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Interventional Nephrology for the General Nephrologist

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Interventional Nephrology for the General Nephrologist

  1. 1. Interventional Nephrology: Dialysis access Vascular access is critical to dialysis patient. Creation and maintenance of dialysis access consumes a major share of resources available to ESRD population. This course introduces practicing nephrologists and nephrology fellows in training to a variety of interventional and diagnostic procedures that are important in the care of renal patients. The procedures include diagnostic ultrasound for vascular access and kidneys, renal biopsy, placement of tunneled Hemodialysis/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, vascular ultrasound of dialysis access to identify cause of dysfunction and the use physical exam. of the vascular access as monitoring tool. 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 Bharat Sachdeva, MD Tuesday, November 16, 2010 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 Bharat Sachdeva, MD Session I: Planning For a New Access 8:00 a.m. – 8:20 a.m. Access Circuit: Left Heart to Right Heart (Anatomy) Vandana Niyyar, MD 8:20 a.m. – 8:40 a.m. Pre op assessment: Physical Exam./US and Venogram Amy C. Dwyer, MD 8:40 a.m. – 9:00 a.m. Fistula First: Do all comers qualify? Graft or Fistula Tushar J. Vaccharajani, MD, FASN
  2. 2. Tuesday, November 16, 2010 (continued) 9:00 a.m. – 9: 20a.m. Clinical Vignettes /ARS Ivan D. Maya, MD Bharat Sachdeva, MD 9:20 a.m. – 9:30 a.m. Break Session II: Access Dysfunction 9:30 a.m. – 9:50 a.m. Early Arteriovenous Fistula Failure: Basic Biology and Hemodynamics Prabir Roy-Chaudhury, MD, PhD, FASN 9:50 a.m.- 10:10 a.m. Vascular Access Surveillance: Detection of Access Malfunction Anatole Besarab, MD 10:10 a.m. – 10:30 a.m. Salvage of an Immature Fistula (Contrast Safety) Steven Wu, MD 10:30 a.m. – 10:50 a.m. Clinical Vignettes /ARS Ivan D. Maya, MD Bharat Sachdeva, MD 10:50 – 11:00 a.m. Break Session III: When the Access Fails 11:00 a.m. – 11:20 a.m. Access Thrombosis and Thrombectomy Procedures Jamie L. Ross, MD 11:20 a.m. – 11:40 a.m. Creation of Secondary Fistula Loay H. Salman , MD 11:40 a.m. – 12:00 p.m. Arterial Angioplasty Alexander S. Yevzlin, MD 12:00 p.m. – 12:30 p.m. Clinical Vignettes /ARS Ivan D. Maya, MD Bharat Sachdeva, MD 12:30 p.m. – 1:30 p.m. Lunch 1:30 p.m. – 2:30 p.m. Ultrasound: Access, Mapping and Kidney W. Charles O’Neill, MD
  3. 3. Tuesday, November 16, 2010 (continued) 2:30 p.m. – 4:30 p.m. Workshops Workshop A: Physical Examination Arif Asif, MD Deborah J. Brouwer, RN, CNN Micah R. Chan, MD Amy C. Dwyer, MD Tushar J. Vaccharajani, MD, FASN Workshop B: Ultrasound Imaging Kenneth D. Abreo, MD Vandana Niyyar, MD W. Charles O’Neill, MD Bharat Sachdeva, MD Wednesday, November 17, 2010 7:30 a.m. – 8:00 a.m. Continental Breakfast Session IV: Advanced Access Complications 8:00 a.m. – 8:20 a.m. Management of Central Venous Stenosis Arif Asif, MD 8:20 a.m. – 8:40 a.m. Graft Vein Anastomosis: Common Problem/New Solutions Jamie L. Ross, MD 8:40 a.m. - 9:00 a.m. Ischemic and High Flow Complications of Vascular Access Ivan D. Maya, MD 9:00 a.m. – 9:20 a.m. Clinical Vignettes /ARS Ivan D. Maya, MD Bharat Sachdeva, MD 9:20 a.m. – 9:30 a.m. Break Session V: Hemodialysis Catheters 9:30 a.m. – 9:50 a.m. Tunneled Dialysis Catheters Insertions Amy C. Dwyer, MD 9:50 a.m. – 10:10 a.m. Non -nfectious Complications of Tunneled HD Catheters Vandana Niyyar, MD 10:10 a.m. – 10:30 a.m. Catheter Related Bacteremia: Interventions, Antibiotic Locks Loay H. Salman, MD
  4. 4. Wednesday, November 17, 2010 (continued) 10:30 a.m. - 10:50 a.m. Clinical Vignettes /ARS Ivan D. Maya, MD Bharat Sachdeva, MD 10:50 a.m. – 11:00 a.m. Break Session VI: Peritoneal Dialysis Catheter 11:00 a.m. – 11:20 a.m. Peritoneal Dialysis Catheter Placement Bharat Sachdeva, MD 11:20 a.m. – 11: 40a.m. Peritoneal Dialysis as a Tool to Limit Hemodialysis Catheters Kenneth D. Abreo, MD 11:40 a.m. – 12:00 a.m. Diagnosis and Management of PD Complications Steven R. Ash, MD 12:00 a.m. – 12:15 p.m. Clinical Vignettes /ARS Ivan D. Maya, MD Bharat Sachdeva, MD 12:15 p.m. – 1:30 p.m. Lunch Session VII: Vascular Access Center 1:30 p.m. – 1:40 p.m. Role of Vascular Access Coordinator Deborah J. Brouwer, RN, CNN 1:40 p.m. – 1:50 p.m. Setting an Access Center and Training in Interventional Gerald A. Beathard, MD, PhD, FASN 1:50 p.m. – 2:00 p.m. Impact of Medicare Changes on Interventional Nephrology Micah R. Chan, MD 2:00 p.m. – 4:30 p.m. Workshops Workshop A: Tunneled Hemodialysis Catheters Steven R. Ash, MD Arif Asif, MD Micah R. Chan, MD Amy C. Dwyer, MD Vandana Niyyar, MD Bharat Sachdeva, MD
  5. 5. Workshop B: Endovascular Procedures Alexander S. Yevzlin, MD Tushar J. Vaccharajani, MD, FASN Loay H. Salman, MD Jamie L. Ross, MD Steven Wu, MD Ivan D. Maya, MD 14.0 AMA PRA Category 1 Credits™

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