COURSE PROGRAM


Wednesday Oct 27, 2010

SoDA (An Optional Pre-CiDA Course)    
Session I: Didactic Approach to Simulation     Moderators: Ingemar Davidson, MD, PhD, Bart Dolmatch, MD, Maurizio Gallieni, MD
1:30 PM  Welcome to SoDA     Speaker: Ingemar Davidson, MD, PhD
1:45 PM  Lessons from the Flight Deck     Speaker: Capt. Patrick Browne
2:15 PM  Simulation in Healthcare     Speaker: Eric Peden, MD
2:30 PM  Surgical Simulation     Speaker: Douglas Slakey, MD
2:45 PM  Central Vein Simulation Models for Catheter Placement     Speaker: Mauro Pittiruti, MD
3:00 PM  Simulation of Interventional Procedures     Speaker: Bart Dolmatch, MD
3:15 PM  Refreshment Break    
Session II: Hands-on Simulation of Dialysis Access     Moderator: Ingemar Davidson, MD, PhD
3:30 PM  Simulation of Interventional Dialysis Access     Speaker: Bart Dolmatch, MD
3:30 PM  Ultrasound Anatomy of Veins in Arm and Neck     Speaker: Mauro Pittiruti, MD
3:30 PM  Ultrasound-guided Cannulation of a Large-vessel by Home-made Simulator     Speaker: Daniele Biasucci, MD
3:30 PM  Ultrasound-guided Dialysis Access Cannulation by Home-made Simulator     Speaker: Sandra O'Rear, RN, BSN
5:30 PM  Panel Discussion and Questions from the Audience     Panelists: Daniele Biasucci, MD, Capt. Patrick Browne, Ingemar Davidson, MD, PhD, Bart Dolmatch, MD, Maurizio Gallieni, MD, Eric Peden, MD, Mauro Pittiruti, MD, Douglas Slakey, MD
5:45 PM  Adjourn    
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Thursday Oct 28, 2010

CiDA General Session - Day I    
Session I: Effective Dialysis Access     Moderator: Ingemar Davidson, MD, PhD
7:30 AM  Welcome and Introductory Polling     Speaker: Ingemar Davidson, MD, PhD
7:40 AM  The Art of Controversy     Speakers: Ingemar Davidson, MD, PhD, Bart Dolmatch, MD
7:50 AM  THE CONTROVERSIES in Initial Access    
7:50 AM  Peritonial Disease (PD) First: We Should Insist that PD Be Considered First     Speaker: Jack Work, MD
7:56 AM  Graft First: For Some Patients We Should Insist on Grafts First     Speaker: Michael Allon, MD
8:02 AM  Fistula First: When Does the Fistula First Breakthrough Initiative (FFBI) Think that an AVF Should NOT be Considered First?     Speaker: Lawrence Spergel, MD, FACS
8:08 AM  Discussion: Achieving National Standards for "First" Permanent Access     Panelists: Michael Allon, MD, Lawrence Spergel, MD, FACS, Jack Work, MD
8:20 AM  How to Convert Good Imaging to Good Surgical Results - Bridging the Information Gap     Speaker: Nicos Labropoulos, PhD, DIC, RVT
8:30 AM  60% AVF immaturity (DAC) and 81% Catheter Initiation of Hemodialysis. Can FFBI Fix This?     Speaker: Lawrence Spergel, MD, FACS
8:40 AM  The CONTROVERSIES in Who Should Create AVF's and Where is the Optimal Setting?    
8:40 AM  Surgeon: Why Surgeons Should Create AV Access in a Hospital-based Setting     Speaker: John Ross, MD
8:46 AM  Nephrologist: How Nephrologists Can Safely Create AV Access in an Outpatient Center     Speaker: Rick Mishler, MD
8:52 AM  Discussion: Availability, Safety, and Suitable Training of Physicians for AV Access Placement     Panelists: Rick Mishler, MD, John Ross, MD
9:00 AM  The Center Effect: Speaking of the Unspoken Impact of Teamwork     Speaker: Ingemar Davidson, MD, PhD
9:10 AM  CASE PRESENTATIONS: Will This AVF Mature?     Moderator: Bart Dolmatch, MD
Panelists: Michael Allon, MD, Abigail Falk, MD, Nicos Labropoulos, PhD, DIC, RVT, Rick Mishler, MD, John Ross, MD, Lawrence Spergel, MD, FACS
9:40 AM  Refreshment Break and Visit Exhibits    
Session II: AVF Immaturity     Moderator: Abigail Falk, MD
10:00 AM  The CONTROVERSIES in AVF Immaturity: Who Can We Blame?    
10:00 AM  Surgical Training Programs     Speaker: Mitchell Henry, MD
10:06 AM  We Really Don't Know How to Use Pre-op Vascular Mapping to Further Reduce Immaturity Rates     Speaker: Nicos Labropoulos, PhD, DIC, RVT
10:12 AM  Discussion: Let's Agree to Blame Bad Blood Vessels - They Won't Complain!     Panelists: Marc Glickman, MD, Mitchell Henry, MD, Nicos Labropoulos, PhD, DIC, RVT, Prabir Roy-Chaudhury, MD, PhD, Lawrence Spergel, MD, FACS
10:20 AM  Some AVF Veins Dilate and Some Don't, Why?     Speaker: Prabir Roy-Chaudhury, MD, PhD
10:30 AM  The Balloon that Dilates the Vein that Doesn't Dilate - Balloon-assisted Maturation     Speaker: Gregg Miller, MD
10:40 AM  Accessory Veins - What Are They and When Do They Matter?     Speaker: Rick Mishler, MD
10:50 AM  The CONTROVERSIES in Accessory Veins as a Cause of Immaturity - Fact or Fiction?    
10:50 AM  Fact: Accessory Veins Are a Real Cause of Immaturity     Speaker: Gerald Beathard, MD, PhD
10:56 AM  Fiction: There's No Proof that Accessory Veins Cause Immaturity     Speaker: Scott Trerotola, MD
11:02 AM  Discussion: How Can We Tell If an Accessory Vein Really Causes Immaturity?     Panelists: Gerald Beathard, MD, PhD, Scott Trerotola, MD
11:10 AM  Inflow Stenoses - Etiology and Treatment of Arterial and Juxta-anastomotic AVF Stenoses     Speaker: Abigail Falk, MD
11:20 AM  CASES PRESENTATIONS: Immature AV Fistulae - What Would the Experts Do?     Panelists: Gerald Beathard, MD, PhD, Abigail Falk, MD, Nicos Labropoulos, PhD, DIC, RVT, Gregg Miller, MD, Prabir Roy-Chaudhury, MD, PhD, Theodore Saad, MD, Scott Trerotola, MD
12:00 PM  Lunch and Visit Exhibits    
Session III: Treatment of Mature AV Access Dysfunction     Moderators: Bart Dolmatch, MD, Ziv Haskal, MD, FSIR, FAHA, FACR
1:00 PM  Access Patency Following PTA of AV Circuit Venous Outflow Stenosis - Good Enough?     Speaker: Shellie Josephs, MD
1:10 PM  Bare Metal Stents in AV Access: Update on Patency Results and Implications for Use     Speaker: Bart Dolmatch, MD
1:20 PM  Covered Stents for Access Intervention: From Here to Where?     Speaker: Ziv Haskal, MD, FSIR, FAHA, FACR
1:30 PM  Does the Infected Access Need to Be Removed?     Speaker: Ingemar Davidson, MD, PhD
1:40 PM  CASE PRESENTATIONS: Treating Problems in Mature AV Access     Panelists: Ingemar Davidson, MD, PhD, Ziv Haskal, MD, FSIR, FAHA, FACR, Shellie Josephs, MD, Rick Mishler, MD, Eric Peden, MD, Theodore Saad, MD, Loay Salman, MD
Session IV: Cardiovascular disease in the ESRD patient     Moderators: Ingemar Davidson, MD, PhD, John Warner, MD
2:30 PM  Incidence of Peripheral Arterial Disease (PAD) in Hemodialysis Patients     Speaker: Eric Peden, MD
2:40 PM  The CONTROVERSIES in Who's Responsible for Vascular Disease Care in the Dialysis Patient?    
2:40 PM  The Patient's Clinical Nephrologist     Speaker: Michael Allon, MD
2:46 PM  A Vascular Specialist     Speaker: Eric Peden, MD
2:52 PM  Discussion: What Should We Do About the Greatest Risk for Our Dialysis Patients?     Panelists: Michael Allon, MD, Eric Peden, MD, John Warner, MD
3:00 PM  Refreshment Break and Visit Exhibits    
3:20 PM  Cardiac Function in the ESRD Patient     Speaker: John Warner, MD
3:30 PM  Good Flow in an AV Access is Detrimental to the Heart in the ESRD Patient     Speaker: Michael Crawford, MD
3:30 PM  The CONTROVERSIES in AVF Flow and Its Effect on the Heart    
3:36 PM  Good Flow in an AV Access is an Excellent Afterload Reducer and Helps Cardiac Function in ESRD Patients     Speaker: John Warner, MD
3:42 PM  Discussion: Does a Good Fistula Provoke a Bad Heart?     Panelists: Michael Crawford, MD, John Warner, MD
3:50 PM  Chronic Rhythm Management Devices and Leads     Speaker: Loay Salman, MD
4:00 PM  The CONTROVERSIES in Subclavian CRMD Leads and Stents    
4:00 PM  Don't Ever Stent Over that Lead!     Speaker: Loay Salman, MD
4:06 PM  There Are Times to Stent Over that Lead!     Speaker: Theodore Saad, MD
4:12 PM  Discussion: How to Treat Lead-related Stenosis Now, and How to Avoid It in the Future     Panelists: Theodore Saad, MD, Loay Salman, MD
IT'S ACCESS ACADEMIC!     Moderator: Bart Dolmatch, MD
4:20 PM  Surgery Team     Panelists: Eric Chemla, MD, Douglas Slakey, MD, Lawrence Spergel, MD, FACS
4:20 PM  Nephrology Team     Panelists: Michael Allon, MD, Gerald Beathard, MD, PhD, Prabir Roy-Chaudhury, MD, PhD
4:20 PM  Interventional Radiology Team     Panelists: Abigail Falk, MD, Ziv Haskal, MD, FSIR, FAHA, FACR, Scott Trerotola, MD
5:00 PM  Adjourn    
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Friday Oct 29, 2010

CiDA General Session - Day II    
Session V: Arteriovenous Grafts (AVG's)     Moderator: Ingemar Davidson, MD, PhD
7:30 AM  Welcome and Introductory Polling     Speaker: Ingemar Davidson, MD, PhD
7:40 AM  The Achilles heel, toe, and floor of AVG's: What causes AVG venous anastomotic stenosis?     Speaker: Prabir Roy-Chaudhury, MD, PhD
7:50 AM  What we've learned from the Dialysis Access Consortium regarding AVG's     Speaker: Michael Allon, MD
8:00 AM  What being done to improve AVG primary and cumulative patency     Speaker: Marc Glickman, MD
8:10 AM  The CONTROVERSIES in PTA vs PTA/Stent Graft for AVG venous anastomotic stenoses    
8:10 AM  PTA unless a covered stent is needed     Speaker: Gerald Beathard, MD, PhD
8:16 AM  PTA with covered stent as primary treatment if anatomy permits     Speaker: Ziv Haskal, MD, FSIR, FAHA, FACR
8:22 AM  Discussion: Selection of therapies for maintaining AVG patency     Panelists: Gerald Beathard, MD, PhD, Ziv Haskal, MD, FSIR, FAHA, FACR
8:30 AM  AVG cannulation "pseudoaneurysms" - my approach     Speaker: John Ross, MD
8:40 AM  The CONTROVERSIES in the treatment of AV graft cannulation pseudoaneurysms    
8:40 AM  Covered stents when possible     Speaker: Thomas Vesely, MD
8:46 AM  Surgery is the gold standard     Speaker: Mitchell Henry, MD
8:52 AM  Discussion: What's the role of covered stents in repair of AV graft cannulation breakdown?     Panelists: Abigail Falk, MD, Mitchell Henry, MD
9:00 AM  CASE PRESENTATIONS: Strategies to maintain AVG function     Panelists: Abigail Falk, MD, Marc Glickman, MD, Mitchell Henry, MD, Gregg Miller, MD, John Ross, MD, Thomas Vesely, MD
9:40 AM  Refreshment Break and Visit Exhibits    
Session VI: The Swollen Arm in AV Access     Moderators: Gerald Beathard, MD, PhD, Bart Dolmatch, MD
10:00 AM  How bad is the problem of central vein obstruction in the dialysis population?     Speaker: Eric Chemla, MD
10:10 AM  A national strategy to avoid catheters     Speaker: Gerald Beathard, MD, PhD
10:20 AM  The CONTROVERSIES in when you see a central vein occlusion on the side of intended AV access creation    
10:20 AM  Treat the stenosis before surgery or consider a graft-catheter     Speaker: Gregg Miller, MD
10:26 AM  Place the AV access and worry about the obstruction if it's a problem     Speaker: Eric Chemla, MD
10:32 AM  Discussion: Timing of central vein intervention in relationship to AV access creation     Panelists: Eric Chemla, MD, Gregg Miller, MD, Jack Work, MD
10:40 AM  The swollen arm (due to central venous obstruction) - What we know and don't know     Speaker: Bart Dolmatch, MD
10:50 AM  Percutaneous techniques for reconstruction of the occluded central vein     Speaker: Shellie Josephs, MD
11:00 AM  Surgical techniques for central vein reconstruction     Speaker: Eric Peden, MD
11:20 AM  CASE PRESENTATIONS: Treatment of Symptomatic Central Vein Obstruction     Panelists: Eric Chemla, MD, Shellie Josephs, MD, Eric Peden, MD, Scott Trerotola, MD
12:00 PM  Lunch and Visit Exhibits    
Session VII: Clinics    
1:10 PM  Issues in the Dialysis Unit     Moderator: Brian LaMendola, RN, BSN
Panelists: Michael Allon, MD, Gerald Beathard, MD, PhD, Maurizio Gallieni, MD, Jack Work, MD
1:10 PM  Percutaneous AV Access Techniques     Moderator: Bart Dolmatch, MD
Panelists: Abigail Falk, MD, Ziv Haskal, MD, FSIR, FAHA, FACR, Gregg Miller, MD, Theodore Saad, MD, Loay Salman, MD
1:10 PM  Surgical AV Access Techniques     Moderator: Ingemar Davidson, MD, PhD
Panelists: Eric Chemla, MD, Marc Glickman, MD, Mitchell Henry, MD, Rick Mishler, MD, John Ross, MD, Douglas Slakey, MD
2:00 PM  Refreshment Break & Visit Exhibits    
Session VIII: Catheters for Hemodialysis     Moderators: Ingemar Davidson, MD, PhD, Thomas Vesely, MD
2:20 PM  The Emperor's new clothes? Are the effects of catheter coatings and surface treatments visible?     Speaker: Thomas Vesely, MD
2:30 PM  THE CONTROVERSIES in catheter coatings. Do biologically active catheters represent an advance?    
2:30 PM  Yes     Speaker: Thomas Vesely, MD
2:36 PM  We're still not sure     Speaker: Maurizio Gallieni, MD
2:42 PM  Discussion: Time to switch to a coated catheter? What will convince you?     Panelists: Michael Allon, MD, Maurizio Gallieni, MD, Scott Trerotola, MD, Thomas Vesely, MD, Jack Work, MD
2:50 PM  National standards for suspected catheter infection and catheter revision     Speaker: Jack Work, MD
3:00 PM  Is heparin the best solution? Other options for "locking" catheters     Speaker: Maurizio Gallieni, MD
3:10 PM  A hybrid graft/catheter device - are we smarter now that we've used it for 2 years?     Speaker: Marc Glickman, MD
3:20 PM  CASE PRESENTATION VI: Tips, maneuvers, and complications of central venous catheter access     Panelists: Maurizio Gallieni, MD, Marc Glickman, MD, Thomas Vesely, MD, Jack Work, MD
3:50 PM  Concluding Remarks     Speakers: Ingemar Davidson, MD, PhD, Bart Dolmatch, MD
4:00 PM  Adjourn    
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COURSE DIRECTORS
Ingemar Davidson, M.D., Ph.D.
Professor, Department of Surgery
University of Texas
Southwestern Medical Center of Dallas
Bart Dolmatch, M.D.
Professor, Department of Radiology
University of Texas
Southwestern Medical Center of Dallas

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