2019 VASA Hands-On Practicum on Hemodialysis Access



May 10-11, 2019
Methodist Hospital
Houston, Texas

VASA Members: Access presentations from the Practicum (Login required)

The VASA Practicum provides a rare opportunity for healthcare professionals to have “hands-on” experience with surgical and interventional procedures for creating & maintaining vascular access for hemodialysis.

The program will allow participants to:
  • Observe and perform vascular access procedures in a live animal laboratory
  • Receive expert instruction in surgical and interventional hemodialysis access procedures
  • Attend didactic presentations, workshops, and one-on-one discussions led by nationally recognized faculty
  • Gain experience using ultrasound for evaluation of hemodialysis fistulas and grafts
WHO SHOULD ATTEND: This practicum is designed for all transplant, vascular and general surgeons, nephrologists, interventional radiologists, nurses, and dialysis technicians who are interested in the management of vascular access.

AGENDA

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Thursday, May 9, 2019
7:00 pm Registration
Welcome Reception
9:00 pm Reception Ends

Friday, May 10, 2019
6:30 am Registration
Continental Breakfast
7:00 am - 7:30 am Welcome

Attendees split into 3 PHYSICIAN Groups and 3 RN/TECH Groups.

8:00 am Session I
10:00 am Refreshment Break & Exhibits
10:30 am Session II
12:30 pm Lunch Lecture
An interactive patient discussion with patient panelists talking about their dialysis experience.
1:30 pm Session III
3:30 pm Refreshment Break & Exhibitis
4:00 pm Vascular Access Clinic
This session will broadcast an access clinic with clinical evaluations of new and established patients, with panel discussion.
5:00 pm Adjourn
Evening Dinner in Downtown Houston
Mingle with attendees and faculty
 
Friday PHYSICIAN Sessions
Pick one activity per session.
  • Activity 1: 1. Live cases transmitted from Orangeburg and the Houston Methodist ORs with panel discussion
    Highlights: Dialysis access surgery and interventions with panelists from both surgical and interventional backgrounds to discuss
  • Activity 2: Percutaneous AVF instruction and deployment in a model
    Highlights: Learn patient selection, do ultrasounds to evaluate eligibility and prediction of success, and deploy both devices
  • Activity 3: PD placement, both percutaneous and laparascopic
    Highlights: Experts on hand to demonstrate best techniques for success
  • Activity 4: Percutaneous interventions in pig models with different grafts, HeRO grafts
    Highlights: Experts on hand to demonstrate best techniques for success
  • Activity 5: Anatomic exposures on a cadaver
    Highlights: Review the anatomy pertinent to dialysis i.e. perforator anatomy, cutaneous nerves that cause symptoms, central venous structures with rib and clavicle removal, femoral fistula dissection, and more.
  • Activity 6: HeRO station
    Highlights: Learn HeRO placement techniques and tips from experts
  • Activity 7: Live patient evaluations with examination and US interrogation
    Highlights: Most patient issues can be solved simply by a focused history, exam, and bedside Ultrasound. Not every aneurysm needs to be repaired, not every fistula needs to be “perfect”, and not all tingly fingers need a procedure. Come evaluate patients and discuss with the faculty.

Friday RN/TECH Activity Sessions I, II, & III
Pick one activity per session
  • Activity 1: Live cases transmitted from Orangeburg and the Houston Methodist ORs with panel discussion
    Highlights: Watch live dialysis access surgery and interventions with panelists from both surgical and interventional backgrounds to discuss
  • Activity 2: Live patient evaluations with examination and US interrogation
    Highlights: Most patient issues can be solved simply by a focused history, exam, and bedside Ultrasound. Not every aneurysm needs to be repaired, not every fistula needs to be “perfect”, and not all tingly fingers need a procedure. Come evaluate patients and discuss with the faculty.
  • Activity 3: Access Station
    Highlights: Learn Ultrasound guided punctures, handle different graft materials to see the unique qualities, examine fistula/graft simulators, review US reports and learn what they mean, see anatomy on a cadaver with important exposures

Saturday, May 11, 2019


Saturday will feature a half-day of lectures. Highlights include a discussion of access challenges like steal, aneurysms, recurrent thromboses, maturation techniques for percutaneous fistulas, PD problems, and more.
7:00 am Industry Breakfast
7:30 am Continental Breakfast
8:00 am General Session I

  • 8:00-8:10 Trans-Radial Interventions in Acess (Linda Le, MD)
  • 8:10-8:20 Access Thrombectomy- When to Move on to New Access (Dirk Hentschel, MD)
  • 8:20-8:30 Aneurysms - Which to Treat and How (Yael Vin, MD)
  • 8:30-8:40 PD Problems - Drain Pain, Peritonitis, Positional (John Crabtree, MD)
  • 8:40-9:00 Perc AVF's- Getting from Bruit to TDC Free HD (John Aruny, MD)
9:00 am General Session II

Case Discussions - What To Do? (Eric Peden, MD)
Panel: Alex Mallios, MD; Janet Holland, RN, CNN; C. Ozaki, MD; Yael Vin, MD; Monnie Wasse, MD; Aris Urbanes, MD
9:40 am Break
10:00 am General Session III (MDs)
Moderators: Charles Kim, MD and Dirk Hentschel, MD
  • 10:00-10:10 Central Vein Occlusion- Crossing and Treating (Charles Kim, MD)
  • 10:00-10:20 Leg AVF - When and How to Do It (Surendra Shenoy, MD)
  • 10:20-10:30 Approach to Steal (Steve Hohman, MD)
  • 10:30-10:40 Flow Reduction- What Works When (William Jennings, MD)
  • 10:40-10:50 ACO's, Reimbursement Changes (Aris Urbanes, MD)
  • 10:50-11:00 DCB/DES - What's the Role in Access? (Prabir Roy-Chaudury, MD)
10:00 am General Session III (Allied Health)
Moderators: Deb Brouwer, RN, CNN & Janet Holland, RN, CNN
  • 10-10:25 Wow That AVF Needle Is Sharp - What Damage Can It Do? (Shawn Gage, MD)
  • 10:25-10:40 Aneurysm or Pseudoaneurysm Formation - Oh My! (Janet Holland, RN, CNN)
  • 10:40-11:00 Proper Documentation for Cannulation or Access Findings - Critical Skill (Nancy Foss)
  • 11:00-11:20 Ultrasound in the Dialysis Facility - You Can Do It! (Forrest Rawls, CHT, CCHTA, FNKF)
  • 11:20-11:45 So I Got the Report - What Does it Mean? (Charu Bavare, MD)
  • 11:45-Noon Easy to Use Access Tools - One Minute Check Full Set for Access Planning to Healing/Maturing and Beyond! (Deb Brouwer, RN, CNN)
10:00 am General Session IV
Moderators: John Lucas III, MD and Mitchell Henry, MD
  • FDA Considerations and Requirements for New Dialysis Device Approval (Bob Lee, MD)
  • Biological Graft Development Progress (Jeffrey Lawson, MD)
  • Sirolimus AVF Trial Update (Sriram Iyer, MD)
  • External AVF Support (Mitchell Henry, MD)
  • Inside out CVO Crossing Technique and Device (Monnie Wasse, MD)
  • Development of a Puncture Tolerant Graft (Shawn Gage, MD)
  • IVUS in Access - What's the Role? (Steve Hohman, MD)
  • Elastase on Fistulas and Grafts (C. Ozaki, MD)
  • AFE System (Surendra Shenoy, MD)
  • Discussion
12:00 pm Adjourn