7th RSM Vascular Symposium
CRITICAL ISSUES IN THE MANAGEMENT OF PATIENTS WITH CEREBROVASCULAR DISEASE

The Vascular Medicine Section of the Royal Society of Medicine,
International Union of Angiology, Imperial College of Science Technology and Medicine and the Cardiovascular Research and Educational Trust

Friday 26 October 2007

Organised by Mr G Geroulakos MD, FRCS, DIC, PhD
Venue: New Lecture Theatre, The Royal Society of Medicine, 1 Wimpole Street, London, W1G 0AE

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The management of TIA and Stroke in the UK is changing and currently both the National Institute of Clinical Excellence and the Department of Health are producing new guidelines. The introduction of thrombolysis for the management of ischaemic stroke is gaining increased acceptance. The maximum benefit of a carotid endarterectomy is within the first week from the development of symptoms. There is still controversy on the place of carotid angioplasty. The timing is appropriate for a symposium to debate critical issues on the management of patients with cerebrovascular disease. Our invited faculty includes some of the best known experts from a variety of fields such as neuroradiology, neurology, vascular surgery and care of the elderly. We hope that you will join us on the 26th October in this stimulating event in the Royal Society of Medicine.

George Geroulakos
President of the Vascular Medicine Section, RSM

If you would like to register for this meeting, you can either use our secure online registration system at www.rsm.ac.uk/vascular or email vascular@rsm.ac.uk and request a booking form to be sent to you.

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9.00 am          Registration, tea and coffee in the Atrium

9.55 am          Welcome and introduction

Professor S. K. Smith, Principal of the faculty of Medicine, Imperial College, London, UK
Professor Jill Belch, Secretary of the Section of Vascular Medicine

Chair:             Dr H. Jenkins and Professor M. Thompson

10.00 – 10.15  An overview of the Department of Health Guidelines for the management of Stroke

Anne Agnew, Department of Health, London, UK

THROMBOLYSIS FOR ACUTE ISCHAEMIC STROKE

10.25 – 11.40  Choice of neuroimaging in perioperative acute stroke management

Professor A Buchan, Oxford, UK

10.45 – 11.00  Percutaneous recanalisation of acute internal carotid artery occlusion in patients with acute stroke

Professor G Schroth, Bern, Switzerland

11.05 – 11.20  Haemorrhagic complications of thrombolysis for acute ischaemic stroke

Professor JC Baron, Cambridge, UK

11.25 – 11.40  Predictors of good outcome after thrombolysis for acute stroke

Dr P Ringleb, Heidelberg, Germany

ASYMPTOMATIC CAROTID DISEASE

11.45 – 12.00  Can medical therapy produce carotid plaque regression/stabilisation?

D.Mikailides, London, UK

12.05 – 12.20  Identifying the unstable plaque on ultrasound. Are we ready for clinical decisions?

Professor A.Nicolaides, Nicosia, Cyprus

ENDOVASCULAR AND OPEN SURGERY FOR CEREBROVASCULAR DISEASE

12.25 – 12.40  Is the unstable plaque a contraindication for carotid stenting?

Professor N.Cheshire, London, UK

12.45 – 13.00  Carotid stenting comes with a greater procedural risk than surgery in symptomatic carotid disease. Outcome of 2 European randomised trials

Dr M.Makaroun, Pittsburgh, USA

13.00              Lunch in the Atrium

Chair:             Professor G. Hamilton and Dr M. Makaroun

14.00 – 14.15 The asymptomatic carotid surgery Trial 2 in determining the place of stenting in asymptomatic patients

Miss A.Halliday, London, UK

14.20 – 14.30  Is there a place for day case carotid endarterectomy?

Mr G.Geroulakos, London, UK

14.35 – 14.45  Is perioperative imaging of the endarterectomised carotid artery a waste of time?

Professor R.Naylor, Leicester, UK

14.50 – 15.00  The management of the infected synthetic carotid patch

Professor A.Giannoukas, Larissa, Greece

15.05 – 15.15  The optimum timing of CEA following TIA/stroke

Professor G. Stansby, Newcastle, UK

15.20 – 15.30  Is intellectual function affected by carotid interventions?

Mr A.Davies, London, UK

15.35             Tea and coffee break

Chair:             Professor J. Lumley

15.55 – 16.05 How should we treat a cervical artery dissection?

Professor G.Hamilton, London, UK

16.10 – 16.25 The diagnosis and indications for treatment of vertebrobasilar ischaemia

Dr R.Berguer, Detroit, USA

16.30             Completion of evaluation forms

16.35 – 16.45 The role of preoperative embolisation in the management of carotid body tumours

Dr A.Platts, London, UK

If you would like to register for this meeting, you can either use our secure online registration system at www.rsm.ac.uk/vascular  or email vascular@rsm.ac.uk and request a booking form to be sent to you.

We look forward to seeing you on Friday 26 October 2007!