Vascular Access Society of the Americas

VASA 2018 Symposium

May 10 - 12, 2018
Roosevelt Hotel
New Orleans, Louisiana

The VASA Symposium is designed for all transplant, vascular and general surgeons, nephrologists, interventional radiologists, nurses, and allied health professionals who are interested in the management of vascular access. The 2018 Symposium will include:

  • State of the art lectures
  • Scientific abstract presentations
  • Vascular access nursing & allied health content
  • Information on new devices & technologies
  • Video presentations
  • Poster session

Learning Objectives
Upon completion of this activity, participants will be able to:

  • Discuss the factors predictive of fistula outcomes, optimal surgical & interventional techniques to create and/or maintain fistula
  • Explain current graft surgery techniques, materials, & devices
  • Describe current catheter technologies & best practices for catheter site care
  • Identify suitable patients for peritoneal dialysis; understanding of surgical and percutaneous methods for peritoneal dialysis catheter implantation
  • Outline systems and processes of care to coordinate & communicate between key providers involved in dialysis access care

Target Audience
Physicians, Medical Assistants/Technicians, Nurses, Nurse Practitioners, Physician Assistants, Vascular Surgery Fellows

Faculty Disclosure
All planners, speakers, authors and reviewers involved with content development for continuing education activities provided by the University of Kentucky are expected to disclose any real or perceived conflict of interest related to the content of the activity. Detailed disclosures will be included in participant materials or given prior to the start of the activity.

THURSDAY, MAY 10, 2018 — ALLIED HEALTH PRE-CONFERENCE WORKSHOP

08:00 AM - 08:30 AM

Introduction

Speaker: Michele Inglese, MSN, RN

08:30 AM - 08:40 AM

Vascular Access Anatomy and Access Circuit

Speaker: John Lucas III, MD, FACS

08:40 AM - 08:55 AM

Vessel Mapping: What Are Key Elements, How Are They Interpreted and Findings Shared with the Dialysis Access Care Team

Speaker: John Lucas III, MD, FACS

08:55 AM - 09:45 AM

Name That Access

Speakers: Deborah Brouwer-Maier, RN, CNN, FMC; Janet Holland, RN, CNN; Forest Rawls, Jr., CCHT-A, FNKF; Nancy Foss, CNP; Michelle Carver, BSN, RN; Judy Geissler, DNP, APNP, FNP-BC, CNN; John Lucas III, MD, FACS; Rebecca McGlawn, RN

09:45 AM - 10:00 AM

Break

10:00 AM - 10:45 AM

One Minute Check: Novice to Expert Level for Health Care Professionals (AVF/AVG/CVC)

Speaker: Nancy Foss, CNP

10:45 AM - 11:20 AM

Demonstration: How to Teach the One Minute Check to a Patient (role play) and Demonstration: How to Use and Teach the Use of the Weekly AVF Maturing or AVG Healing Tools with Dialysis Staff and Patients

Speakers: Deborah Brouwer-Maier, RN, CNN, FMC; Janet Holland, RN, CNN; Forest Rawls, Jr., CCHT-A, FNKF; Nancy Foss, CNP; Michelle Carver, BSN, RN; Judy Geissler, DNP, APNP, FNP-BC, CNN; Michelle Inglese, MSN, RN; John Lucas III, MD, FACS; Rebecca McGlawn, RN

11:20 AM - 11:25 AM

Review the Sleeves-Up Protocol Used for Any Patient with Lower Loop Graft to Identify Potential AVF When the AVG is Failing

Speaker: Janet Holland, RN, CNN

11:25 AM - 12:00 PM

PD Catheter 101: The Good Catheter!

Speaker: John Lucas III, MD, FACS

12:00 PM - 12:45 PM

Lunch on your own

12:45 PM - 01:00 PM

Brief Overview of Access Surveillance

Speaker: Deborah Brouwer-Maier, RN, CNN, FMC

01:00 PM - 01:30 PM

ESRD Network- QIP process

Speaker: Linda Duval, BSN, RN, ESRD Network 13

01:30 PM - 01:45 PM

Coordination of Care: Creating a Vascular Access Program

Speaker: Forest Rawls, Jr., CCHT-A, FNKF

01:45 PM - 02:00 PM

Surgical Perspective: Creating a VAC Role and Model of Practice

Speaker: Judy Geissler, DNP, Vascular Access Advanced Practice Provider

02:00 PM - 02:15 PM

Vascular Access Center Perspective

Speaker: Michelle Carver, BSN, RN

02:15 PM - 02:45 PM

Panel Discussion

Speaker: All Faculty

02:45 PM - 03:00 PM

Tools and Educational Material Sharing

Speaker: Janet Holland, RN, CNN

03:00 PM - 03:30 PM

Access Emergencies: Are You and Your Patients Prepared?

Speaker: John Lucas III, MD, FACS

03:30 PM - 04:00 PM

Open Forum: What Do You Want to See Next?

Speakers: Deborah Brouwer-Maier, RN, CNN, FMC; Janet Holland, RN, CNN; Forest Rawls, Jr., CCHT-A, FNKF; Nancy Foss, CNP; Michelle Carver, BSN, RN; Judy Geissler, DNP; John Lucas III, MD, FACS

05:30 PM - 07:30 PM

VASA Symposium Welcome Reception

FRIDAY, MAY 11, 2018

07:00 AM - 08:00 AM

Breakfast Symposium

Hosted by Artegraft

07:00 AM - 08:00 AM

Continental Breakfast with Exhibitors

08:00 AM - 08:10 AM

Welcome & Opening Remarks

Speakers: John Aruny, MD; Marc Glickman, MD

08:10 AM - 09:45 AM

 Professor Seiji Ohira International Session on Vascular Access

Moderators: John Aruny, MD; Takashi Sato, MD, PhD; Maurizio Gallieni, MD, FASN

  • Vascular Access in North America
    Speaker: John Aruny, MD
  • Vascular Access in Latin America
    Speaker: Carlos Hinojosa
  • Vascular Access in Japan
    Speaker: Takashi Sato, MD, PhD
  • Vascular Access in the United Kingdom
    Speaker: Nicholas Inston, MD
  • Vascular Access in Europe
    Speaker: Maurizio Gallieni, MD, FASN
  • Panel Discussion

09:45 AM - 10:10 AM

 VASA Presidential Address in Honor of Jack Work, MD

  • Introduction
    Speaker: Jeff Lawson, MD, PhD
  • VASA - Past, Present and Future
    Speaker: Marc Glickman, MD
  • What Have We Learned in the Last 30 Years About AV Access?
    Speaker: Mitch Henry, MD

10:10 AM - 10:30 AM

Morning Break

10:30 AM - 11:30 AM

 Collaboration in AV Access

Moderators: Haimanot Wasse, MD, MPH; Charles Keith Ozaki, MD

  • The Interventional Nephrology Team Approach to AV Access
    Speaker: Haimanot Wasse, MD, MPH
  • Team Maturation of the Access and the Surgeon
    Speaker: Charles Keith Ozaki, MD
  • Coordinating Teams from Access Creation to the Dialysis Center
    Speaker: Janet Holland, RN, CNN
  • Team Approach to AV Access in Japan
    Speaker: Akira Miyata, MD
  • Why Radiologists and Surgeons Need to Get Along
    Speaker: Charles Kim, MD, FSIR
  • Panel Discussion

11:30 AM - 12:30 PM

 Outcomes in AV Access

Moderators: David Cull, MD; Charmaine Lok, MD, FRCPC, MSc

  • How I Keep Track of my 10,000 Fistulas
    Speaker: John Lucas III, MD, FACS
  • SVS/VQI Data Collection for AV Access
    Speaker: Karen Woo, MD
  • What Does a Rand Analysis in AV Access Teach Us?
    Speaker: Janet Holland, RN, CNN
  • Team Approach to AV Access in Japan
    Speaker: David Cull, MD
  • Update on the New KDOQI Guidelines
    Speaker: Charmaine Lok, MD, FRCPC, MSc
  • Panel Discussion

12:30 AM - 01:30 PM

Lunch Symposium

Hosted by Bard

01:30 PM - 02:15 PM

 Abstract Session 1

Moderator: Jeff Lawson, MD, PhD

  • Creating Arteriovenous Fistulas for Children in Guatemala
    Speakers: Jennings W1, Lou-Meda R2, Mallios A3, Méndez-Soveranis S4, Sosa-Tejada R5, Lucas III J6, Gradman W7
      1The University of Oklahoma College of Medicine, Tulsa, OK, USA
      2Fundación para el Niño Enfermo Renal, Guatemala City, Guatemala
      3Institut Mutualiste Montsouris, Paris, France
      4Hospital Roosevelt, Guatemala City, Guatemala
      5Mariano Galvez University Roosevelt Hospital, Guatemala City, Guatemala
      6Greenwood Leflore Hospital, Greenwood, MS, USA
      7Private practice, Beverly Hills, CA, USA
  • Left Ventricular Function Does Not Predict All-Cause Mortality in Incident Hemodialysis Patients
    Speakers: Shintaku S1, Kawanishi H1, Moriishi M2, Tsuchiya S1
      1Tsuchiya General Hospital, Hiroshima, Japan
      2Nkajima Tsuchiya Clinic, Hiroshima, Japan
  • Comparison of the Axillary-Atrial Versus Axillary-iliac Arteriovenous Grafts for Hemodialysis
    Speakers: Lopez G, Anaya-Ayala J, Lizola R, Garcia J, Cuen, C, Hinojosa C
    Instituto Nacional de Ciencias Medicas y Nutrición Salvador Zubirán, Mexico City, Mexico
  • Saturday Multi-Disciplinary Hemodialysis Access Clinics to Enhance Patient Care
    Speakers: Levitsky L, Ruske J, Hentschel D, Nguyen L, Shah S, Ozaki C
    Brigham and Women’s Hospital/Harvard Medical School, Boston, MA, USA
  • Intraoperative Pneumatic Tourniquet Use May Improve the Clinical Outcomes of Arteriovenous Fistula Creations
    Speaker: Wang S
    Arizona Kidney Disease and Hypertension Center, Phoenix, AZ, USA
  • Significance of a Protocol Based Arteriovenous Dialysis Access Site Maintenance Program
    Speakers: Blessios G1, Diaz A2
      1Surgical Consulting PLLC, Buffalo, NY, USA
      2Catholic Health internal medicine resident, Buffalo, NY, USA
  • Hemodynamical Changes After Brachiobasilic Arteriovenousfistulas in Patients With and Without Previous Ipsilateralvascular Access
    Speakers: Zonnebeld N, van Loon M, Tordoir J
    Maastricht University Medical Center+, Maastricht, Netherlands
  • Simple Aneurysmorrhaphy Combined with a Novel Banding Technique Provides Good Short-Term Results
    Speaker: Browne B
    Balboa Institute of Transplantation, San Diego, CA, USA

02:15 PM - 03:30 PM

 Regulation and Industry

Moderators: Jeff Lawson, MD, PhD; Prabir Roy-Chaudhry, MD, PhD, FRCP (Edin)

  • Regulation, Safety and the US FDA
    Speaker: Robert Lee, MD
  • How Big Companies Innovate New Products
    Speaker: Mark Ohan, MD
  • Disrupting the Vascular Access Space with Start-Ups
    Speaker: Nick Franano, MD
  • How CROs Can Help Accelerate the Approval of Drugs & Devices for Dialysis Patients
    Speaker: Barbara Gillespie, MD, MMS, FASN
  • KHI Fostering Innovation in Vascular Access Care
    Speaker: Prabir Roy-Chaudhry, MD, PhD, FRCP (Edin)
  • The LDO View of Innovation in Vascular Access and Dialysis Care
    Speaker: Frank Maddux, MD
  • Panel Discussion

03:30 PM - 03:50 PM

Afternoon Break

03:50 PM - 05:00 PM

 How I Treat It and Why

Moderators: Stephen Hohmann, MD, FACS; Karl Illig, MD

  • AV Graft Outflow Vein Stenosis
    Speaker: Yael Vin, MD, MPH
  • The Mega-Overflow Fistula
    Speaker: John Ross, MD
  • Steel
    Speaker: Stephen Hohmann, MD, FACS
  • Central Vein Obstruction
    Speaker: Charles Kim, MD, FSIR
  • Thoracic Inlet Pathology
    Speaker: Karl Illig, MD

  • AV Access in the Failing Transplant PatientSpeaker: David Leeser, MD
  • Panel Discussion

05:00 PM - 05:30 PM

VASA General Meeting

06:30 PM - 08:30 PM

Reception & Abstract Poster Presentations

SATURDAY, MAY 12, 2018

07:00 AM - 08:00 AM

Breakfast Symposium

Hosted by Merit Medical

07:00 AM - 08:00 AM

Continental Breakfast with Exhibitors

08:00 AM - 09:00 AM

 Education in Vascular Access Care

Moderators: Ingemar Davidson, MD; Aris Urbanes, MD

  • Can You Really Teach Surgeons/Nephrologists About Vascular Access?
    Speaker: Ingemar Davidson, MD
  • What Do Radiologists Need to Know About Vascular Access?
    Speaker: Bart Dolmatch, MD
  • Teaching the Bigger AV Access Team
    Speaker: Deborah Brouwer-Maier, RN, CNN, FMC
  • How Do You Train PAs/NPs to Be Access Providers
    Speaker: Shawn Gage, MD
  • How do Interventional Nephrologists Learn Their Craft?
    Speaker: Aris. Urbanes, MD
  • Panel Discussion

09:00 AM - 10:00 AM

 Fistulas

Moderators: William Jennings, MD, FACS; Dirk Hentschel, MD

  • Fistulas in Challenging Patients - Central Vein Obstruction and Obesity
    Speaker: William Jennings, MD, FACS
  • What’s Up with Fistula Side Branch Ligation?
    Speaker: Dirk Hentschel, MD
  • Percutaneous Fistulas - The NEAT Update
    Speaker: Dheeraj Rajan, BSc, MD, FRCPC
  • Percutaneous Fistulas - The Ellipsys Trial
    Speaker: Jeffery Hull, MD
  • Proteon - An Update on AV Fistula Maturation
    Speaker: Charles Keith Ozaki, MD
  • Panel Discussion

10:00 AM - 10:20 AM

Morning Break

10:10 AM - 10:30 AM

 AV Grafts

Moderators: Marc Glickman, MD; David Kingsmore, MD

  • The Evolution of AV Graft Technology
    Speaker: Marc Glickman, MD
  • How I Use Early Cannulation Grafts
    Speaker: David Kingsmore, MD
  • Does Surface Coating or Flow Modification Alter AV Graft Function
    Speaker: Stephen Hohmann, MD, FACS
  • Biologic Vascular Grafts
    Speaker: Marc Glickmann, MD
  • HeROs and Hybrids
    Speaker: Stephen Hohmann, MD, FACS
  • Panel Discussion

11:30 AM - 12:15 PM

 Abstract Session 2

Moderator: Deborah Brouwer-Maier RN, CNN, FMC

  • Endovascular Proximal Forearm Fistula: Early Experience in Birmingham, England
    Inston N, Khawaja A, Tullett K, Dutton M, Jones R
    Queen Elizabeth Hospitals Birmingham; University Hospitals Birmingham, Birmingham, United Kingdom
  • Variations in Catheter Rates are Poorly Explained by Differences in Patient Characteristics
    Blanchard T, Usvyat L, Hymes J, Maddux F
    Fresenius Medical Care North America, Waltham, MA, USA
  • Assessment of Cardiovascular Risk in Hemodialysis Patients
    Zulkarnaev A, Vatazin A, Fominikh N, Strugailo E, Stepanov V, Yankovoy A
    Moscow Regional Research and Clinical Institute, Moscow, Russian Federation
  • AFE System Rapidly Dilates Ovine Cephalic Veins Before AVF Surgery and Enhances AVF Maturation
    Franano F1, Loree H2, Richardson J2, Groth D3, Larrabee R4, Szenay L4, Hutto B5, Dixon B6, Shenoy S
      1Flow Forward Medical, Inc., Fairway, KS, USA
      2Flow Forward Medical, Inc., Lowell, MA, USA
      3Dale Groth Preclinical Consulting, LLC, Forest Lake, MN, USA
      4Surpass, Inc., Osceola, WI, USA
      5CIRTEC Medical Corp., Los Gatos, CA, USA
      6University of Iowa Hospital and Clinics, Iowa City, IA, USA
      7Washington University in St. Louis School of Medicine, St. Louis, MO, USA
  • AVF Banding: Ambiguous Consequences
    Zulkarnaev A, Vatazin A, Fominikh N, Strugailo E, Stepanov V, Yankovoy A
    Moscow Regional Research and Clinical Institute, Moscow, Russian Federation
  • Is the Carotid Intima-Media Thickness (CIMT) ultrasound assessment a valuable parameter to predict outcomes during hemodialysis access creation?
    Torres-Machorro A, Anaya-Ayala J, Garcia-Alva R, Cuen-Ojeda C, Lopez-Mendez A, Luna L, Lizola-Crespo R, Hinojosa, C
    Instituto Nacional de Ciencias Médicas y Nutrición “Salvador Zubirán”, Mexico City, Mexico
  • Dialysis nurse’s perspective on potential patient benefits from an endovascular arteriovenous fistula (endoAVF)
    Tullett K, Khawaja A, Jones R, Inston N
    Queen Elizabeth Hospital Birmingham, Birmingham, United Kingdom

12:15 AM - 01:15 AM

Lunch Symposium

Hosted by W.L. Gore

01:15 PM - 01:45 PM

 The Henry Lecture

Moderator: Jeff Lawson, MD, PhD

  • The Real HFM Story...Do Fistulas Mature, When, If and How Often?
    Speaker: Prabir Roy-Chaudhury, MD, PhD, FRCP (Edin)
  • Panel Discussion

01:45 PM - 03:00 PM

 Innovation in AV Access

Moderators: Jeff Lawson, MD, PhD; Scott Trerotola, MD

  • The Laminate VasQ AVF Stent
    Speaker: Mitch Henry, MD
  • Vascular Therapies
    Speaker: Siriam Iyer, MD, FACC, FSCAI
  • DCB: PTA Version 2.0
    Speaker: Dr. Scott Trerotola, MD
  • Tissue Engineered Blood Vessels for Dialysis Access
    Speaker: Jeff Lawson, MD, PhD
  • Fist Assist
    Speaker: Prabir Roy-Chaudhury, MD, PhD, FRCP (Edin)
  • The Chameleon Technique-New Approaches to Access Maintenance
    Speaker: Jeffrey Hoggard, MD
  • Panel Discussion

03:00 PM - 03:20 PM

Afternoon Break

03:20 PM - 04:30 PM

 Clinical Cases: "Best Case Ever" or "I Would Never Do That Again!"

Moderators: Ted Saad, MD; John Aruny, MD; Stephen Hohmann, MD, FACS

  • The Best/Worst Case Ever
    Speaker: John Ross, MD
  • The Best/Worst Case Ever
    Speaker: Ted Saad, MD
  • The Best/Worst Case Ever
    Speaker: John Aruny, MD
  • The Best/Worst Case Ever
    Speaker: Bart Dolmatch, MD
  • The Best/Worst Case Ever
    Speaker: Stephen Hohmann, MD, FACS
  • The Best/Worst Case Ever
    Speaker: David Leeser, MD
  • Panel Discussion

04:30 PM - 04:45 PM

Closing Remarks