PRE-CONGRESS HANDS-ON WORKSHOP

 The hands-on workshop is intended for those with no or limited experience or those wishing to refresh or improve their knowledge in the workshop topics. It gives an opportunity to gain familiarity with the most commonly used techniques and devices for 4 topics: hemodialysis catheter placement, arteriovenous fistula surveillance, endovascular procedures and vascular access surgery. Participants will learn how to use the appropriate devices. In addition, there will be the opportunity to bring their knowledge up to date, improve their skills and gain insightful advice from expert users.

Learning objectives:

  • To understand the principles of the procedures
  • To achieve a standardized technique in a step-by step fashion
  • To become familiar with devices and their handling
  • To discuss technical problems with experts
  • To learn technical tips and tricks
  • To understand how to avoid or minimize the most commonly encountered complications

Maximum number attendees: 80

Faculty: Recognized experts. Interventional nephrologists, Vascular surgeons, Interventional Radiologists.

Program:

  • Theoretical Concepts:
    • 30 minutes learning class on each topic
    • Theoretical introduction of concepts applied to each topic. Description of the technical aspects of different procedures, indication and techniques.
  • Hands-On sessions
    • Principles to practice: education and simulation skills training
    • Participants rotating between 4 areas
    • 90 minutes for each topic
    • Small group teaching allowing close interaction with faculty
    • Participants will learn how to use currently available devices for different procedures. Experienced tutors will discuss technical tips and tricks.
    • With Simulation Models, the attendee will learn:
      • How to perform the procedures
      • Manage procedural complications
      • Tips and tricks 

Topics:

  1. Fistula Evaluation by Ultrasound Examination

Review of the theory of the physical principles of ultrasound applied to different hemodynamic models of vascular access. Theoretical and practical sessions on ultrasound mapping and diagnosis of vascular access pathology. Hands-on practice with patients for mapping and determination of vascular access indication, on the one hand, and normal vascular access and with different types of pathology for diagnosis of stenosis, thrombosis, aneurysms, deep veins, etc., on the other.

  1. Endovascular Vascular Access Procedures

Review of the principles of endovascular procedures applied to different treatments of vascular access pathology. Hands-on practice to perfom vascular treatment of different pathologies with simulation models.

Will be used simulation models for treatment of endovascular stenosis with transluminal angioplasty/stenting procedure, thrombosis with thrombectomy; collaterals with coils deployment, etc.

  1. Vascular Access Surgery

Review of the principles of surgical procedures applied to arteriovenous fistula creation, both native and prosthetic. Hands-on practice for practice suturing artery and vein to create an anastomosis using various technique options. Vascular access reconstruction in different pathological conditions. Simulation models like suture box setting with dialysis access arm simulator will be used.

  1. Hemodialysis Catheter

Study of cervical and femoral human anatomy in patients. Ultrasound-guided puncture for central line placement on simulation models (human torso, phantom, catheter placement box setting and biological models such as turkey). Review of techniques and approaches. Temporary and tunneled catheter placement, from puncture to the tunnel creation.