Program Book - Keck School of Medicine of USC - University of ...

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PROGRAM AGENDA7:00 am Registration and Continental Breakfast8:00 am Course OverviewFred A. Weaver, MD, MMMSession I: Basic ConceptsModerator: Vincent L. Rowe, MD8:10 am ESRD in 2012: Socio-Economic ImpactJuan Carlos Jimenez, MD8:30 am Principles of Hemodialysis and Access CannulationMitra Nadim, MD8:50 am Vascular Access Planning and Pre-Op EvaluationFred A. Weaver, MD, MMM9:10 am What’s New in Vascular Grafts?Scott Berman, MD9:30 am Panel Discussion9:50 am BreakSession II Vascular Access TechniquesModerator: Fred A. Weaver, MD, MMM10:10 am Options and Strategies for Upper Extremity Arteriovenous Fistula CreationChristian deVirgilio, MD10:30 am Lower Extremity Dialysis AccessAhmed AbouZamZam, MD10:50 am Pediatric Vascular AccessVincent L. Rowe, MD11:10 am Options for End Stage Dialysis AccessWilliam M. Lee, MD11:30 am Panel DiscussionInvited Lecture11:50 am Three Rules to Break in Vascular Access SurgerySamuel Eric Wilson, MD- Gaspar Visiting Professor12:30 pm LunchSession III Vascular Access Complications IModerator: Karen Woo, MD1:45 pm Vascular Access Surveillance, Is It Worth It?Christian Ochoa, MD2:05 pm Management of the Non-Maturing Arteriovenous FistulaAlik Farber, MD7
2:25 pm Vascular Access Infections, Medical, Surgical ManagementRobert Hye, MD2:45 pm Panel Discussion3:05 pm BreakSession IVModerator:Vascular Access Complications IIFred A. Weaver, MD, MMM3:25 pm Ischemic Steal, Diagnosis and ManagementJoseph Mills, MD3:45 pm The Management of Thrombosed and Failing Fistulas/GraftsDavid Shavelle, MD4:05 pm Aneurysmal Fistula Reduction and ReconstructionKaren Woo, MD4:25 pm Panel Discussion4:45 pm Adjourn8
Page 1 and 2: Program Book
Page 3 and 4: Needs AssessmentOver 370,000 patien
Page 5 and 6: ACKNOWLEDGEMENTSWe would like to th
Page 7: No relevant financial relationships
Page 11 and 12: ESRD in 2012: Socio-economicImpactJ
Page 13 and 14: Geographic variations in adjustedin
Page 15 and 16: Adjusted all-cause & cause specific
Page 17 and 18: ESRD-International ComparisonsPreva
Page 19 and 20: Outcomes for first-time wait-listed
Page 21 and 22: NOTES______________________________
Page 23 and 24: Vascular Access Planning andPreoper
Page 25 and 26: • Veins not circular but ovoid, m
Page 27 and 28: VENOGRAM+ -CFDI+ 17(true positive)-
Page 29 and 30: • Thorough preoperative assessmen
Page 31 and 32: NOTES______________________________
Page 33 and 34: Options and Strategies forUpper Ext
Page 35 and 36: Cimino (radiocephalic) AVFPotential
Page 37 and 38: Two Stage BBAVFStage 1 anastomosis
Page 39 and 40: Brachial Artery-Brachial Vein AVFSu
Page 41 and 42: Forearm AV GraftsLarge surface area
Page 43 and 44: Comparison of brachial-basilic AVfi
Page 45 and 46: Racial differences in AVfistula rat
Page 47 and 48: THANK YOU!46
Page 49 and 50: Lower ExtremityDialysis AccessAhmed
Page 51 and 52: Lower Extremity Dialysis AccessWhat
Page 53 and 54: Lower Extremity Dialysis AccessData
Page 55 and 56: Lower Extremity Dialysis AccessData
Page 57 and 58: Thank You!LLUMC56
Page 59 and 60:
NOTES______________________________
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NOTES______________________________
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When to Break the Guidelines in Vas
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efore initiation of dialysis. It fu
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NOTES______________________________
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Vascular AccessSurveillanceIs it wo
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Monitoring Vs. SurveillanceClinical
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Vascular Access Surveillance• Obs
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Vascular Access SurveillanceRandomi
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Vascular Access SurveillanceRandomi
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So why does preemptiveangioplasty n
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• ConclusionAccess Surveillance
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Management of the Non-MaturingArter
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Specific Definition• “…use of
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AVF Maturation in Clinical Practice
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Hemodialysis Fistula MaturationCons
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Physical Exam of AVF• Has an accu
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Significant Accessory VeinsSurgical
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Venous Stenosis in AVF Body/Outflow
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Deep or Excessively Tortuous AVF•
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Robert Hye, MD September 27, 2012Ka
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Influence of Access Type onInfectio
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Prevention of HemodialysisAccess In
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Summary of CatheterManagement in CR
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Partial versus Total GraftExcision
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Infected Autogenous DialysisFistula
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Ischemic Steal Syndrome due to Hemo
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Figure 2: (From JACS 2000: Wixon et
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Theoretically the presence of a lar
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Treatment of Ischemic Steal Syndrom
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performing a femoral-femoral bypass
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Ligation may still be an option for
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arterio-venous fistula. Acta Chir S
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David Shavelle, MD September 27, 20
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Definitions• Early (Primary) Fail
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Dual-Sheath TechniqueStep 1: Thromb
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Role of Stent Placement• Stenting
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ComplicationsPulmonary Embolism~10%
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PrePostMedical Therapy• Clopidogr
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Karen Woo, MD September 27, 2012Ass
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Dilation occurs over several years
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Replace with interposition graft◦
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Heparin Proximal and distal control
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144
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Perioperative variableOperative tim
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148
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POLICY ON CULTURAL AND LINGUISTIC C
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KECK SCHOOL OF MEDICINE OF THE UNIV
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