GSA 2023 - Program

September 7, 2023

Workshop for Implementation of Acute Care in India and South-east Asia

Participants:

Health Ministers of Indian States
Coordinators of Non-Communicable Diseases in each State
Ministers of Health of Asia Countries
World Health Organization (Global and Regional
Stroke specialists (neurologists and neurointerventionalists)

Program highlights:

Implementing Acute Stroke Care Discussion
Identifying gaps and strategies for implementation
Cost and cost-effectiveness considerations
Reimbursement policies
Training initiatives
Sharing models of success

08:30 - Opening: Welcome and Launch of WSO/NABH Stroke Centers Certification Program

Sheila Martins, WSO President, Co-Chair of Global Stroke Alliance (Brazil)
Jeyaraj Pandian, WSO President-Elect, Co-Chair of GSA (India)
Taskeen Khan, World Health Organization (Switzerland)

Moderators: Sheila Martins, Brazil and Carlos Molina, Spain

8:45 - 9:05 The Global Burden of Stroke and the WHO Strategies to reduce it – Taskeen Khan, Switzerland
9:05 - 9:25 What should be implemented in acute stroke care? Stroke Units, IV Thrombolysis, Mechanical thrombectomy and Stroke Systems of Care – Carlos Molina, Spain
9:25- 9:40 Mechanical thrombectomy: Rationale, impact and feasibility in LMIC – Raul Nogueira, United States (virtual)
9:40 - 9:55 Economic consequences of stroke and the global picture of mechanical thrombectomy access – Dileep Yavagal, United States (virtual)
9:55 - 10:10 Stroke prevention in Atrial Fibrilation from policy perspective - Arvind Sharma, India
10:10 - 10:25 National stroke plans: why and how to implement – Bo Norrving, Sweden (virtual)
10:25 - 10:35 Discussion
10:35 - 10:50 Break

Moderators: Jeyaraj Pandian, India and Mathew Cherian, India, Dr Meenakshi Sharma (Indian Council of Medical Research)

Launch of WSO/NABH Stroke Centers Certification Program

10:50 - 11:10 – The global gaps on stroke care and pragmatic solutions: from implementation to certification of stroke services – Sheila Martins, Brazil
11:10 - 11:25 – A roadmap for achieving essential objectives in post-stroke rehabilitation – Axel Kohlmetz, Austria
11:25 -11:30 –The gaps for rehabilitation and partnerships to reduce them – Dorcas Gandhi, India
11:30 - 11:50 –The Burden of Stroke in India and where are we now – Jeyaraj Pandian, India
11:50 - 12:10 - The Stroke Care models and Health Care Coverage in India and the next steps – PN Silaja, India
12:10 - 12:25 – The importance of quality monitoring - Rupal Sedani, Check Republic
12:25 - 12:40 - Technology and stroke – Padma Vasantha, India
12:40 - 12:55 - Technology and stroke in remote area: country experience - Jacob Johnson from Tezpur, India
12:55 - 13:05 Discussion
13:05 -13:15 Signature of Global Declaration on StrokeSheila Martins (Brazil, WSO President), Jeyaraj Pandian (India, WSO President-elect), Taskeen Khan (Switzerland, WHO)

13:15 - 14:00 – LUNCH

Moderators: Jeyaraj Pandian and Sheila Martins

14:00 - 16:00 Stroke care in South East Asia - round table discussion
16:00 - 16:15 Coffee Break
16:15 - 16:50 Regional/States discussions with moderators about local gaps and concrete potential solutions – action plans

Moderators: Padma Vasantha, PN Sylaja, Arvind Sharma, Gisele Silva, Octavio Pontes Neto, Ana Claudia Souza, Leonardo Carbonera, Violiza Inoa, Marc Ribó, Carlos Molina, Gillian Perue
16:50 - 18:00 Presentations of conclusions per Region/state / Country
18:00- 18:10 – Conclusions
18:10 – 19:30 Angels : Delivering on commitments towards making India stroke free Angels Journey in India

Angels Journey and way forward - Jeyaraj Pandian
Best Practise state Govt. Punjab & Haryana - Dheeraj Khurana
Synergistic Approach for achieving excellence
Nursing Empowerment - PN Sylaja

19:30 – WSO/Angels Award

September 08, 2023

- Ministerial Stroke Meeting 9:00 - 12:00
- Implementation of Primary Prevention in Primary Care Workshop 14:00 - 17:00

9:00 – 9:20 World Health Organization perspective for acute care and prevention - Taskeen Khan, Swttzerland, WHO

9:20 - 10:05- Models in Low and Middle income countries

9:20 – 9:35 The Indian Stroke Care Program
9:35 – 9:50 The Brazilian Acute Stroke Care Policy
9:50 –10:05 Implementation of Stroke Care in Ethiopia

10:05 – 10:20 Coffee break

Moderators Jeyaraj Pandian, India and Sheila Martins, Brazil

10:20 – 11:20 - Partnership to decrease the global and regional burden of stroke – Angels. RES-Q, Medtronic, Ever, Allm
11:20 – 12:20 – Ministers perspective approaching the organization of stroke services (with specific topics to discuss)
12:30 -12:45 Sheila Martins (Brazil, WSO President), Jeyaraj Pandian (India, WSO President-elect), Taskeen Khan (Switzerland, WHO)

Closing session

Participants: Health managers, health professionals

Moderators: Taskeen Khan and Pradeep Joshi

14:00 – 14:20 The Hearts Program – Taskeen Khan, Switzerland
14:20 - 14:40 The burden of hypertension – Gisele Sampaio Silva, Brazil
14:40 - 15:00 Diabetes and dislipidemia – Leonardo Carbonera, Brazil
15:00 - 15:20 Cardiovascular risk stratification– Taskeen Khan, Switzerland
15:20 - 15:40 Atrial fibrilation –Ana Claudia de Souza, Brazil
15:40 - 16:00 The WHO Best Buys and life style modification - Pradeep Joshi, WHO SEAR
16:00 - 17:00 Implementation models and main results
HEARTS Program in south of Brazil, Sheila Martins, Brazil
India Hypertension control initiative – Prabhdeep Kaur, India
RESOLVE Initiative – Anupam Khungar Pathni, India
17:00 Closing remarks

September 06th - 08th

Side Event:

WSO Workshop for Neurointerventionalists

Coordination: Violiza Inoa
Organization: Violiza Inoa, Gillian Perue, Nitin Goyal
Participants: Neurointerventionalists from India and South East Asia

Curriculum:
A 20-hour Intensive in person workshop combining didactic and physician skills sessions.
Target Audience: Practicing neuroendovascular physicians. Interested physicians should apply with:

Proof of primary specialty training: neurosurgery, neuroradiology, or neurology
Proof subspecialty training
Ongoing case log that demonstrates their current work in neurointerventional

Wednesday, September 6th 2023

8:00 - 8:15 Welcome and introduction: course orientation
8:15 - 9:00 Patient Selection for Mechanical Thrombectomy and Large Core Mechanical Thrombectomy Trials - Gillian Gordon Perue, United States
9:00 - 9:45 Tips for Endovascular Access - Violiza Inoa, United States
9:45 - 10:00 Coffee Break
10:00 – 10:45 Approach to Challenging Endovascular - Nitin Goyal, United States
10:45 – 11:00 Overcoming local challenges to performing Mechanical Thrombectomy in India - Vipul Gupta
11:00 - 12:00 Complex Mechanical Thrombectomy Cases - Vipul Gupta and Dr. Vikiram Huded - Moderated by Nitin Goyal and Violiza Inoa
12:00 - 13:15 Lunch
13:15 - 15:30 Mechanical thrombectomy: hands on skills session
15:30 - 15:45 Coffee Break
15:50 - 18:00 Mechanical thrombectomy hands on skills session

8:30 - 10:35 Join the Global Stroke Alliance session
10:35 Break
10:50 - 11:25 Management of mechanical thrombectomy complications: intraoperative and post-operative - Marc Ribo, Spain
11:25 – 12:30 Complex mechanical thrombectomy Indian cases - Gaurav Goel, India
Moderated by Nitin Goyal and Violiza Inoa, United States
13:00 - 14:00 Lunch
14:00 - 18:00 Mechanical thrombectomy hands on skills session

9:00-9:30 Case Review: Organizing Stroke Networks to facilitate Acute Endovascular Therapies - Octavio Marques Pontes Neto, Brazil
9:30 – 12:00 Mechanical Thrombectomy Skills Sessio
12:30 – 13:00 Closing remarks, Signature of Global Declaration on Stroke