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Page 1 of 4 June 18, 2009 Interventional Nephrology for the ...

  1. 1. Interventional Nephrology for the General Nephrologist - Room 25 A/B/C ASN thanks the American Society of Diagnostic and Interventional Nephrology (ASDIN) for assistance with this program. Diagnostic and interventional procedures are critical to the care of nephrology patients. This course introduces practicing nephrologists and nephrology fellows in training to a variety of interventional and diagnostic procedures that are critical to the care of renal patients. The procedures include diagnostic ultrasound for vascular access and kidneys, renal biopsy, placement of tunneled hemodialysis catheters and peritoneal dialysis catheters, and monitoring, as well as salvage procedures for failing or thrombosed fistulas and grafts. The course will provide comprehensive information on these diagnostic and interventional procedures. In addition to didactic sessions, workshops will provide hands-on training focusing on insertion of tunneled dialysis catheters, percutaneous balloon angioplasty, ultrasound imaging, and the physical exam of the vascular access. This two-day course provides critical information on techniques and interventions that can be incorporated into a nephrology practice. Upon completion of this program the participant will be able to 1) recognize key stages of the history of vascular access and describe how it pertains to current interventional practice; 2) summarize the published vascular access guidelines and assess their impact on current interventional practice; 3) describe the anatomy of the hemodialysis vascular access and demonstrate proper physical examination techniques and processes to detect vascular access dysfunction; 4) perform the evaluation of hand ischemia and recognize the ischemic complications of vascular access; 5) describe the various invasive techniques used to repair and/or open malfunctioning or thrombosed arterio-venous grafts and fistulas; 6) identify the various placement techniques of tunneled hemodialysis catheters and peritoneal dialysis catheters; 7) classify the available imaging techniques and evaluate the role of mapping in access planning; 8) describe the interventional approach to central venous stenosis; 9) assess the role of stent placement in the treatment of vascular access dysfunction; and 10) evaluate the impact of a vascular access center on a nephrology practice. Chairs Ivan D. Maya, MD Steven Wu, MD Tuesday, October 27 7:00 a.m. – 7:45 a.m. Registration and Continental Breakfast 7:45 a.m. – 8:00 a.m. Welcome and Introduction Ivan D. Maya, MD and Steven Wu, MD Session I - Moderators: Ivan D. Maya, MD and Steven Wu, MD 8:00 a.m. – 8:15 a.m. Anatomy and Vascular Mapping: What Does a Nephrologist Need to Know? Gerald A. Beathard, MD, PhD, FASN 8:15 a.m. – 8:30 a.m. Conscious Sedation Monnie Wasse, MD, FASN 8:30 a.m. – 8:45 a.m. Vascular Access Surveillance: Detection of Access Malfunction Anatole Besarab, MD 8:45 a.m. - 9:00 a.m. Sites and Types of Arteriovenous Fistulae Rick E. Mishler, MD Page 1 of 4 June 18, 2009
  2. 2. Tuesday, October 27 (continued) 9:00 a.m. - 9:15 a.m. Early Arteriovenous Fistula Failure: Basic Biology and Hemodynamics Prabir Roy-Chaudhury, MD, PhD, FASN 9:15 a.m. - 9:30 a.m. Questions and Comments The Faculty 9:30 a.m. – 9:45 a.m. Break Session II - Moderator: Kenneth D. Abreo, MD 9:45 a.m. - 10:00 a.m. Salvage of an Immature Fistula Jack Work, MD 10:00 a.m. - 10:20 a.m. Fistula Thrombosis and Thrombectomy Procedures Marius C. Florescu, MD 10:20 a.m. - 10:40 a.m. Graft Thrombectomy: What is the Best Method? Alejandro C. Alvarez, MD 10:40 a.m. - 11:00 a.m. Creation of Secondary Fistula Loay H. Salman, MD 11:00 a.m. - 11:15 a.m. Arterial Angioplasty Alexander S. Yevzlin, MD 11:15 a.m. – 11:45 a.m. Ultrasound and Biopsy W. Charles O'Neill, MD 11:45 a.m. - Noon Clinical Cases Steven Wu, MD Noon - 12:15 p.m. Questions, Comments, and Pre-Workshop Remarks The Faculty 12:15 p.m. – 1:30 p.m. Lunch (on your own) 1:30 p.m. – 4:30 p.m. Workshops Room 26 A/B Workshop A: Physical Examination Workshop Leader: Arif Asif, MD Kenneth D. Abreo, MD, Deborah J. Brouwer, RN, CNN, Marius C. Florescu, MD, Donna Merrill, RN, CCRC, Loay H. Salman, MD, Tushar J. Vachharajani, MD, FASN, and Alexander S. Yevzlin, MD Room 27 A/B Workshop B: Ultrasound Imaging Workshop Leader: W. Charles O’Neill, MD Raimund R. Hirschberg, MD and Edgar V. Lerma, MD, FASN Page 2 of 4 June 18, 2009
  3. 3. Wednesday, October 28 7:30 a.m. – 8:00 a.m. Continental Breakfast Session III - Moderator: Alexander S. Yevzlin, MD 8:00 a.m. – 8:20 a.m. Design of Tunneled Hemodialysis Catheters Stephen R. Ash, MD 8:20 a.m. – 8:40 a.m. Insertion Techniques of Tunneled Hemodialysis Catheters George M. Nassar, MD, FASN 8:40 a.m. – 9:00 a.m. Complications of Tunneled Hemodialysis Catheters Antoine L. Samaha, MD 9:00 a.m. – 9:15 a.m. Catheter Related Bacteremia: Interventions and Antibiotic Locks Ivan D. Maya, MD 9:15 a.m. – 9:30 a.m. Management of Central Venous Stenosis Kenneth D. Abreo, MD 9:30 a.m. - 9:45 a.m. The Role of Stents in the Treatment of Vascular Access Dysfunction Aris Q. Urbanes, MD 9:45 a.m. - 10:00 a.m. Hand Ischemia, Steal Syndrome, Banding, and DRIL Arif Asif, MD 10:00 a.m. - 10:15 a.m. Questions and Comments The Faculty 10:15 a.m. – 10:35 a.m. Break Session IV - Moderator: Donald Schon, MD 10:35 a.m. – 10:55 a.m. Role of the Hemodialysis Vascular Access Coordinator Donna Merrill, RN, CCRC 10:55 a.m. – 11:15 a.m. Does Cannulation Make a Difference? Deborah J. Brouwer, RN, CNN 11:15 a.m. – 11:35 a.m. Contrast Safety in Interventional Nephrology Adrian P. Sequeira, MD 11:35 a.m. – 11:55 a.m. Peritoneal Dialysis Catheter Placement Bharat S. Sachdeva. MD 11:55 a.m. – 12:15 p.m. Radiation Exposure: Are We and Our Patients Safe? Linda Lea Francisco, MD 12:15 p.m. - 12:30 p.m. Questions, Comments, and Pre-Workshop Remarks The Faculty 12:30 p.m. – 1:30 p.m. Lunch (on your own) Page 3 of 4 June 18, 2009
  4. 4. Wednesday, October 28 (continued) 1:30 p.m. – 4:30 p.m. Workshops Room 27 A/B Workshop A: Tunneled Hemodialysis Catheters Workshop Leader: Stephen R. Ash, MD Naveen K. Atray, MD, FASN, Micah R. Chan, MD, Amy C. Dwyer, MD, Dirk M. Hentschel, MD, and Vandana Niyyar, MD Room 26 A/B Workshop B: Endovascular Procedures Workshop Leader: Jamal Atalla, MD and Donald Schon, MD Anil K. Agarwal, MD, FASN, Florin N. Gadalean, MD, Anwar S. Gerges, MD, Shahriar Moossavi, MD, PhD, FASN, and Aris Q. Urbanes, MD, 4:30 p.m. Adjourn 14.25 AMA PRA Category 1 Credits™ Page 4 of 4 June 18, 2009