Program

PHYSICIAN & PHARMACIST PROGRAM

Interventional Nephrology

Tuesday, April 2, 7:30am - 5:15pm
Co-Directors: Amy Dwyer, M, and Ramesh Soundarajan, MD
Session 222, 7.5 credits

Target Audience:
Designed for clinical nephrologists, nephrology fellows, advanced practitioners and other health care professionals caring for patients with chronic kidney disease.

Course Description:
This course provides a well rounded education about hemodialysis access, peritoneal dialysis and ultrasound principles. The course will focus on vascular access care as part of a general nephrology practice. It is also an introduction to a variety of interventional and diagnostic procedures used by interventional nephrologists to establish, monitor and maintain a healthy and functional dialysis access. These procedures include: diagnostic and ultrasound guided renal biopsy, placement of temporary and permanent central venous catheters for hemodialysis, placement of peritoneal dialysis catheters, vascular mapping, monitoring and surveillance of vascular access, and salvage procedures for failing or thrombosed arterio-venous fistulas and grafts. In addition, hands-on training workshops will help the participant appreciate the full extent of the course by focusing on physical exam of the vascular access, insertion of tunneled dialysis catheters, percutaneous balloon angioplasty, mechanical thrombectomy procedures and ultrasound applications in renal patients.

Course Objectives:
Upon completion of this course, participants will be able to:

Recognize the anatomy of the vessels commonly used for hemodialysis access.
Describe the proper physical exam of a dialysis vascular access
Review the pre-operative evaluation for hemodialysis vascular access placement
Identify vascular access surveillance techniques
Identify the signs and symptoms of vascular access dysfunction
Differentiate the possibilities of hand ischemia by patient history and physical exam
Analyze basic interventional techniques used to diagnose and treat vascular access dysfunction
Identify the techniques for peritoneal catheter placement
Describe the indications for renal artery imaging
Discuss the tunneled catheter placement procedure
Manage dialysis catheter dysfunction
Summarize the indications and appropriate patient population for PD catheter placement
Review the possible uses of renal ultrasound
Review indications and contraindications for renal biopsy
Describe the role of a vascular access coordinator

Course Agenda
Time	Topic	Faculty
7:30am – 7:50am	Continental Breakfast
7:50am – 7:55am	Welcome and Introductions	Amy Dwyer, MD
7:55am – 8:00am	ASDIN President’s Welcome	Aris Urbanes, MD
PLANNING AND PLACING A NEW ACCESS
8:00am – 8:15am	Physical Exam of a Vascular Access	Kenneth Abreo, MD
8:15am – 8:30am	Pre-operative Evaluation for Vascular Access Placement	Gerald Beathard, MD, PhD
8:30am – 8:45am	Surgical Considerations	Eric Peden, MD
8:45am – 8:50am	Questions	All Faculty
THE DYSFUNCTIONAL ACCESS
8:50am – 9:05am	Symptoms and Management of Vascular Access Dysfunction	Gerald Beathard, MD, PhD
9:05am – 9:15am	Is My New Fistula Ready? When Should I Intervene?	George Nassar, MD
9:15am – 9:30am	Hand Ischemia: Physical Exam, Diagnosis and Management	Arif Asif, MD, FNKF
9:30am – 9:40am	The Failing Access: When Should I Send My Patient for Secondary Fistula?	Anil Agarwal, MD, FNKF
SPECIAL POPULATIONS
9:40am – 9:50am	Vascular Access and Cardiac Dysfunction	Tushar Vaccharajani, MD, FASN, FACP
9:50am – 10:00am	Vascular Access in the Elderly	Louise Moist, MD, MSc, FRCPC
10:00am – 10:10am	Anticoagulation and Vascular Access	Anil Agarwal, MD, FNKF
10:10am – 10:20am	Questions	All Faculty
10:20am – 10:40am	Break
DIALYSIS CATHETERS
10:40am – 10:50am	Tunneled Catheter Placement	Amy Dwyer, MD
10:50am – 11:05am	Tunneled Hemodialysis Catheter-Dysfunction: How Do I Manage It?	Tushar Vachharajani, MD, FASN, FACP
11:05am – 11:20am	Tunneled Hemodialysis Catheter Infection: How Do I Manage It?	Dirk Hentchel, MD
ULTRASOUND IMAGING
11:20am – 11:30am	Native and Transplant Renal Ultrasound: The Normal Kidney	Vandana Niyyar, MD
11:30am – 11:40am	The Abnormal Renal Ultrasound: What is the Diagnosis?	Bharat Sachdeva, MD
11:40am – 11:50am	Vascular Ultrasound: Imaging and Techniques	Adrian Sequeira, MD
11:50am – 12:00pm	Questions	All Faculty
12:00pm- 1:00pm	Lunch
PERITONEAL CATHETERS
1:00pm – 1:15pm	Peritoneal Dialysis: Is It First Choice or Last Resort?	Kenneth Abreo, MD
1:15pm – 1:30pm	Peritoneal Dialysis Catheter Placement	Bharat Sachdeva, MD
1:30pm – 1:45pm	Non-Infectious Complications of PD	Stephen Ash, MD
INTERVENTIONAL NEPHROLOGY PRACTICE
1:45pm – 1:55pm	Setting Up a Vascular Lab	Aris Urbanes, MD
1:55pm – 2:05pm	Interventional Training and Certification	Vandana Niyyar, MD
2:05pm – 2:15pm	Radiation Safety, Selection, and IV Contrast in CKD	Adrian Sequeria, MD
2:15pm – 2:25pm	Academic vs. Private Practice	Ramesh Soundarajan, MD
2:25pm – 2:35pm	Questions	All Faculty
2:35pm – 2:50pm	Interesting Cases	Amy Dwyer, MD, and Ramesh Soundarajan, MD
2:50pm – 3:00pm	Break
3:00pm – 5:15pm	WORKSHOPS
	Workshop A – Physical Exam	Tushar Vachharajani, MD, FASN, FACP, Arif Asif, MD, FNKF, and Louise Moist, MD, MSc, FRCPC
	Workshop B – Renal Ultrasound	Vandana Niyyar, MD, Ramesh Soundarajan, MD, Bharat Sachdeva, MD, and Adrian Sequeria, MD
	Workshop C – Endovascular Procedures	Gerald Beathard, MD, PhD, Eric Peden, MD, Kenneth Abreo, MD, and Aris Urbanes, MD
	Workshop D – Tunneled Catheter Placement	George Nassar, MD, Dirk Hentchel, MD, Stephen Ash, MD, and Anil Agrawal, MD, FNKF

Required: Separate registration fee of $200 ($250 when registration for the course only). Includes breakfast, boxed lunch, course syllabus, and CME/CE credit.

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