Course Description: 

This course will highlight the concept/application of “flow” by one of the most experienced bypass surgeons, the inventor of the “Charbel Flow” probe, Dr. Fady Charbel. This one-and-a-half-day course is dedicated to the application of the concept of “flow” in neurovascular pathology with a didactic and hands-on instructional component in techniques of cerebrovascular bypass geared toward neurosurgery residents, fellows and attending surgeons. The didactic portion of the course will emphasize the concept of flow and its application in complex neurovascular pathology.

The nuances of patient selection, “devising a bypass” guided by patient’s physiology of “flow”, intraoperative/perioperative management, and types of bypass failures will be discussed by our experienced faculty. Additionally, Operative videos will demonstrate the concepts. The hands-on component will allow participants to practice microvascular anastomosis in our state-of-the-art Surgical Innovation and Training Lab (SITL) in a graded fashion that allows them to train on rat models on the last day of the course. In addition to having direct feedback from the faculty on their technique, the participants will have a master surgeon demonstrate their technique at the main station. Additionally, the participants will be able to watch live surgery in our Surgical Innovation and Training Lab and be able to engage in a Q/A session with the faculty on operative techniques.

Course Objectives:

• Understand flow and its applications.
• Learn anatomical and physiological considerations in bypass surgery.
• Discuss neurovascular pathology with experienced faculty.
• Practice microvascular anastomosis in our state-of-the-art Surgical Innovation and Training Lab.

Target Audience: 
Neurosurgery Residents, Neurovascular Fellows and Vascular Neurosurgeons.

Course Directors:
Fady T. Charbel, MD
Gursant S. Atwal, MD.