirumala, MD
3:30P-4:00P “Developing a partnership between cardiothoracic surgery and clinical neurophysiology” – Ibrahim Sultan, MD & Jeffrey Balzer, PhD
4:00P – 5:00P Presenting case studies for discussion – Jeffrey Balzer, PhD; Partha Thirumala, MD; Varun Shandal, MD; Katherine Anetakis, MD; Donald Crammond, PhD.
This course is offered as a hybrid model with both in-person and virtual participation.
Ibrahim Sultan, MD
Partha Thirumala, MD
Katherine Anetakis, MD - University of Pittsburgh Department of Neurological Surgery
George Arnaoutakis, MD - University of Florida Department of Cardiovascular Surgery
Jeffrey Balzer, PhD - University of Pittsburgh Department of Neurological Surgery
Vaughn Cooper, PhD - University of Pittsburgh Department of Microbiology
Donald Crammond, PhD - University of Pittsburgh Department of Neurological Surgery
Joshua Grimm, MD - Pennsylvania University Department of Cardiothoracic Surgery
Bradley Gross, MD - University of Pittsburgh Department of Neurological Surgery
Arminder Jassar, MD - Massachusetts General Hospital Department of Cardiothoracic Surgery
Dustin Kliner, MD - University of Pittsburgh Department of Cardiovascular Surgery
Bradley Molyneux, MD, PhD - Brigham and Women’s Hospital Department of Neurology
Brett Reece, MD - University of Colorado Department of Cardiothoracic Surgery
Varun Shandal, MD - University of Pittsburgh Department of Neurological Surgery
Ibrahim Sultan, MD - University of Pittsburgh Department of Cardiovascular Surgery
Kathirvel Subramanian, MD - University of Pittsburgh Department of Anesthesiology
R. Joshua Sunderlin, MS, CNIM - Procirca Center for Clinical Neurophysiology
Partha Thirumala, MD - University of Pittsburgh Department of Neurological Surgery
CME Accreditation and Designation
In support of improving patient care, the University of Pittsburgh is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.
The University of Pittsburgh designates this live activity for a maximum of 8.0 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Other health care professionals will receive a certificate of attendance confirming the number of contact hours commensurate with the extent of participation in this activity.
- 8.00 AMA PRA Category 1 Credit™The University of Pittsburgh School of Medicine is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.
- 8.00 Attendance
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$100 for physicians (CME credits)
$50 for non-physicians (CEU credits)
The course is offered in person and virtually. Tuition rates are the same for online (Zoom) and live in-person attendance.
Participation by all individuals is encouraged. Advance notification of any special needs will help us provide better service. Please notify us of your needs at least two weeks in advance of the program by calling 412-647-3450.
For more information contact: