Program

PhysicianPHYSICIAN PROGRAM TRACK

Interventional Nephrology

Wednesday, May 9, 2012
7:30am – 5:15pm
Course Directors: Loay Salman, MD, Amy Dwyer, MD

Target Audience:
This course is 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:

  1. Recognize the anatomy of the vessels commonly used for hemodialysis access.
  2. Learn the proper physical exam of a dialysis vascular access
  3. Learn the pre-operative evaluation for hemodialysis vascular access placement
  4. Understand vascular access surveillance techniques
  5. Understand the signs and symptoms of vascular access dysfunction
  6. Differentiate the possibilities of hand ischemia by patient history and physical exam
  7. Become familiar with basic interventional techniques used to diagnose and treat vascular access dysfunction
  8. Become familiar with the techniques for peritoneal catheter placement
  9. Understand the indications for renal artery imaging
  10. Become familiar with the tunneled catheter placement procedure
  11. Learn how to manage dialysis catheter dysfunction
  12. Learn how to manage catheter-related bacteremia
  13. Learn the indications and appropriate patient population for PD catheter placement
  14. Understand the possible uses of renal ultrasound
  15. Understands indications and contraindications for renal biopsy
  16. Understand the role of a vascular access coordinator

Agenda:

Time Topic Faculty

7:30am - 7:50am

Continental Breakfast

 

7:50am - 7:55am

Welcome and Introduction

Loay Salman, MD, Amy Dwyer, MD

Planning and Placing a New Access

7:55am - 8:00am

ASDIN President's Welcome

Aris Urbanes, MD

8:00am - 8:15am

Physical exam of a vascular access

Arif Asif, MD, FNKF

8:15am - 8:30am

Vein preservation: when, how and why?

Jamie Ross, MD

8:30am - 8:45am

Vessel Mapping, When and how?

Vandana Niyyar, MD

The Dysfunctional Access

8:45am - 9:00am

Access Surveillance, Should we do it?

Alexander Yevzlin, MD

9:00am - 9:15am

Signs and symptoms of access dysfunction

Kevin Harned, MD

9:15am - 9:30am

Management of access dysfunction

Aris Urbanes, MD

9:30am - 9:45am

Is my new fistula ready? What is an Immature Fistula? When should I intervene?

Gerald Beathard, MD, PhD

1:00pm-2:00pm

MBD in the CKD-ESRD pt/ Using biophosphonates in the CKD-ESRD pt

Ted Bottlier PA-C

9:45am - 10:00am

Hand Ischemia: physical exam, diagnosis and management

Loay Salman, MD

10:00am - 10:15am

The failing access, when should I send patient for secondary fistula?

Anil Agrawal, MD

10:15am - 10:25am

Questions

 

10:25am -10:40am

Break

 

Dialysis Catheters

10:40am - 10:50am

Tunneled Hemodialysis Catheter Placement

Amy Dwyer, MD

10:50am - 11:00am

Tunneled Hemodialysis Catheter dysfunction, how do I manage it?

Anthony Samaha, MD

11:00am - 11:10am

Tunneled Hemodialysis Catheter-related bacteremia, how do I manage it?

Tushar Vachharajani, MD, FACP, FASN

Renal Imaging

11:10am - 11:25am

Renal Ultrasound

Vandana Niyyar, MD

11:25am - 11:40am

Renal biopsy

Bharat Sachdeva, MD

11:40am - 11:55pm

Renal artery interventions, when should we consider it?

Alexander Yevzlin, MD

11:55am - 12:00pm

Questions

 

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

Management of dysfunctional peritoneal dialysis catheters

Kenneth Abreo, MD

1:45pm - 2:00pm

The role of a vascular access coordinator

Paula Shelton, RN

2:00pm - 2:15pm

Buttonholes, should we use them?

Arif Asif, MD

2:15pm - 2:25pm

Questions

 

2:25pm - 2:45pm

Interesting Cases

Loay Salman, MD, Amy Dwyer, MD

2:45pm - 3:00pm

Assignments and Workshop Break

 

3:00pm – 5:00pm

Workshops (30 minute blocks each)

Physical Exam

Arif Asif, MD, Kevin Harned, MD Paula Shelton, RN, Alexander Yevzlin, MD

Renal Ultrasound

Vandana Niyyar, MD, Kenneth Abreo, MD, Bharat Sachdeva, MD

Endovascular Techniques

Anil Agrawal, MD, Aris Urbanes, MD, Gerald Beathard, MD

Tunneled Catheter Placement

Anthony Samaha, MD, Tushar Vachharajani, MD, Jamie Ross, MD

 

REQUIRED: Additional registration fee of $175 / $75 for fellows and residents ($225 when registering for the course only); includes syllabus, breakfast, boxed lunch, and CME/CE credits.