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Would you perform carotid artery stenting with embolic protection in an 80 year old man with an asymptomatic, 80-99%, unilateral internal carotid artery stenosis?
Always, if the anatomy can be negotiated.
Only in a clinical registry or trial.
Only if transcranial Doppler (TCD) detects cerebral emboli, denoting high risk for adverse neurological events.
Never.
Refer for carotid endarterectomy if not surgically high-risk.
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SIS 2010 Symposia

Course Directors

Mark Reisman, M.D.
Director, Cardiovascular Research and Education
Director, Cardiovascular Catheterization Laboratory
Swedish Heart & Vascular Institute
Swedish Medical Center
Seattle, Washington

Susan L. Reed, M.N., ARNP
Swedish Heart & Vascular Institute
Swedish Medical Center
Seattle, Washington


Faculty

Linda Anderson, M.D.
Pulmonary Disease
The Polyclinic
Swedish Medical Center
Seattle, Washington

Glenn R. Barnhart, M.D.
Medical Director, Cardiac Surgery
Swedish Heart & Vascular Institute
Swedish Medical Center
Seattle, Washington

Peter Casterella, M.D.
Interventional Cardiology
Seattle Cardiology
Seattle, Washington

Amish Desai, M.D.
Interventional Cardiology
Swedish Heart & Vascular Institute
Seattle, Washington

David Gartman, M.D.
Cardiac Surgery
Swedish Heart & Vascular Institute
Swedish Medical Center
Seattle, Washington

Paul Huang, M.D.
Interventional Cardiology
Swedish Heart & Vascular Institute
Seattle, Washington

Kier Huehnergarth, M.D.
Cardiology
The Polyclinic
Swedish Medical Center
Seattle, Washington

Howard S. Lewis, M.D.
Interventional Cardiology
Executive Director
Swedish Heart & Vascular Institute
Swedish Medical Center
Seattle, Washington

Thomas A. Molloy, M.D.
Cardiothoracic Surgery
St. Joseph Cardiothoracic Surgeons
Medical Director, Cardiac Surgery
St. Joseph Medical Center
Tacoma, Washington

John V. Olsen, M.D.
Interventional Cardiology
Swedish Heart & Vascular Institute
Swedish Medical Center
Seattle, Washington

Gary Oppenheim, M.D.
Interventional Cardiology
Seattle Cardiology
Swedish Medical Center
Seattle, Washington

John L. Petersen II, M.D.
Medical Director, Cardiovascular Research
Swedish Heart & Vascular Institute
Swedish Medical Center
Seattle, Washington

Terence Quigley, M.D.
Vascular Surgery
Northwest Surgical Specialists
Seattle, Washington

Dennis D. Reichenbach, M.D.
Emeritus Professor Pathology
University of Washington
Seattle, Washington

Robert Rho, M.D.
Associate Professor
Cardiac Electrophysiology
University of Washington Medical Center
Seattle, Washington

Thomas K. Varghese, Jr., M.D.
Director, Thoracic Surgery Program
Thoracic Surgery Clinic
Harborview Medical Center
Seattle, Washington

Darryl Wells, M.D.
Cardiac Electrophysiology
Swedish Heart & Vascular Institute
Swedish Medical Center
Seattle, Washington

R. Jeffrey Westcott, M.D.
Medical Director, Cardiac Catheterization Laboratory
Swedish Medical Center
Medical Director
Seattle Cardiology
Seattle, Washington