IRRAFlow Update
Friday, December 12th, 2025 
8:00 a.m. – 9:00 a.m. 

Presented by:
Dr. William Freeman., M.D.

LEARNING OBJECTIVES
Upon conclusion of this activity, participants should be able to:

• Describe the historical evolution of intracranial CSF access fromKocher to modern systems.​

• Compare traditional EVD management with CLEAR IVH III–styleintraventricular thrombolysis.​

• Analyze the concept and clinical applications of Active CSFExchange (ACE).​

• Describe indications for intraventricular drug delivery (tPA,nicardipine, etc.).​

• Evaluate emerging evidence and practical considerations forACE/IRRAFlow use.

Participate on campus Mayo 2-002N or via Microsoft Teams. Recording will be available through the Video Exchange. 

Disclosure Statement: Dr. Freeman has no relevant financial relationships and do not intend to discuss off label / investigational usage of a product.  

ATTENDANCE / CREDIT
Text the session code (provided only at the session) to 507-200-3010 within 48 hours of the live presentation to record attendance. All learners are encouraged to text attendance regardless of credit needs. This number is only used for receiving text messages related to tracking attendance. Additional tasks to obtain credit may be required based on the specific activity requirements and will be announced accordingly. Swiping your badge will not provide credit; that process is only applicable to meet GME requirements for Residents & Fellows.

TRANSCRIPT
Any credit or attendance awarded from this session will appear on your Transcript.

For disclosure information regarding Mayo Clinic School of Continuous Professional Development accreditation review committee member(s) and staff, please go here to review disclosures.