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Pacific Vascular Institute for Continuing Medical Education

Contact PVICME

Pacific Vascular Institute for Continuing Medical Education (PVICME)
11714 North Creek Pkwy N
Suite 100
Bothell, WA. 98011
Phone: (425) 398-7772
Fax: (425) 486-8976

or email PVICME Coordinator at

Transcranial Doppler & Imaging for Cerebrovascular Disease

This course is designed for physicians, sonographers, technologists and other health care professionals seeking to acquire the specific skill sets and knowledge base required to perform and interpret Transcranial Doppler (TCD) and Transcranial Imaging (TCDI) studies.  In this course, attendees will learn the fundamentals of noninvasive Transcranial Doppler, skills for the interpretation and performance of diagnostic TCD and TCDI through didactic lectures.  This knowledge will be reinforced through daily faculty-guided hands-on scanning sessions.  Interactive case studies will serve as a basis to further develop of interpretation skills.

Learning will be accomplished through didactic sessions with faculty presenting in those areas of special interest and/or specialization.  Lectures will cover the various settings in which transcranial Doppler is performed including the diagnostic laboratory, emergency room, neurosurgical arena, and operating room.  Covered applications include: TCD in patients with extracranial occlusive disease, functional vasomotor reactivity testing, monitoring during carotid stenting and endarterectomy, diagnosis of intracranial stenosis and acute intracranial occlusion, diagnosis of vasospasm secondary to subarachnoid hemorrhage, evaluation of stroke risk in pediatric patients with Sickle Cell Disease, evaluation of patients suspected of cerebral circulatory arrest, detection and grading of patent foramen ovale, and more.

Jointly sponsored by the Swedish Medical Center and Pacific Vascular, Inc., this comprehensive course utilizes the educational strengths of these two organizations, bolstered by the clinical expertise of the renowned Swedish Neuroscience Institute.  The result is a faculty with diverse interests and areas of specialization, a curriculum that is comprehensive and in-depth, and hands-on sessions with patient models that utilize a variety of TCD and imaging systems.

The three-day course is held in Seattle University’s Clinical Performance Lab, a state-of-the-art educational facility conveniently located at the acclaimed Swedish/Cherry Hill Hospital campus in Seattle WA. A light breakfast and buffet or boxed lunches are provided daily.

Students who successfully complete the course will be able to:
» Identify basic principles of intracranial arterial vascular anatomy, physiology and pathophysiology.
» Demonstrate the proper techniques for the performance of TCD and TCDI.
» Recognize normal and abnormal intracranial Doppler spectral waveforms.
» Understand the clinical usefulness and limitations of TCD and TCDI techniques.
» Apply basic TCD/TCDI Interpretation to real cases.

September 14 - 16, 2015
Monday/Tuesday September 14, 15:  7:30am - 5:00pm
Wednesday, September 16:  7:30am - 4:00pm
Lunches provided daily

Physicians:  $1300.00
Fellows/Residents:  $1150.00
Technologists:  $1150.00

Course Content (subject to change):
Day 1
Tools of the Trade - Basic Physics and Instrumentation: Keith Fujioka, BS, RVT, FSVU
Neuroanatomy Basics: Aaron Stayman, MD
Vessel Identification: Fujioka
Transcranial Doppler Technique: Fujioka
Transcranial Imaging Technique: Colleen Douville, BA, RVT
Hemodynamics/Waveform Morphology: Douville
Demonstration - Transcranial Doppler: Fujioka
Demonstration - Transcranial Imaging: Douville
Guided Hands-on Session - Transcranial Doppler and Imaging

Day 2
Collateralization Effects of Carotid Disease : Fujioka
Recognizing Cerebral Emboli: Krislynn Barnhart, BS, RVT
TCD Emboli Detection: Clinical Significance: Stayman
Monitoring with TCD - Carotid Stents: Paul P Huang, MD, MSc, FACC, FSCAI, RPVI
Subclavian Steal and Intracranial Effects: Fujioka
Mechanical Compression of the Vertebral Arteries: Fujioka
Subarachnoid Hemorrhage & Vasospasm: Pathology & Pathophysiology, David Newell, MD
Functional Testing - The CO2 Challenge (with demonstration): Douville
Guided Hands-on Session - Transcranial Doppler & Imaging
Hands-on: Monitoring headgear set-up
Computer Learning Stations - Hemodynamic Software

Day 3
Intracranial Stenosis & Occlusion: Acute Stroke: Douville
Utilization of TCD in Sickle Cell Disease: Douville
TCD/I in the Detection of Vasospasm after SAH: Douville
TCD Monitoring: Carotid Endarterectomy: Douville
TCD/I in Raised Intracranial Pressure & Cerebral Circulatory Arrest: Arthur Lam, MD, FRCPC
PFO Anatomy, Pathology & Treatment Strategy: Huang
PFO TCD Protocol and Interpretation Criteria: Meryl Harley, BA, RVT
Demonstration - PFO Testing: Joshua Renz, BS, RVT & Harley
Guided Hands-on Session - Transcranial Doppler & Imaging
Computer Learning Stations - Hemodynamic Software
TCD Case Study Poster Presentations

»  Colleen Douville, BA, RVT
·  Director: Cerebrovascular Ultrasound, Swedish Vascular Ultrasound
·  Program Manager: Epilepsy and Clinical Neurophysiology, Swedish Neuroscience Institute
»  David W. Newell, MD
·  Chief of Neuroscience, Swedish Neuroscience Institute
»  Arthur M. Lam, MD, FRCPC
·  Medical Director: Neuroanesthesia & Neurocritical Care, Swedish Neuroscience Institute
·  Clinical Professor, University of Washington
·  Neuroanesthesiologist, Physician Anesthesia Services
·  Medical Director: Swedish Cerebrovascular Ultrasound, Swedish Vascular Ultrasound
»  Paul P Huang, MD, MSc, FACC, FSCAI, RPVI
·  Interventional Cardiologist, Swedish Heart and Vascular
·  Medical Director: Peripheral Vascular Ultrasound, Swedish Vascular Ultrasound
»  Aaron Stayman, MD
·  Swedish Medical Center: Neurology
»  Keith Fujioka, BS, RVT, FSVU
·  Vice President, Medstreaming, LLC
»  Donalee Davis, CNRN
·  Director of Education, TCD Education
»  Meryl Harley, BA, RVT
·  Staff Sonographer, Swedish Vascular Ultrasound
·  Clinical Instructor, Seattle University Ultrasound
»  Krislynn Barnhart, BS, RVT
·  Staff Sonographer, Swedish Vascular Ultrasound
·  Clinical Instructor, Oregon Institute of Technology
·  Faculty, Seattle University Ultrasound Program
»  Joshua Renz, BS, RVT
·  Staff Sonographer, Swedish Vascular Ultrasound
»  Danielle Condit, BS, RVT
·  Vascular Technologist, Pacific Vascular
»  Ridge Johnson, BSc, RVT
·  Director of Education, PVICME
·  Vascular Technologist, Pacific Vascular

This activity has been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education through the joint sponsorship of Swedish Medical Center and Pacific Vascular, Inc.  Swedish Medical Center is accredited by the ACCME to provide continuing medical education for physicians.

AMA PRA Category 1 Credits™
Swedish Medical Center designates this educational activity for a maximum of 23.25 AMA PRA Category 1 Credit(s)™.  Physicians should claim only the credit commensurate with the extent of their participation in the activity.

This program meets the criteria for SVU-CMEs which are accepted by the American Registry of Diagnostic Medical Sonographers (ARDMS) towards recertification, the American Registry of Radiologic Technologists (ARRT) for Category A credit, and the Intersocietal Commission for the Accreditation of Vascular Laboratories (ICAVL) for accreditation.  This course is approved for a maximum of 23 SVU CME.


Silver Cloud Inns & Hotels


Discount rate for booking may be available, but not determined at this time.

Visit our website at http://www.silvercloud.com/seattlebroadway

  1. Select arrival and departure dates on calendar and click “Search for Availability”.
  2. On the left side of the screen, enter the following “Group ID”: PVICME.
  3. Type in “Password” PVICME and click “log in”.
  4. Complete the reservation with your personal information.

How to make a Reservation Via Phone:
Call the hotel directly at (206) 325-1400 or Toll Free at (800) 590-1801

  1. 1. Ask for the “PVICME Transcranial Doppler” rate and the group ID “PVICME” and password “PVICME”.
  2. Complete reservation with your personal information and any front desk person can help you.

** If you need to book guest rooms outside of the
group event dates, please contact the hotel directly.**

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