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.
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 |
Print/Download 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
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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
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12:30 pm |
Lunch Lecture
An interactive patient discussion with patient panelists talking about their dialysis experience. |
1:30 pm |
Session III
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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 |
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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.
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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
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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.
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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)
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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
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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)
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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)
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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
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12:00 pm |
Adjourn |