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Pacific Vascular Institute for Continuing Medical Education

Course Location

Swedish Medical Center
Cherry Hill
550 17th Ave, Suite 410
Seattle, WA 98122


Contact Pacific Vascular

Phone: (425) 398-7772
Fax: (425) 486-8976

or email PVICME Coordinator at


CME Course Endorsements

American Society of Neuroimaging
Neurocritical Care Society

Pacific Vascular logoPacific Vascular logo
Transcranial Doppler for Cerebrovascular Disease
September 2019
Register to be placed on a waitlist for the September 2019 course.

Jointly provided by Pacific Vascular and Swedish CME, in collaboration with Swedish Neuroscience Institute, this program has a nationally recognized faculty with diverse areas of specialization, a comprehensive and in-depth curriculum and hands-on sessions with patient models utilizing a variety of TCD and TCD Imaging systems.  The three-day course is held at a state-of-the-art educational facility conveniently located at the acclaimed Swedish/Cherry Hill Hospital campus in Seattle WA.

The program is designed for physicians, sonographers, technologists and other health care professionals seeking to acquire the skill sets and knowledge base required to apply, perform and interpret Transcranial Doppler (TCD) and Transcranial Doppler Imaging (TCDI) studies.  Didactic lectures and daily faculty-guided hands-on scanning sessions will provide learners with the opportunity to view and practice TCD and TCDI techniques.  Interactive case studies will serve to further develop interpretation skills and clarify the role of TCD/TCDI in the management of patients with cerebrovascular disease.  Lectures will cover the various settings in which TCD is performed including the diagnostic laboratory, emergency room, neurocritical care unit, operating rooms and endovascular procedure rooms.
The program also includes a case-study-based physician interpretation track option led by practicing stroke neurologists and neurocritical care specialists, Andrei V. Alexandrov M.D.; Aaron N. Stayman M.D. and Arthur M. Lam M.D.

This course is endorsed by both the American Society of Neuroimaging and the Neurocritical Care Society.

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
  • Describe the clinical usefulness and limitations of TCD and TCDI techniques
  • Apply basic TCD/TCDI Interpretation to real cases

Course Content (subject to change):
Day 1
Neuroanatomy Basics: Aaron N. Stayman, M.D.
Basic Physics & Instrumentation: Leni N. Karr, BA, RVT
Transcranial Doppler Non-Imaging Technique: Brenda Rinsky, RVT, RDMS
Transcranial Doppler Imaging Technique: Colleen Douville, BA, RVT
Hemodynamics/Waveform Interpretation: Colleen Douville, BA, RVT
Building a Neurovascular Lab: Brenda Rinsky, RVT, RDMS
Demonstration - TCD: Registered Vascular Technologists
Demonstration - TCDI: Registered Vascular Technologists
Guided Hands-on TCD & TCDI: Registered Vascular Technologists

Day 2
Recognizing Cerebral Emboli: Krislynn Barnhart, BS, RVT
Clinical Applications of TCD Emboli Monitoring: Aaron N. Stayman, M.D.
Transcranial Doppler in Endovascular Carotid Revascularization: Paul Huang, MD, MSc, FACC, FSCAI
Transcranial Doppler in Carotid Endarterectomy: Colleen Douville, BA, RVT
Effects of Extracranial Arterial Occlusive Disease on Intracranial Hemodynamics: Colleen Douville, BA, RVT
Subclavian Steal: Bonnie Brown, BS, RVT
Extrinsic Compression of the Vertebral Arteries with Head Rotation: Bonnie Brown, BS, RVT
Vasomotor Reserve Assessment: Colleen Douville, BA, RVT
Track 1
Case Study & Interpretation for Physicians: Andrei V. Alexandrov, M.D., Aaron N. Stayman, M.D.
Track 2
Guided Hands-on, Monitoring, TCD & TCDI: Registered Vascular Technologists
Track 3
Vasomotor Reactivity & Demonstration: Brenda Rinsky, RVT, RDMS

Day 3
Subarachnoid Hemorrhage & Vasospasm Physiology & Pathophysiology: David W. Newell, M.D.
Use of TCD in the Detection of Vasospasm: Colleen Douville, BA, RVT
Intracranial Stenosis, Occlusion & Acute Stroke: Andrei V. Alexandrov, M.D.
Sickle Cell Disease: Michael Bender, M.D., Ph.D.
TCD in Raised Intracranial Pressure & Cerebral Circulatory Arrest: Arthur M. Lam, M.D.
Right-to-Left Shunt/PFO - Anatomy, Pathology, Diagnosis & Treatment Strategy: Paul Huang, MD, MSc, FACC, FSCAI
Right-to-Left Shunt/PFO: TCD Protocol and Interpretation Criteria with Grading Scale: Meryl Harley BS, RVT
Track 1
Case Study & Interpretation for Physicians: Andrei V. Alexandrov, M.D., Arthur M. Lam, M.D.
Track 2
Guided Hands-on, Monitoring TCD & TCDI: Registered Vascular Technologists
Track 3
PFO Testing Demonstration: Krislynn Barnhart, BS, RVT

FACULTY & PLANNERS (subject to change)
Andrei V. Alexandrov, M.D.
Semmes-Murphey Professor and Chairman
Department of Neurology
The University of Tennessee
Health Science Center
Memphis, Tennessee

Krislynn Barnhart, BS, RVT
Vascular Technologist, Swedish Vascular Ultrasound
Seattle, WA

Michael Bender M.D., Ph.D.
Associate Professor, University of Washington
Fred Hutchinson Cancer Research Center
Director of Odessa Brown Comprehensive Sickle Cell Clinic
Seattle, WA

Bonnie Brown, BS, RVT
Technical Director, Pacific Vascular, Inc.
Bothell, WA

Danielle Condit, BS, RVT
Vascular Technologist, Pacific Vascular, Inc.
Bothell, WA

Colleen Douville, BA, RVT
Director, Cerebrovascular Ultrasound & Neurophysiology
Swedish Neuroscience Institute
Seattle, WA

Julie Guide, BS, RVT
Director of Education, Pacific Vascular, Inc.
Marketing Director, Pacific Vascular, Inc.
Bothell, WA

Meryl Harley, BA, RVT
Vascular Technologist, Swedish Vascular Ultrasound
Seattle, WA

Paul P Huang, MD, MSc, FACC, FSCAI, RPVI
Interventional Cardiologist
Swedish Heart & Vascular
Medical Director Swedish Vascular Ultrasound
Seattle, WA

Mimi Johnson, BA, RVT
Director of Clinical Services, Pacific Vascular, Inc.
Bothell, WA

Ridge Johnson, BSc, RVT
Vascular Technologist, Pacific Vascular, Inc.
Bothell, WA

Leni N. Karr, BA, RVT
Assistant Professor and Clinical Coordinator, Bellevue College
Bellevue, WA

Arthur M. Lam, M.D., FRCPC, FNSC
Clinical Professor of Anesthesiology
Attending Neurointensivist
University of California San Diego
San Diego, CA

David W. Newell, M.D.
Seattle Neuroscience Institute
Seattle, WA

Brenda Rinsky, RVT, RDMS
Assistant Manager, Neurovascular Laboratory
Cedars-Sinai Medical Center
Los Angeles, CA

Aaron N. Stayman, M.D.
Course Chairman
Swedish Neuroscience Institute
Seattle, WA

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 providership of Swedish Medical Center and Pacific Vascular, Incorporated.  Swedish Medical Center is accredited by the ACCME to provide continuing medical education for physicians.

Swedish Medical Center designates this educational activity for a maximum of 24.5 AMA PRA Category 1 Credit(s)™.  Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Hotel Sorrento
900 Madison St
Seattle, WA 98104
(206) 622-6400
(800) 426-1265
Discount rate will fluctuate as the arrival date comes near and is subject to availability.  Please book early to ensure the best rate! For discount reservations, call 800-426-1265 and ask for the “Swedish” rate.

Silver Cloud Broadway Hotel
1100 Broadway
Seattle, WA 98122
(206) 325-1400
(800) 590-1801
Discount rate will fluctuate as the arrival date comes near and is subject to availability.  Please book early to ensure the best rate!

Nearby transportation is available to and from the TCD Conference.

Online Reservation Instructions
  1. Visit the website at http://www.silvercloud.com/seattlebroadway
  2. Click on this GROUP link:  PVICME
  3. On the left hand side of the screen please select the desired arrival and departure dates and input the number of guests.
  4. Click on “Search for Availability”.
  5. Click on “Reserve” for the room type you prefer.  It will take you to a page where you can enter all your information.
  6. Finally, Click on “Make a Reservation” and you should receive a reservation confirmation email shortly thereafter.
Phone Reservation Instructions
  1. Call the hotel directly at 206-325-1400 or Toll Free at (800) 590-1801.
  2. Ask for the “PVICME Transcranial Doppler for Cerebrovascular Disease” or “PVICME” group profile and a guest services agent will be able to assist with making your reservation.
**If you need to book rooms outside of the event dates, please contact the hotel directly.

Other Nearby Hotels

Inn at Virginia Mason
1006 Spring St
Seattle, WA 98104
(206) 583-6453
(800) 283-6453

Pan Pacific
2125 Terry Ave
Seattle, WA 98121
(206) 264-8111
(877) 324-4856

Residence Inn Seattle Downtown/Lake Union
800 Fairview Ave N
Seattle, WA 98109
(206) 624-6000
(800) 331-3131

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