8:00 AM – 10:00 AM	The One Minute Check at the Expert Level POCUS for Cannulation Mapping Amber Parker, CHT, Forest Rawls Jr., CCHT-A, FNKF, Judy Geissler, DNP, APNP, FNP-BC, Crystal Fahner, CCHT, Cynthia Roberts, RN, CNN, Deborah Brouwer-Maier, RN, CNN, FMC
8:00 AM – 10:00 AM	Name That Vascular Access Material/Device John Lucas III, MD, FACS Endovascular Procedures: What Are They and What Is Used to Perform Them? Dirk Hentschel, MD
8:00 AM – 10:00 AM	Cannulation Simulator: Test Your Cannulation Skills Joseph Ravi Singapogu, PhD
10:00 AM – 10:20 AM	Break
10:20 AM – 10:50 AM	PD Catheter Placement and Post-op Care John Lucas III, MD, FACS
10:50 AM – 11:20 AM	Access Emergencies: Are You and Your Patients Prepared? John Lucas III, MD, FACS
11:20 AM – 11:50 AM	Can an AV Access Have Too High of Flow and If So How is it Managed? John Lucas III, MD, FACS
11:50 AM – 1:00 PM	Lunch On Your Own
1:00 PM – 1:15 PM	Cannulation Simulator Metrics- What We Have Learned About Successful Cannulation Techniques Joseph Ravi Singapogu, Ph.D.
1:15 PM – 1:40 PM	Self-Cannulation from the View of a Self-Cannulator
1:40 PM – 2:20 PM	Self-Cannulation from the View of the Trainer: Buttonhole or Rope Ladder Cannulation- How to Determine the Optimal Cannulation Method? Crystal Fahner, CCHT
2:20 PM – 2:50 PM	How Do You Change the Culture of Vascular Access Care? Kathryn King, RN, BSN
2:50 PM – 3:20 PM	Let’s Bring This All Together as a KDOQI 2019 ESKD Life-Plan and Access Plan Cynthia Roberts, RN, CNN
3:20 PM – 3:30 PM	Wrap Up/Open Panel Discussion Amber Parker, CHT, Forest Rawls Jr., CCHT-A, FNKF, Judy Geissler, DNP, APNP, FNP-BC, Crystal Fahner, CCHT, Cynthia Roberts, RN, CNN, Deborah Brouwer-Maier, RN, CNN, FMC

1:30 PM – 2:40 PM	Global Dialysis Access Forum Moderators: Surendra Shenoy, MD, PhD and John Aruny, MD
1:30 PM – 1:37 PM	VASA: Future of Vascular Access in the US John Aruny, MD
1:38 PM – 1:45 PM	The Role of Ultrasound in Vascular Access Planning, Creation, Maintenance and Cannulations in Europe Robert Shahverdyan, MD
1:46 PM – 1:53 PM	Access Care in Latin American Jaime Velez, MD
1:54 PM – 2:01 PM	Hemodialysis Access in Korea Hoon Suk Park, MD
2:02 PM – 2:09 PM	Vascular Access View from Japan: Can AVF be Recommended for All ESKD Patients? Hideki Kawanishi, MD
2:10 PM – 2:17 PM	APSDA: Where Are We Today? Takashi Sato, MD, PhD
2:18 PM – 2:25 PM	JVA: Where to Publish Your Study? Maurizio Gallieni, MD, FASN
2:26 PM – 2:40 PM	Discussion
2:41 PM – 3:00 PM	Break
3:00 PM – 4:30 PM	‘Innovation’: Thought to Realization Moderators: Surendra Shenoy, MD, PhD and Robert Lee, MD
3:00 PM – 3:10 PM	Product Development in the US : From Start to Finish Simon Mawer
3:11 PM – 3:25 PM	Getting to a Feasibility Study: What FDA Needs to Know About Your Device Jhilmil Dhulekar, MD
3:26 PM – 3:40 PM	Designing Feasibility Study: What FDA Requires Robert Lee, MD
3:41 PM – 3:50 PM	Raising Capital: Financing Your Product Jeffery Lawson, MD, PhD
3:51 PM – 4:00 PM	Challenges for Product Development During COVID Nick Franano, MD
4:01 PM – 4:10 PM	Challenges with Clinical Trials in the UK/EU: Legislative Issues Emma Aitken, MD
4:10 PM – 4:30 PM	Discussion

• Dialysis Access TOS: Bone Is Stronger than Balloon (Karl Illig, MD)
• Debate Aneurysm: Aneurysmraphy is the Best Surgical Option (Anuj Mahajan, MD)
• Debate Aneurysm: Interposition Grafts Beat Old Skin (Ronald Chang, MD)
• Cephalic Arch Stenosis - Endovascular Management (Florian Toegel, MD)
• Lost Outflow: The Ultimate Solution to Untreatable Occlusion (Guillermo Escobar, MD, FACS)
• Discussion

• Bovine Carotid Artery Xenografts in Hemodialysis Access Revision (Patrick Heindel, MD)
• Real Life Outcomes of Endo-AVFs in a Tertiary Care Clinical Center with High Autogenous Access Creation (Adina Voiculescu, MD)

• Needle Placement in the Home Hemodialysis Patient (Deborah Brouwer-Maier, RN, CNN, FMC)
• Endo-AVF: From Creation to Cannulation (Theodore Yuo, MD, MSc)
• This Access Is Ready for Use: How I Do It (Karl Illig, MD)
• Video: Patient Interview - Catheter and Fistula (Ted Saad, MD)

• Clinical Evaluation of a Vascular Venous Anastomotic Connector for Minimally Invasive Connection of an Arteriovenous Graft for Hemodialysis (Alexander Yevzlin, MD)
• First in Human Evaluation of a Novel Biologic Regenerative Vascular Conduit for Hemodialysis Access (Monnie Wasse, MD, MPH)

• US in Dialysis Access (Adina Voiculescu, MD, AB)
• Drug-Coated Balloons: Are We There Yet? (Daniel Patel, MD)
• KDOQI 2019 Dialysis Access Life Cycle: An Access Surgeon's Perspective (Victoria Teodorescu, MD, MBA, RVT)
• Procedural Sedation Without Kidneys: ESRD Challenges (Costin Negroiu, MD)

• Regulatory Incentives Driving Dialysis Modalities (Terry Litchfield, MPA, CPC)
• Urgent Start Peritoneal Dialysis (Mohamed Sheta, MD)
• Advanced Techniques for Placing PD Catheter (Mark London, MD)
• Patient Experience on PD
• Amplifi for Vein Dilation (Suren Shenoy, MD, PhD / ArtioMedical)

• Initial experience with the Surfacer device for intrathoracic outflow occlusion: Mid-term results (Karl Illig, MD)
• The Banked Graft: A Strategy to Avoid the Interim Central Line in Hemodialysis Patients (Worthington Schenk III, MD)

• Panel Discussion: Gender, Race, Age, and Other Social Constructs in Dialysis Access

• VasQ U.S. Pivotal Study Propensity-Score Matched CMS Comparative Outcomes (Keith Ozaki, MD)
• FLEX AV Registry Study (John Aruny, MD)

Balloon angioplasty is the standard of care in AV access maintenance. Although a successful PTA procedure may provide a positive immediate result, recurrent stenosis with reduced patency is common, and can often lead to repeat intervention with 6-month patency rates from 25-78%. This panel will discuss the use of FLEX Vessel Prep procedure demonstrating improved outcomes in real- world patients.

Speakers and Panel Members:

• Moderator: John Aruny, MD, Dialysis Access Institute, Regional Medical Center, Orangeburg, South Carolina
• John Ross, MD, Medical Director, The Regional Medical Center, Orangeburg, South Carolina - Data deep dive and FLEX Vessel prep in AV real world use
• Terry F Litchfield, MPA, CPC, President, Access Solutions - Patient Perspective highlighting disparities in treatment with Registry Data and societal implications
• Jordan Knepper, MD MSc, Associate Professor Michigan State – Economic value of utilizing FLEX in AV Maintenance
• Q&A to the panel from audience

• Dialysis Access Across the Country: What Stands Out (Kenneth Woodside, MD)
• Participating in Clinical Research (Shawn M. Gage, PA-C)
• Collaborative Access Care Cases With Cross Specialty Challenges (John Aruny, MD and John Ross, MD)

• Patient Driven Indications for AVF Ligation following Kidney Transplant (Alexander Toledo, MD)
• Development of an Ex Vivo Bioreactor System to Model Arteriovenous Fistula Hemodynamics (Linda Liu, BS)

• Forearm Fistulas for Starters (Mohamad Hussain, MD, PhD)
• Distal to Proximal Access: How I Do It (Robert Shahverdyan, MD)
• Preventing High Flow: Surgical Choices (William (Tip) Jennings, MD, FACS)
• Flow Reduction: Banding, Distalization, and Interposition AVG (John Lucas III, MD, FACS)

• SelfWrap-Assisted Arteriovenous Fistula (Tim Boire/VenoStent)
• Wearable Device for Non-invasive Continuous Fluid Status Monitoring (Forrest Miller/Alio, Inc)
• EchoMark LP Placement and EchoSure Measurements for AVF Evaluation (Alexander Yevzlin, MD/Sonavex)
• The InnAVasc Graft (Shawn M. Gage, PA-C/InnAVasc)
• Sirogen Access Trial: Phase 3 Study Results (Sriram Iyer, MD, FACC, FSCAI/Sirogen)

• A Staged Autogenous/Prosthetic Hemodialysis Access Creation Strategy to Maximize Upper Extremity Options (Patrick Heindel, MD)
• Comparing Post-Maturation Outcomes of Arteriovenous Grafts and Fistulas (Muhammad Saad Hafeez, MBBS)

Join John E. Aruny, MD for a lunch symposium on choosing the appropriate algorithm for cost effective intervention at the graft vein anastomosis.

• The Evolution of Dialysis Access Surgery Over 38 Years: One Surgeon's Perspective (Stephen L. Hill, MD, FACS)
• What Is the Active Ingredient in DRIL? (Karl Illig, MD)

• Introduction (Robert Lee, MD)
• Home Dialysis with Wearable Devices: The Future? (Dirk Hentschel, MD)
• Certification for Cannulation: Staff, Caregiver and Patient (Judy Geissler, DNP, APNP, FNP-BC/Amber Parker, CHT)
• Patient Interview: How Is Home Dialysis Working for Me? (Dirk Hentschel, MD; Judy Geissler, DNP, APNP, FNP-BC; Amber Parker, CHT; Lissette Ramos-Multani)