Vascular Access Society of the Americas

VASA 2019 Practicum

May 10 - 12, 2019
Methodist Hospital
Houston, Texas

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.

The program will allow participants 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

This practicum 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.

THURSDAY, MAY 9, 2019

07:00 PM - 09:00 PM

Registration | Welcome Reception

FRIDAY, MAY 10, 2019

06:30 AM - 07:00 AM

Registration | Continental Breakfast

07:00 AM - 07:30 AM

Welcome

07:00 AM - 07:30 AM

General Session

All Attendees

PHYSICIAN ACTIVITY CONCURRENTS

08:00 AM - 10:00 AM

SESSION I

Live cases transmitted from Orangeburg and the Houston Methodist ORs with panel discussion

Dialysis access surgery and interventions with panelists from both surgical and interventional backgrounds to discuss


Percutaneous AVF instruction and deployment in a model

Learn patient selection, do ultrasounds to evaluate eligibility and prediction of success, and deploy both devices


PD placement, both percutaneous and laparascopic

Experts on hand to demonstrate best techniques for success


Percutaneous interventions in pig models with different grafts, HeRO grafts

Experts on hand to demonstrate best techniques for success


Anatomic exposures on a cadaver

Review the anatomy pertinent to dialysis i.e. perforator anatomy, cutaneous nerves that cause symptoms, central venous structures with rib and clavicle removal, femoral fistula dissection, and more.


HeRO station

Learn HeRO placement techniques and tips from experts


Live patient evaluations with examination and US interrogation

Most patient issues can be solved simply by a focused history, exam, and bedside Ultrasound. Not every aneurysm needs to be repaired, not every fistula needs to be “perfect”, and not all tingly fingers need a procedure. Come evaluate patients and discuss with the faculty.

ALLIED HEALTH ACTIVITY CONCURRENTS

08:00 AM - 10:00 AM

SESSION I

Live cases transmitted from Orangeburg and the Houston Methodist ORs with panel discussion

Watch live dialysis access surgery and interventions with panelists from both surgical and interventional backgrounds to discuss


Live patient evaluations with examination and US interrogation

Most patient issues can be solved simply by a focused history, exam, and bedside Ultrasound. Not every aneurysm needs to be repaired, not every fistula needs to be “perfect”, and not all tingly fingers need a procedure. Come evaluate patients and discuss with the faculty.


Access Station

Learn Ultrasound guided punctures, handle different graft materials to see the unique qualities, examine fistula/graft simulators, review US reports and learn what they mean, see anatomy on a cadaver with important exposures

10:00 AM - 10:30 AM

Break | Exhibits

PHYSICIAN ACTIVITY CONCURRENTS

10:30 AM - 12:30 PM

SESSION II

Live cases transmitted from Orangeburg and the Houston Methodist ORs with panel discussion

Dialysis access surgery and interventions with panelists from both surgical and interventional backgrounds to discuss


Percutaneous AVF instruction and deployment in a model

Learn patient selection, do ultrasounds to evaluate eligibility and prediction of success, and deploy both devices


PD placement, both percutaneous and laparascopic

Experts on hand to demonstrate best techniques for success


Percutaneous interventions in pig models with different grafts, HeRO grafts

Experts on hand to demonstrate best techniques for success


Anatomic exposures on a cadaver

Review the anatomy pertinent to dialysis i.e. perforator anatomy, cutaneous nerves that cause symptoms, central venous structures with rib and clavicle removal, femoral fistula dissection, and more.


HeRO station

Learn HeRO placement techniques and tips from experts


Live patient evaluations with examination and US interrogation

Most patient issues can be solved simply by a focused history, exam, and bedside Ultrasound. Not every aneurysm needs to be repaired, not every fistula needs to be “perfect”, and not all tingly fingers need a procedure. Come evaluate patients and discuss with the faculty.

ALLIED HEALTH ACTIVITY CONCURRENTS

10:30 AM - 12:30 PM

SESSION II

Live cases transmitted from Orangeburg and the Houston Methodist ORs with panel discussion

Watch live dialysis access surgery and interventions with panelists from both surgical and interventional backgrounds to discuss


Live patient evaluations with examination and US interrogation

Most patient issues can be solved simply by a focused history, exam, and bedside Ultrasound. Not every aneurysm needs to be repaired, not every fistula needs to be “perfect”, and not all tingly fingers need a procedure. Come evaluate patients and discuss with the faculty.


Access Station

Learn Ultrasound guided punctures, handle different graft materials to see the unique qualities, examine fistula/graft simulators, review US reports and learn what they mean, see anatomy on a cadaver with important exposures

12:30 PM - 01:30 PM

Lunch Lecture - An interactive patient discussion with patient panelists talking about their dialysis experience

PHYSICIAN ACTIVITY CONCURRENTS

01:30 PM - 03:30 PM

SESSION III

Live cases transmitted from Orangeburg and the Houston Methodist ORs with panel discussion

Dialysis access surgery and interventions with panelists from both surgical and interventional backgrounds to discuss


Percutaneous AVF instruction and deployment in a model

Learn patient selection, do ultrasounds to evaluate eligibility and prediction of success, and deploy both devices


PD placement, both percutaneous and laparascopic

Experts on hand to demonstrate best techniques for success


Percutaneous interventions in pig models with different grafts, HeRO grafts

Experts on hand to demonstrate best techniques for success


Anatomic exposures on a cadaver

Review the anatomy pertinent to dialysis i.e. perforator anatomy, cutaneous nerves that cause symptoms, central venous structures with rib and clavicle removal, femoral fistula dissection, and more.


HeRO station

Learn HeRO placement techniques and tips from experts


Live patient evaluations with examination and US interrogation

Most patient issues can be solved simply by a focused history, exam, and bedside Ultrasound. Not every aneurysm needs to be repaired, not every fistula needs to be “perfect”, and not all tingly fingers need a procedure. Come evaluate patients and discuss with the faculty.

ALLIED HEALTH ACTIVITY CONCURRENTS

01:30 PM - 03:30 PM

SESSION III

Live cases transmitted from Orangeburg and the Houston Methodist ORs with panel discussion

Watch live dialysis access surgery and interventions with panelists from both surgical and interventional backgrounds to discuss


Live patient evaluations with examination and US interrogation

Most patient issues can be solved simply by a focused history, exam, and bedside Ultrasound. Not every aneurysm needs to be repaired, not every fistula needs to be “perfect”, and not all tingly fingers need a procedure. Come evaluate patients and discuss with the faculty.


Access Station

Learn Ultrasound guided punctures, handle different graft materials to see the unique qualities, examine fistula/graft simulators, review US reports and learn what they mean, see anatomy on a cadaver with important exposures

03:30 PM - 04:00 PM

Refreshment Break & Exhibitis

04:00 PM - 05:00 PM

Vascular Access Clinic

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

SATURDAY, MAY 11, 2019

07:00 AM - 07:30 AM

Industry Breakfast

07:30 AM - 08:00 AM

Continental Breakfast

08:00 AM - 09:00 AM

General Sessions I

  • Trans-Radial Interventions in Acess
    Speaker: Linda Le, MD
  • Access Thrombectomy- When to Move on to New Access
    Speaker: Dirk Hentschel, MD
  • Aneurysms - Which to Treat and How
    Speaker: Yael Vin, MD
  • PD Problems - Drain Pain, Peritonitis, Positional
    Speaker: John Crabtree, MD
  • Perc AVF's- Getting from Bruit to TDC Free HD
    Speaker: John Aruny, MD

09:00 AM - 09:40 AM

General Sessions II

  • Case Discussions - What To Do?
    Speaker: Eric Peden, MD
  • Panel Discussions
    Speakers: Alex Mallios, MD; Janet Holland, RN, CNN; C. Ozaki, MD; Yael Vin, MD; Monnie Wasse, MD; Aris Urbanes, MD

09:40 AM - 10:00 AM

Break

PHYSICIAN ACTIVITY

10:00 AM - 12:00 PM

General Sessions III

  • Central Vein Occlusion- Crossing and Treating
    Speaker: Charles Kim, MD
  • Leg AVF - When and How to Do It
    Speakers: Surendra Shenoy, MD
  • Approach to Steal
    Speakers: Steve Hohman, MD
  • Flow Reduction- What Works When
    Speakers: Aris Urbanes, MD
  • ACO's, Reimbursement Changes
    Speakers: Surendra Shenoy, MD
  • DCB/DES - What's the Role in Access?
    Speakers: Prabir Roy-Chaudury, MD

Moderators: Charles Kim, MD; Dirk Hentschel, MD

ALLIED HEALTH ACTIVITY

10:00 AM - 12:00 PM

General Sessions III

    • Wow That AVF Needle Is Sharp - What Damage Can It Do?
      Speaker: Shawn Gage, MD
    • Aneurysm or Pseudoaneurysm Formation - Oh My!
      Speakers: Janet Holland, RN, CNN
    • Proper Documentation for Cannulation or Access Findings - Critical Skill
      Speakers: Nancy Foss
    • Ultrasound in the Dialysis Facility - You Can Do It!
      Speakers: Forrest Rawls, CHT, CCHTA, FNKF
    • So I Got the Report - What Does it Mean?
      Speakers: Charu Bavare, MD
    • Noon Easy to Use Access Tools - One Minute Check Full Set for Access Planning to Healing/Maturing and Beyond!
      Speakers: Deb Brouwer, RN, CNN

Moderators: Deb Brouwer, RN, CNN; Janet Holland, RN, CNN

ALL ATTENDEES

10:00 AM - 12:00 PM

General Sessions IV

  • FDA Considerations and Requirements for New Dialysis Device Approval
    Speaker: Bob Lee, MD
  • Biological Graft Development Progress
    Speakers: Jeffrey Lawson, MD
  • Sirolimus AVF Trial Update
    Speakers: Sriram Iyer, MD
  • External AVF Support
    Speakers: Mitchell Henry, MD
  • Inside out CVO Crossing Technique and Device
    Speakers: Monnie Wasse, MD
  • Development of a Puncture Tolerant Graft
    Speakers: Shawn Gage, MD
  • IVUS in Access - What's the Role?
    Speakers: Steve Hohman, MD
  • Elastase on Fistulas and Grafts
    Speakers: C. Ozaki, MD
  • AFE System
    Speakers: Surendra Shenoy, MD
  • Discussion

Moderators: John Lucas III, MD; Mitchell Henry, MD