Abstract T P373: Experience with a Multidisciplinary Pediatric Neurovascular Conference for Complex Disease Management
Introduction: In 2013 our institution established a multidisciplinary pediatric neurovascular conference (PNVC) for coordination of care. Here we review our initial experience.
Hypothesis: Collaboration yields coordinated care for children with complex cerebrovascular disease and treatment protocols for commonly discussed conditions.
Methods: Clinical and demographic data were obtained from medical records for patients presented to PNVC from April 2013 to July 2014. Survey data were collected from PNVC participants.
Results: The PNVC met 26 times in the study period. Overall, 78 children were presented a total of 112 times, 41% with history of stroke. Of 64 (82%) with a diagnosed vascular lesion, AVM (30%), cavernous malformation (14%), and moyamoya (11%) were most common. Most discussions were for review of imaging (35%), need for additional imaging (27%), or treatment plan (25%) [Table]. Follow-up angiography was performed in 27%. A surgical operation was employed in 22%; 18% received neurointervention; 9% received radiosurgery. Twenty-three patients (29%) were discussed more than once. Standardized care protocols for AVM and moyamoya were developed from discussions among physicians from 7 different specialties [Figure]. Participants cited PNVC’s greatest utility as facilitation of a collaborative approach to patient care.
Conclusion: A multidisciplinary conference among a diverse group of providers guides complex care decisions, helps standardize care protocols, promotes faculty collaboration, and supports continuity of care in pediatric neurovascular disease.
Author Disclosures: T.R. Ladner: None. J. Mahdi: None. A. Attia: None. M.T. Froehler: None. T. Le: None. A. Lorinc: None. J. Mocco: Ownership Interest; Modest; Blockade Medical, Medina Medical. Consultant/Advisory Board; Modest; Lazarus Effect, Pulsar, Reverse Medical, Edge Therapeutics, Codman Neurovascular. R. Naftel: None. A. Newton: None. S. Pruthi: None. T. Tenenholz: None. E.H. Vance: None. C. Wushensky: None. J.C. Wellons: None. L.C. Jordan: None.
- © 2015 by American Heart Association, Inc.