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.

PHOTO GALLERY

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