---
title: "2019 Practicum"
description: "The Vascular Access Society of the Americas (VASA) is a multidisciplinary organization dedicated to enhancing dialysis access care through education, research, and advocacy. Join VASA for expert-led events, access the Journal of Vascular Access, and connect with professionals committed to advancing"
url: "https://vasamd.org/events/practicum/2019"
date: "2026-06-13T05:03:48+00:00"
language: "en-GB"
---

#  2019 Practicum

![](https://vasamd.org/_resources/images/practicum/2019/banner.jpg)The VASA Practicum provides a rare opportunity for healthcare professionals to have “hands-on” experience with surgical and interventional procedures for creating &amp; 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 &amp; 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 |

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    "headline": "2019 Practicum",
    "description": "2019 Practicum The VASA Practicum provides a rare opportunity for healthcare professionals to have “hands-on” experience with surgical and interventional procedures for creating &amp; 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 &amp; 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 AcessSpeaker: Linda Le, MD Access Thrombectomy- When to Move on to New AccessSpeaker: Dirk Hentschel, MD Aneurysms - Which to Treat and HowSpeaker: Yael Vin, MD {show usergroup="Registered"} Download Presentation {/show} PD Problems - Drain Pain, Peritonitis, PositionalSpeaker: John Crabtree, MD {show usergroup="Registered"} Download Presentation {/show} Perc AVF's- Getting from Bruit to TDC Free HDSpeaker: John Aruny, MD {show usergroup="Registered"} Download Presentation {/show} 09:00 AM - 09:40 AM General Sessions II Case Discussions - What To Do?Speaker: Eric Peden, MD Panel DiscussionsSpeakers: 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 TreatingSpeaker: Charles Kim, MD {show usergroup="Registered"} Download Presentation {/show} Leg AVF - When and How to Do ItSpeakers: Surendra Shenoy, MD {show usergroup="Registered"} Download Presentation {/show} Approach to StealSpeakers: Steve Hohman, MD {show usergroup="Registered"} Download Presentation {/show} Flow Reduction- What Works WhenSpeakers: Aris Urbanes, MD {show usergroup="Registered"} Download Presentation {/show} ACO's, Reimbursement ChangesSpeakers: Surendra Shenoy, MD {show usergroup="Registered"} Download Presentation {/show} DCB/DES - What's the Role in Access?Speakers: Prabir Roy-Chaudury, MD {show usergroup="Registered"} Download Presentation {/show} 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 {show usergroup="Registered"} Download Presentation {/show} Aneurysm or Pseudoaneurysm Formation - Oh My! Speakers: Janet Holland, RN, CNN {show usergroup="Registered"} Download Presentation {/show} Proper Documentation for Cannulation or Access Findings - Critical Skill Speakers: Nancy Foss {show usergroup="Registered"} Download Presentation {/show} Ultrasound in the Dialysis Facility - You Can Do It! Speakers: Forrest Rawls, CHT, CCHTA, FNKF {show usergroup="Registered"} Download Presentation {/show} 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 {show usergroup="Registered"} Download Presentation {/show} 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 {show usergroup="Registered"} Download Presentation {/show}Speaker: Bob Lee, MD Biological Graft Development Progress Speakers: Jeffrey Lawson, MD {show usergroup="Registered"} Download Presentation {/show} Sirolimus AVF Trial UpdateSpeakers: Sriram Iyer, MD External AVF Support Speakers: Mitchell Henry, MD {show usergroup="Registered"} Download Presentation {/show} Inside out CVO Crossing Technique and Device Speakers: Monnie Wasse, MD {show usergroup="Registered"} Download Presentation {/show} Development of a Puncture Tolerant Graft Speakers: Shawn Gage, MD {show usergroup="Registered"} Download Presentation {/show} IVUS in Access - What's the Role? Speakers: Steve Hohman, MD {show usergroup="Registered"} Download Presentation {/show} Elastase on Fistulas and Grafts Speakers: C. Ozaki, MD {show usergroup="Registered"} Download Presentation {/show} AFE System Speakers: Surendra Shenoy, MD {show usergroup="Registered"} Download Presentation {/show} Discussion Moderators: John Lucas III, MD; Mitchell Henry, MD",
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    "datePublished": "2025-06-20T21:46:40+00:00",
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