10 Delhi Course on th NEUROINTERVENTION 14th – 17rd March 2015 (Under the aegis of Stroke & Neurointervention Foundation-SNIF) in Collaboration with Institute of Neuroradiology University Hospital Zurich, Zurich, Switzerland Dr Shakir Husain Director – Interventional Neurology Director – SCH Stroke Program Chairman, Department of Neurology Saket City Hospital Saket, New Delhi – INDIA Dear colleagues and friends, It gives me great pleasure to invite you to participate in the 10th Delhi Course on Neurointervention to be held from 14th to 17rd March 2015. It shall be organized at the Hotel Sheraton Saket by the Department of Interventional Neurology & Stroke, Saket City Hospital, in Collaboration with the Institute of Neuroradiology, University Hospital Zurich and Stroke & Neurointervention Foundation (SNIF). As always, the primary objective of this residential course is to learn and discuss anatomical, biological, embryological, and phylogenetic aspects of various neurovascular diseases and build up a philosophy and knowledge base for the practice of neurointervention. This course provides an opportunity to learn from masters the technical aspects of the Neurointervention. The specialty of neurointervention is growing constantly and having participation of people from diverse fields of neurosciences including neurology, neurosurgery and neuroradiology. The Neuroendovascular technology is evolving parallel with it and with newer and safer devices appearing in our armamentarium. The Delhi Course also focuses equally on the materials and devices and its safe application through conducting hands-on practical in material workshops and video workshops. To achieve an objective of giving a comprehensive and in depth view on the subject we have carved the program and chosen eminent, dedicated and experienced faculty who will deliver educational information and discuss with the participants through their vast experience in this filed. We will propose you, a high quality of educational contents in this course. Delhi is wonderful in March with flowers blooming all over. I, on behalf of teaching faculty and myself, look forward to welcoming you in this course. Shakir HUSAIN 2 Faculty of the Course Prof. Dr. Anton Valavanis Director – Institute of Neuroradiology University Hospital Zurich Frauenklinikstr, Zurich – Switzerland Prof. Anton Valavanis started his career as an Assistant Professor in 1984 and obtained full professorship at the chair of neuroradiology in 1994. The same year he founded the Institute of Neuroradiology at the University of Zurich, and has been its Chairman ever since. The institute is the leading centre of Interventional Neuroradiology worldwide. He co-founded the Clinical Neuroscience Center at the University Hospital Zurich, where he currently serves as Chair of the governing council. He is also a founding member of the European Society of Head and Neck Radiology, the Swiss Society of Neuroradiology and other prestigious organizations. He served as president of the World Federation of Neroradiological Societies from 1997 to 2002 and has been President of the Swiss Society of Neuroradiology since 2001. He has received numerous honors, including the Scientific Award of the German, Swiss and European societies of neuroradiology and the James Bull Medal of the British Society of Neuroradiologists. He has served as Editor-in-Chief of Neuroradiologia Helvetica, and Neuroradiology and a member of editorial board of various journals on neuroradiology, neurosurgery and skull base surgery. Apart from extensive lectures across the world, Prof Valavanis has authored or co-authored 200 original scientific publications and two books. In 1992 he founded the “Zurich Course on Interventional Neuroradiology’, which has been held annually ever since. He has been an inspiration behind the ‘Delhi Course’ and has been integral part of it since it’s beginning 3 Dr. Shakir Husain MD, DM Director – Interventional Neurology & Stroke Program Chairman, Department of Neurology Saket City Hospital Saket, New Delhi – INDIA Dr Shakir Husain did his medical graduation and post graduation from RNT Medical College, Udaipur, Rajasthan, followed by DM (Neurology) from G.B.Pant Hospital, Delhi University. He trained in Neurointervention from University Hospital Zurich in 1997 – 1999. He developed one of the first independent Departments of Neuroendovascular Therapy and Stroke at Sir Ganga Ram Hospital and served as its Chief of Services for over a decade. After he moved to Max Healthcare in 2009, he developed one of the first independent and comprehensive departments of Interventional Neurology & Stroke treatment, which is at par with any best center in the world. From Feb 2014, he will be joining as Director of Interventional Neurology & Stroke at Saket City Hospital, New Delhi. He single handedly conceptualized and started the Delhi Course on Neurointervention and has shaped it to what it has become today! He also runs a one-year Fellowship Program (Egas Moniz Fellowship in Interventional Neurology & Stroke) and is actively involved in teaching and developmental activities of Neurointervention in Asia Pacific region. 4 Georges RODESCH MD, PhD Head, Service de Neuroradiologie Diagnostique et Thérapeutique President of the World Federation of Interventional and Therapeutic Neuroradiology (WFITN) Hôpital FOCH, Suresnes Dr. Georges Rodesch did his medical studies at the University Louis Pasteur in Strasbourg (France) from which he graduated in 1983. He subsequently began training in Neurosurgery and in Diagnostic Neuroradiology at Hôpital Erasme (Free University of Brussels) before being trained in 1987 in Interventional Neuroradiology at Hôpital Bicêtre (Le Kremlin Bicêtre, France) under the direction of Professor Lasjaunias. He was later appointed Assistant Professor in that department, where he stayed till March 2002 when he became Head of the Department of Diagnostic and Therapeutic Neuroradiology at Hôpital Foch (Suresnes). He currently runs the department where he develops Interventional Neuroradiology in adults and children. Dr Rodesch got a PhD at the Free University of Brussels for his work “Contribution to the study and therapeutic management of intradural spinal cord arterio-venous shunts in adults and children”. He has been Visiting Professor at the Royal College of Medicine and Surgery of Canada, University Laval-Québec, and at the University of Manitoba-Winnipeg. He is consultant in Interventional Neuroradiology in several departments of Neuroradiology in Europe. He is author of more than 200 publications in scientific journals and books, and has over 600 scientific communications in the field of Neuroradiology. He is member of the editorial board of Acta Neurochirurgica, Journal of Neuroradiology, Interventional Neuroradiology. He is member of the Interventional Committee of the European Society of Neuroradiology (ESNR), and current President of the World Federation of Interventional and Therapeutic Neuroradiology (WFITN). 5 Dr Michihiro Tanaka Director – Neurosurgery Kameda Medical Center Kamogawa City, Chiba – JAPAN Dr. Tanaka is board certified in Neurosurgery and Neuroendovascular therapy, with subspecialties in interventional neuroradiology, cerebrovascular surgery, neuroanatomy, functional vascular anatomy, cerebral blood flow, and metabolism. He is a one of the leading minimal invasive neurosurgeons in Japan. After training at Yamanashi University, Yokohama City University Hospital, and the National Cardiovascular Center in Osaka, he became a clinical fellow in Zurich, at University Hospital’s Institute of Neuroradiology. Later he became an associate professor at the same institute. Currently he is in Kameda Medical Center where he heads the Department of Neurosurgery. Dr Yasunari Niimi Department of Neurosurgery Director of Center for Neurological Diseases and Director of Department of Neuroendovascular Therapy, St. Luke's International Hospital Tokyo Japan. Dr Yasunari Niimi is a board certified Neurosurgeon in Japan and a board certified Radiologist in the U.S.A. He has trained in Interventional Neuroradiology under Dr Alejandro Berenstein and Dr In Sup Choi at New York University Medical Center in late 1980’s. He has been a partner of Dr. Alex Berenstein at Institute for Neurology and Neurosurgery in New York over the last 13 years. He moved to Japan in November 2012. He is currently the Director of Center for Neurological Diseases and director of Department of Neuroendovascular Therapy, St. Luke's International Hospital Tokyo Japan and an instructor and member of Board of Directors of Japanese Society of Neuroendovascular Therapy. He does almost all neurointerventional procedures but particularly specializes in pediatric neurovascular diseases, spinal cord AVMs, cerebral aneurysms, brain AVMs, and head and neck vascular anomaly. 6 Dr Bernd Tomandl Head - Department of Radiology and Neuro-radiology Christophsbad Fachklinik GmbH Fachkrankenhaus KG Faurndauer Straße 6-28 73035 Göppingen, Germany Dr Bernd Tomandl is a Neuroradiologist practicing in Germany. He is the Head of Department of Radiology and Neuro-radiology at Christophsbad Fachklinik. He has vast experience on diagnostic neuroradiology and therapeutic neurointerventions including spinal cord AVMs, cerebral aneurysms, brain AVMs, and head and neck vascular anomaly and acute stroke. Dr. MASAKI KOMIYAMA Director, Center for Cerebrovascular Diseases and Department of Neuro-Intervention Osaka City General Hospital, Osaka, Japan Dr. Komiyama is a board-certified neurosurgeon, and also a neuro-endovascular therapist in Japan. He was graduated from Keio University in Tokyo, and started his medical carrier in plastic and reconstructive surgery first, and extended the fields to neurosurgery and neurointervention. Amongst the field of neurointervention, He is a specialist in pediatric neurointervention. He is also specialized in the functional neurovascular anatomy. He is now an interventional section editor of the journal ‘Neuroradiology’. 7 Dr Keyvan Edraki Neurosurgeon and Interventionist Shohada-e-Tajrish Hospital, Ghods Square Tehran - IRAN Dr Edraki is a Persian National Board certified Neurosurgeon. He trained for Interventional Neuroradiology in University Hospital’s Institute of Neuroradiology, Zurich, Switzerland. He later spent over a year at the Instituto Nacional De Neurologia Y Neuro cirogia, Unam Mexico, to obtain a fellowship in Endovascular Therapy. He is a one of the leading endovascular neurosurgeons in his region. 8 Course Program: Day – 1 (14th March 2015) Carotid Stenting and Acute Stroke Intervention: 12.00 – 1.00 Registration & Lunch 1.20 – 1.30 Welcome & Introduction: Shakir Husain 1.30 – 2.10 Carotid Atherosclerotic Disease: Plaque pathology and plaque Imaging. B. Tomandl 2.10 – 2.40 Carotid artery Stenting in secondary and primary stroke Prevention. S. Husain 2.40 – 3.10 Carotid artery Stenting technique with Use of Protection devices M. Tanaka 3.10 – 3.40 Carotid arteries Stenting technique without use of Protection device S. Husain 3.40 – 4.00 Discussion 4.00 – 4.15 Coffee Break 4.15 – 4.45 State of the Art Imaging of acute ischemic stroke: Dead brain or Penumbra? IV/IA; thrombolysis/thrombectomy B. Tomandl 4.45 – 5.15 Endovascular Intervention in acute ischemic stroke - Current evidence. 5.15 – 5.45 Mechanical thrombectomy: technique and results S. Husain 5.45 – 6.15 Discussion 6.15 - 7.00 Video workshop & Case Discussions: Carotid Stenting, Acute stroke Intervention A. Valavanis, S. Husain, M. Tanaka, B. Tomandl, 8.00 - 9.00 Dinner 9 Day -2 (15th March 2015) BrainAVM and AVF: 8.00 - 8.40 Technique to Embolization of brain AVMs using onyx: Results And complications. Y. Niimi 8.40 – 9.20 AVM Embolization Complications and management. Keyvan Edraki 9.20 – 10.00 Role of angio-architectural understanding in determining goal of Endovascular embolization in brain AVM’s: S. Husain 10.00 – 10.15 Discussion 10.15 - 10.30 Coffee break 10.30 – 11.30 Theory & Practice of curative Embolization of brain AVM. A. Valavanis 11.30 – 12.15 Functional vascular anatomy of the skull base G. Rodesch 12.15 - 12.45 Natural history, Classifications and indications for endovascular treatment of of intracranial DAVFs M. Tanaka 12.45 - 1.00 Discussion 1.00 -1.30 Poster Session: Walk through 1.30 - 2.00 Lunch 2.00 – 3.00 Principals and Techniques of trans-arterial Endovascular Embolization of Dural AVF with video workshop. A.Valavanis 3.00 - 3.45 Trans-venous and combined transvenous-transarterial embolization of Dural AVF with video workshop: S. Husain 3.45 – 4.00 Discussion 4.00 - 4.15 Coffee Break 4.15 - 4.45 Neurological manifestations of hereditary hemorrhagic telangiectasia and management of Cerebral AVM associated with it. M. Komiyama 4.45 - 6.15 Video workshop: Techniques of brain AVM embolization 10 (microcatheterization of the nidus, single vs multimicro- catheter approaches, intranidal obliteration techniques in plexiform, fistulous and mixed compartments), Techniques of Dural AVF Embolization: Transarterial, transvenous, transtorcular and combined approach. A. Valavanis, G. Rodesch, S. Husain, M. Tananka, Y. Niimi, B. Tomandl, M. Komiyama 6.15 - 7.15 Material Workshop and Technique demonstration on flow models: Femoral Puncture, Coaxial line, Micro-catheterization. Training on simulation models S. Husain, M. Tanaka 8.00 - 9.00 Dinner Notes: 11 Day- 3 (16th March 2015) Brain Aneurysm: 8.00 - 8.30 Combined endovascular and surgical approach to aneurysm Management M. Tanaka 8.30 - 9.00 Wide Neck large and giant aneurysm: Other than coils and stents. K. Edraki 9.00 – 9.30 Endovascular Treatment of Acutely ruptured aneurysm: approach and results. Shakir Husain 9.30 – 10.15 Dissecting aneurysm of intracranial vessels: pathophysiology and endovascular approach of treatment G. Rodesch 10.15 – 10.30 Discussion 10.30 - 10.45 Coffee Break 10.45 – 12.00 Complex and giant intracranial aneurysms: Does all need Intervention? A. Valavanis 12.00 - 12.15 Discussion 12.15 – 12.45 Challenges in Wide neck aneurysm Endovascular Treatment Y. Niimi. 12.45 - 1.15 Peripheral dissecting Aneurysms: anatomy and Endovascular Treatment. S. Husain 1.15 – 1.45 Discussion 1.45 - 2.15 Lunch 2.15 – 3.30 Poster Walk through & Discussion 3.30 – 3.45 Coffee Break 3.45 – 5.00 Video workshop: techniques of the endovascular Coiling of Aneurysm (stent Assisted coiling, balloon assisted coiling, double catheter technique, pipeline repair) 12 A. Valavanis, G. Rodesch, S. Husain, M. Tananka, Y. Niimi, B. Tomandl, M. Komiyama 5.00 - 6.00 Material Workshop and Technique demonstration on Flow models: Aneurysm Coiling. Training on simulation models Shakir Husain, Michihiro Tanaka 7.30 - 8.30 8.30 – 10.30 A decade of Delhi Course: Felicitation of faculty and Award ceremony Course Gala-Dinner . (Award distribution to Best Posters) . Notes: 13 Day – 4 (17th March 2015) Spinal Vascular Anatomy & Spinal AVM: 8.00 - 8.45 Imaging in Spinal diseases: Role in diagnosis and Therapeutic planning. B. Tomandl 8.45 – 9.30 Functional vascular anatomy of the spine and spinal cord G. Rodesch 9.30 – 10.15 Classification of Spinal vascular malformations and Endovascular treatment of spinal peri- and intramedullary AVFs/AVMs, G. Rodesch 10.15 - 10.30 Discussion 10.30 - 10.45 Coffee Break 10.45 - 11.45 When and how to embolize spinal AVM's. S. Husain 11.45 – 12.30 Spinal Dural-AVF: technical aspects of embolization. A. Valavanis 12.30 – 1.15 Endovascular Treatment of Spinal Tumors. A. Valavanis 1.15 – 1.30 Discussion 1.30 – 3.30 Video Workshop: Techniques of spinal AVM/Dural AVF/ Spinal Tumor Embolization. A. Valavanis / G. Rodesch / S. Husain 3.30 End of the Course and High Tea . 14 Registration fee: For India and SAARC Nations: INR 20,000/For Other Nations: USD 700 THE REGISTRATION FEE INCLUDES COURSE FEE, TWIN-SHARING ACCOMMODATION AND ALL MEALS FOR THE DURATION OF THE COURSE, GALA DINNER AND REGISTRATION KIT. Registration fee to be sent by a demand draft in the name of “Stroke & Neurointervention Foundation” payable at Delhi. The DD to be sent along with the CV and two reference letters to the following address: Course Director A- 1/704, Eldeco Ananda Apartments Sector 48, NOIDA – 201301 Uttar Pradesh, INDIA Ph: +91-9810120942 Email: [email protected] Website: www.delhicourse.com Course Coordinators: Ms. Vandana Rawat : +919999027087 Dr. Moinul Haq : +919847018366 Dr. S. Vanchilingam : +919442501101 Ms. Elizabeth Siju : +919873548918 Email: [email protected] Venue: Sheraton New Delhi Hotel District Centre, Saket, New Delhi 110017, India Tel : (91) (11) 42661122 Fax : (91) (11) 42662112 15 Registration Form 10th Delhi course on Neurointervention 14th – 17th March 2015 Name: --------------------------------------------------------------------------------------------------------------------Qualification: DM (neurology) / MCh (Neurosurgery) / DM (Neuroradiology) / other (specify) (please tick appropriate) Designation: -----------------------------------------------------------------------------------Practicing Neurointerventionist / Fellow / Resident (please tick appropriate) Department & Institute: ----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------City -----------------------------------------------------------------------------------------------Address for Correspondence: --------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------City ------------------------------------------------------------------Postal code--------------------------------------Email address: _______________________________________________________________________ Mobile no: __________________________________________________________________________ Names of Referee-1---------------------------------------------------------------------------------------------Referee- 2 --------------------------------------------------------------------------------------------- Demand Draft No. -----------------------------------------------------------------------------------------------------Date Signature Please send registration form along with registration fee (demand draft) along with two reference letters and a CV to Course Director at following address. Dr. Shakir Husain A - 704, Eldeco Ananda Apartments, Sector 48, NOIDA – 201301 Uttar Pradesh, INDIA Ph: +91-9810120942 16 17
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