Mastering Carotid Angiography

SECTION I: 1. Normal Carotid Anatomy 2. Normal Cerebral Anatomy 3. Carotid & Cerebral Anomalies 4. Carotid Pathology and Collaterals 5. Cerebral Pathology 6. Practical /Applied Carotid Anatomy for Stenting 7. Case Reviews in Carotid Angiography SECTION II; 8. Patient Preparation for Carotid Angiography/stenting 9. Techniques for Embolism free Angiography/stenting 9.1. Simmons Catheter techniques 10. Cath Lab Room Set up & Imaging Views and Acquisition SECTION III: 11. Carotid Diagnostics: Carotid Duplex 12. Carotid Diagnostics: CT/MR Angiography 13. Carotid Diagnostics 14. Clinical Syndromes of Carotid Disease 15. Medical Therapy of Carotid Disease 16. Carotid Endarterectomy 17. Carotid Angioplasty/Stenting SECTION IV: 18. Aortic Arch Types & Access Terminology 19. Carotid Access Techniques/Matching Technique to Anatomy 20. Complications in Carotid Access SECTION V: 21. Patient Selection for Carotid Stenting 22. Lesion Selection for Carotid Stenting 22.1. Complex Lesion Morphologies 23. Matching Patient & Lesion with Equipment selection 24. Description of Carotid Stents and Protective Devices 25. Ancillary Equipment for Carotid Stenting 26. Critical Decision Making In Carotid Stenting 26.1. Which Protection Device Should I choose? 26.2. Should I pre-Dilate before Filter Placement? 26.3. Should I pre-dilate before stent placement? 26.4. Which Stent should I choose for this patient? 26.5. Which Self-expanding stent should I choose? 26.6. Should I post-dilate after stent placement? 26.7. What should I do when the External Carotid artery occludes? 26.8. Should I discharge this patient same day after stenting? SECTION VI: 27. How do I access this complex Arch? 28. How to tame the tortuous carotid arteries? 29. What to do when the distal protection device doesn't cross the lesion! 30. How to handle inadequate landing zone? 31. What to do when post dilatation balloon doesn't cross? 32. What to do when the Filter retrieval sheath doesn't cross the stent? SECTION VII: 33. Hemodynamic changes in carotid stenting and management 34. Carotid Spasm, Kink, Dissection and Perforation 35. Carotid Filter Slow flow, Occlusion and Entrapment 36. Carotid Stent Migration, crush and thrombosis 37. Carotid Pseudo-stenosis and pleating 38. Hemorrhagic Events after carotid stenting 38.1. Retro-peritoneal bleeding 38.2. Anterior Rectus sheath hematoma 38.3. Groin access site Bleeding 38.4. Gastrointestinal Bleeding after carotid stenting 38.5. Intra-cerebral bleeding/Hyper-perfusion syndrome 39. Neurological Complications with carotid stenting 39.1. Transient Ischemic attack/stroke 39.2. Seizures during carotid stenting 39.3. Contrast Encephalopathy 39.4. Angiographic recognition of Cerebral Embolism 39.5. Syncope during carotid stenting 39.6. Neuro-rescue techniques 39.7. Congestive heart failure after stenting 39.8. Pseudo complications during carotid stenting SECTION VIII: 40. Cath lab scrub techniques during carotid stenting 41. Neuro-pharmacology in carotid stenting 42. Carotid Stent Admitting & Discharge order templates 43. Patient education materials and discharge instructions 44. How to teach mini stroke scale examination during stenting 45. Carotid Angiography and stenting coding and billing 46. Cath lab inventory/Carotid cart SECTION V: 47. Carotid Access Scenarios 48. Carotid-Troubleshooting Scenarios 49. Carotid Stent Complication Scenarios 50. Carotid Stent Miscellaneous Cases