CiDA 2019  | Oct. 30th - NOV. 1st, 2019

SoDA 2019 | OCTOBER 30th, 2019

Manchester Grand Hyatt, San Diego, CA


Simulation of Dialysis Access (SoDA)

Vascular Access Simulation Training

The annual SoDA course is an intensive, interactive, innovative, half-day learning opportunity that takes place prior to the start of CiDA. Designed to address the increasing challenges associated with vascular access technique and decision making, SoDA teaches improved, surgical and interventional skills, aiming to enhance physician decision making. Modeled in-part after the airlines approach to improve flight safety, SoDA explores best practices in dialysis access to reduce complications. Attend SoDA for a memorable experience that is sure to change the way you think about and practice dialysis access procedures.


Course Directors

Ingemar Davidson, M.D., Ph.D.
Tulane University
New Orleans, LA
Bart L. Dolmatch, M.D., FSIR
Palo Alto Medical Foundation
Mountain View, CA





12:00 – 1:00 PM     Registration

12:50 – 12:55 PM   Welcome and Introduction

1:00 – 5:05 PM       Start rotations


Station 1

Peritoneal Dialysis Catheter Placement Simulation: Using an abdominal torso with artificial internal organs the trans-rectus muscle PD catheter is placed in a realistic simulated procedure. Additional procedures including fluoroscopically guided PD catheter placement will be addressed. Faculty: Dr. Hohmann


Station 2

Sedation and Blocks: Supra and infra-Clavicular blocks for dialysis access anesthesia using a simulation and video demonstration of the anatomical detail for navigating safe needle insertion. Faculty: Dr. Kelner


Station 3

How is Dialysis Done?  Demo machine, with live patients. The complete hemo-dialysis procedure steps are shown in this simulated demonstration of machine setting and blood flow measurements. This station will display the hemodialysis machine components and function, blood pump speeds, access recirculation, arterial and venous pressure, needle types and size related to pump speed, Hemodialysis Monitor Demonstration, evaluate the access flow for high output cardiac failure. Patients with access will undergoing physical examination. Faculty: Drs. Beathard and Sor, Ms. O’Rear and Simulation Technical Team


Station 4

Cannulation Simulation: Ultrasound Guided cannulation with two needles at flow rate of 450-500 ml/min into a Simulator Arm loop graft. Faculty: Dr. Khawaja


Station 5

Ultrasound Vascular Mapping: Using live subjects and patients with functioning vascular access.  Pre-Operative vessel mapping and postoperative follow up, the vascular anatomy and blood flow are used to discuss the options for the appropriate action guided by the specific findings. Faculty: Dr. Lok and Ms. Bartley


Station 6

PTA and Beyond: Plain Old Balloon Angioplasty, Mechanically modified PTA balloons, and Drug Coated Balloons. Case-based approach to Juxta-anastomotic and Cephalic Arch stenosis with technique, sizing, and other technical details to achieve optimal PTA outcomes. Faculty: Drs. Balamuthusamy and Trerotola


Station 7

Stent Graft Simulation in AV Access: Responsible on-label stent graft use.  Hands-on experience in a series of simulated AV access anatomies using simulated fluoroscopy/angiography/road mapping, with recreated touch-and-feel during stent graft placement (haptics). Faculty: Drs Haskal and Saad and Simulator Technical Team


Station 8

Intravascular Ultrasound (IVUS) and AV Access Angiography: Hands-on simulator experience, with training in techniques and diagnostic uses of IVUS as an adjunct for AV access intervention. Faculty: Dr. Patel


Station 9

Endovascular AVF Single Catheter: At this hands-on station, attendees will view the anatomy of the antecubital fossa with ultrasound to simulate pre-operative vessel mapping and then be trained in the single catheter and power controller system techniques for endovascular AVF creation, using a series of simulated anatomy models. Faculty: Drs. Hull and Urbanes


Station 10

Surgical Vascular Anastomosis: Using various simulation models vascular anastomosis techniques are demonstrated with a range of grafts and instruments. Competitive participants can enter the “Anastomosis tournament” with a chance to become the 2018 SoDA Anastomosis champion! Faculty: Drs. Hedin, Inston and Neville


Station 11

Endovascular AVF Dual Catheter: This hands-on station will address patient selection and the anatomy suitable for the dual catheter endovascular technique as determined on pre-operative vascular mapping and intra-procedural angiography. This technique uses magnets to position and electrocautery to create the anastomosis. Tips and tricks for success, animation, recorded cases and images of actual procedures will be displayed. The approach to AVF cannulation will be discussed. Faculty: Drs. Gilbert and Jones


Station 12

The ‘Crystal Ball’: The future of Dialysis Access. Faculty: Drs. Ross and Sheta











IMG 1145    IMG 1164


IMG 1151    IMG 1142



SoDA Program

Attendees will experience each simulation station for 20 minutes, then rotate to the next station.


12:00 p.m.   Registration

12:50 p.m.   Welcome Remarks

1:00 p.m.     Hands-On Simulation I

1:20 p.m.     Attendees Rotate to Next Station

1:25 p.m.     Hands-On Simulation II

1:45 p.m.     Attendees Rotate to Next Station

1:50 p.m.     Hands-On Simulation III

2:10 p.m.     Attendees Rotate to Next Station

2:15 p.m.     Hands-On Simulation IV

2:35 p.m.     Attendees Rotate to Next Station

2:40 p.m.     Hands-On Simulation V

3:00 p.m.     Attendees Rotate to Next Station

3:05 p.m.     Hands-On Simulation VI

3:25 p.m.     Attendees Rotate to Next Station

3:30 p.m.     Hands-On Simulation VII

3:50 p.m.     Attendees Rotate to Next Station

3:55 p.m.     Hands-On Simulation VIII

4:15 p.m.     Attendees Rotate to Next Station

4:20 p.m.     Hands-On Simulation IX

4:40 p.m.     Attendees Rotate to Next Station

4:45 p.m.     Hands-On Simulation X

5:05 p.m.     Simulation Adjourns