Vascular Access Society of the Americas

VASA 2017 Practicum

May 18 - 20, 2017
Washington University
St. Louis, Missouri

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.

Course Objectives

This course 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. At the conclusion of this seminar, attendees should be able 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.

Learning and Performance Objectives

The primary purpose of the activity is to provide current information in regards to evaluation, pre-operative, intra-operative, immediate and long-term post-operative management of patients needing vascular access.

At the conclusion of the educational activity the participant should be able to:

  • Define the problems and risks associated with dialysis access in end stage renal disease patients
  • Assess and plan for an optimal dialysis access for end stage renal disease patient
  • Interpret the surgical and medical decision making process of access placement
  • Discuss various techniques available for peritoneal dialysis catheter placement
  • Discuss vascular access planning for end stage renal disease patient
  • Discuss the principles of surgical procedures used to create vascular access
  • Define the characteristics of a ‘mature vascular access’
  • Discuss the principles and practice of physical examination to evaluate a vascular access
  • Describe surgical and radiological procedures used as maturation assist
  • Recognize long-term problems associated with vascular and discuss the various radiological and surgical methods to correct term
  • Identify the common vascular and endovascular techniques used in vascular access and use them to optimize patient care
  • Discuss the role of catheter dialysis, safe catheter placement technique, catheter complications and need for catheter reduction program
  • Describe new surgical and interventional approaches, new technologies available and new technologies in development

Nursing Activity Objectives

  • Define the problems and risks associated with dialysis access in end stage renal disease patients
  • Assess and plan for an optimal dialysis access for end stage renal disease patient
  • Describe vein preservation strategy and techniques
  • Discuss the principles of surgical procedures used to create vascular access
  • Define the characteristics of a ‘mature vascular access’
  • Discuss the principles and practice of physical examination to evaluate a vascular access
  • Describe the hemodialysis machine and significance of various alarms
  • Discuss various dialysis access cannulation techniques
  • Describe the buttonhole technique
  • Discuss the role of catheter dialysis, safe catheter placement technique, catheter complications and need for catheter reduction program
  • Discuss catheter care techniques
  • Able to communicate the access associated problem with the access care provider (interventionalist or surgeon)

THURSDAY, MAY 18, 2017

07:00 PM - 09:00 PM

Registration | Welcome Reception

FRIDAY, MAY 19, 2017

06:30 AM - 07:00 AM

Registration | Continental Breakfast

07:00 AM - 07:30 AM

Welcome & Introductions

PHYSICIAN ACTIVITY CONCURRENTS

08:00 AM - 10:00 AM

SESSION I

Procedural experience

This activity allows live viewing of surgical and interventional procedures related to vascular access and interact with operating surgeons and interventionalist performing them.


Vivarium experience

Attendees (surgeons and Interventionalist) spend time in the Vivarium with faculty honing and perfecting vascular access related surgical and interventional techniques. Explore the human cadaver limb and work in animal lab with hands on and image guided techniques related to AVF and AVG placement and interventions.


Ultrasound and simulation experience

Attendees (physicians and surgeons) will learn the technioques of using the Ultra Sound in the field of vascular access. This includes, but not limited to, vessel mapping, AVG and AVF maturation evaluation, access monitoring and evaluation of access complications in patient volunteers.

ALLIED HEALTH ACTIVITY CONCURRENTS

08:00 AM - 10:00 AM

SESSION I

Procedural experience

This activity allows live viewing of surgical and interventional procedures related to vascular access and interact with operating surgeons and interventionalist performing them.


Access anatomy, US monitoring and Cannulation experience

Hands on experience with AVF fistula cannulation with state of the art simulators. Learn different cannulation techniques including the button hole cannulation. Realtime ultrasonography and sonographic guidance for cannulation real time patient evaluation to save the vein and access monitoring.


Dialysis clinic experience

Learn to trouble shoot problems experienced in the dialysis setup and delivery. A simple one minute access check to complex issues with dialysis machines. pump speeds, pressures, access flow, cardiac output monitors, recirculation and access surveillance. Includes trouble shooting with hemodialysis machines and catheters and peritoneal dialysis.

10:00 AM - 10:30 AM

Break | Exhibits

PHYSICIAN ACTIVITY CONCURRENTS

10:30 AM - 12:30 PM

SESSION II

Procedural experience

This activity allows live viewing of surgical and interventional procedures related to vascular access and interact with operating surgeons and interventionalist performing them.


Vivarium experience

Attendees (surgeons and Interventionalist) spend time in the Vivarium with faculty honing and perfecting vascular access related surgical and interventional techniques. Explore the human cadaver limb and work in animal lab with hands on and image guided techniques related to AVF and AVG placement and interventions.


Ultrasound and simulation experience

Attendees (physicians and surgeons) will learn the technioques of using the Ultra Sound in the field of vascular access. This includes, but not limited to, vessel mapping, AVG and AVF maturation evaluation, access monitoring and evaluation of access complications in patient volunteers.

ALLIED HEALTH ACTIVITY CONCURRENTS

10:30 AM - 12:30 PM

SESSION II

Procedural experience

This activity allows live viewing of surgical and interventional procedures related to vascular access and interact with operating surgeons and interventionalist performing them.


Access anatomy, US monitoring and Cannulation experience

Hands on experience with AVF fistula cannulation with state of the art simulators. Learn different cannulation techniques including the button hole cannulation. Realtime ultrasonography and sonographic guidance for cannulation real time patient evaluation to save the vein and access monitoring.


Dialysis clinic experience

Learn to trouble shoot problems experienced in the dialysis setup and delivery. A simple one minute access check to complex issues with dialysis machines. pump speeds, pressures, access flow, cardiac output monitors, recirculation and access surveillance. Includes trouble shooting with hemodialysis machines and catheters and peritoneal dialysis.

12:30 PM - 01:00 PM

Boxed Lunch

PHYSICIAN ACTIVITY CONCURRENTS

01:00 PM - 03:00 PM

SESSION III

Procedural experience

This activity allows live viewing of surgical and interventional procedures related to vascular access and interact with operating surgeons and interventionalist performing them.


Vivarium experience

Attendees (surgeons and Interventionalist) spend time in the Vivarium with faculty honing and perfecting vascular access related surgical and interventional techniques. Explore the human cadaver limb and work in animal lab with hands on and image guided techniques related to AVF and AVG placement and interventions.


Ultrasound and simulation experience

Attendees (physicians and surgeons) will learn the technioques of using the Ultra Sound in the field of vascular access. This includes, but not limited to, vessel mapping, AVG and AVF maturation evaluation, access monitoring and evaluation of access complications in patient volunteers.

ALLIED HEALTH ACTIVITY CONCURRENTS

01:00 PM - 03:00 PM

SESSION III

Procedural experience

This activity allows live viewing of surgical and interventional procedures related to vascular access and interact with operating surgeons and interventionalist performing them.


Access anatomy, US monitoring and Cannulation experience

Hands on experience with AVF fistula cannulation with state of the art simulators. Learn different cannulation techniques including the button hole cannulation. Realtime ultrasonography and sonographic guidance for cannulation real time patient evaluation to save the vein and access monitoring.


Dialysis clinic experience

Learn to trouble shoot problems experienced in the dialysis setup and delivery. A simple one minute access check to complex issues with dialysis machines. pump speeds, pressures, access flow, cardiac output monitors, recirculation and access surveillance. Includes trouble shooting with hemodialysis machines and catheters and peritoneal dialysis.

03:00 PM - 03:30 PM

Refreshment Break & Exhibitis

03:30 PM - 04:30 PM

Vascular Access Clinic

This session will broadcast an access clinic with clinical evaluations of new and established patients, with panel discussion.

SATURDAY, MAY 20, 2017

07:00 AM - 08:00 AM

Continental Breakfast

07:30 AM - 08:00 AM

Continental Breakfast

08:30 AM - 10:00 AM

General Sessions I

  • Tailoring dialysis treatments to patient needs
    Speaker: Brent Miller, MD
  • Functional vascular access
    Speaker: Monnie Wasse, MD
  • Vascular access evaluation
    Speaker: John Lucas, MD
  • Central venography
    Speaker: John Aruny, MD
  • AVF creation – SLOT technique
    Speaker: Jaime Velez, MD
  • AV graft placement
    Speaker: David Leeser, MD
  • AVG - the ‘super Hero’
    Speaker: Stephen Hohmann, MD, FACS
  • PD catheter placement
    Speaker: Ingemar Davidson, MD

Moderators: Jack Work, MD; Yael Vin, MD, MPH

10:00 AM - 10:30 AM

Break

10:30 AM - 12:00 PM

General Sessions II

  • Management of deep outflow veins
    Speaker: Jason Wellen, MD
  • Surgical techniques for AV access salvage
    Speaker: Eric Peden, MD
  • Aneurysm repair
    Speaker: Surendra Shenoy, MD, PhD
  • Managing steal a flow based algorithm
    Speaker: William Jennings, MD
  • Flow reduction with banding
    Speaker: Yael Vin, MD, MPH
  • Cannulation techniques
    Speaker: Cheryl Cress, RN
  • TDC: how do they differ
    Speaker: Dirk Hentschel, MD
  • Thoracic outlet obstruction 1st rib resection
    Speaker: Robert Thompson, MD, FACS

Moderators: Karl Illig, MD, FACS; Aris Urbanes, MD

12:00 PM - 01:00 PM

Boxed Lunch

01:00 PM - 02:00 PM

General Sessions III

  • Percutaneous AV access creation and results of NEAT trial
    Speaker: Charmaine Lok, MD
  • Sirolimus wrap for AVF technique and early clinical outcome
    Speaker: Sriram Iyer, MD
  • Human bioengineered AV grafts – what do we know
    Speaker: Jeff Lawson, MD, PhD
  • Balloon angioplasty
    Speaker: Jeffrey Hoggard, MD, FACP, FASN, FASDIN
  • Stent graft placement – Indications and technique
    Speaker: Dirk Hentschel, MD
  • Hybrid graft placement – How I do it
    Speaker: David Leeser, MD

Moderator: Larry Scher, MD

PHYSICIAN ACTIVITY

02:00 PM - 02:30 PM

General Sessions IV

  • ESRD Seamless Care Organization (ESCO) what it means for vascular access
    Speaker: Aris Urbanes, MD
  • Review of major changes in HDA coding for 2017
    Speaker: Gerald Beathard, MD, PhD
  • Health economics and early cannulation grafts
    Speaker: Marc Glickman, MD

ALLIED HEALTH ACTIVITY

02:00 PM - 02:30 PM

General Sessions IV

  • Acute Kidney Care and the vascular access challenges
    Speaker: Janet Holland, RN, CNN
  • AVF Maturing and AVG healing - FF tools
    Speaker: Deborah Brouwer Meir, RN, CNN
  • Now that you have access flow measurements from the surveillance, how do you identify the patients at risk of high cardiac output failure and how to manage?
    Speaker: Monnie Wasse, MD

02:30 PM - 03:00 PM

Break

PHYSICIAN ACTIVITY

03:00 PM - 04:30 PM

General Sessions V

  • Case presentations and discussion

ALLIED HEALTH ACTIVITY

03:00 PM - 04:30 PM

General Sessions V

  • ESRD Network – QIP for vascular access
    Speaker: Sharlyn Bogner, MSN, RN, CNN, CCTC, CPHQ
  • ESRD Seamless Care Organization (ESCO) what it means for vascular access
    Speaker: Aris Urbanes, MD
  • Your role as a VAC- what do you need to support or advance your role - Open Discussion
    Speakers: Deborah Brouwer Meir, RN, CNN; Janet Holland, RN, CNN; Cheryl Cress, RN
  • Patient Case Review and Access Questions – Panel Discussion
    Speakers: Janet Holland, RN, CNN; Forest Rawls; Lisa Koester Wiedemann, NP, ANP, CNN