Lesson 17 • 27 Dec 2023
When is a graft a better fit for a patient?
Course overview
Learn and improve your dialysis access maintenance, declot procedures, and interventions with expert-led guidance with five basic to advanced modules.
2 hours, 61 lessons
Lessons
Quick & Successful Declots with Dr. Neghae Mawla
Lesson 1
What does your patient workup look like for a declot procedure?
Lesson 2
Will you talk about your room setup for a declot?
Lesson 3
If you have a central stenosis do you go ahead and treat that after your central run?
Lesson 4
Do you have a preferred device and how do you decide between 6 or 7 Fr?
Lesson 5
After you handle the outflow what do you do next?
Lesson 6
Talk us through your technique with the Fogarty in the artery
Lesson 7
How do you avoid throwing clot into the arterial system?
Lesson 8
Can you talk about angioplasty of or near the arterial anastomosis?
Lesson 9
After treating the venous and arterial side what's next?
Lesson 10
How much time are you willing to spend to clear the clot completely?
Lesson 11
Lesson 12
Tell us about your balloon angioplasty technique
Lesson 13
Tell us about your approach to stenting
Lesson 14
What do you do for closure and hemostasis?
Lesson 15
AV Fistula & Graft Maintenance with Dr. Ari Kramer
Lesson 16
Can you describe the difference between fistulas and grafts for dialysis access?
Lesson 17
When is a graft a better fit for a patient?
Lesson 18
After surgical creation of an AV access how do you follow patients?
Lesson 19
Lesson 20
Tell us about the difference between inflow symptoms and outflow symptoms
Lesson 21
Can you talk about your technique when approaching a fistula?
Lesson 22
Tell us about how you use the Chameleon balloon for these cases
Lesson 23
How do you approach an in-stent stenosis?
Lesson 24
In what situations do you like covered stents?
Lesson 25
What were the challenges of incorporating DCBs into your practice?
Lesson 26
If you rupture a stenosis how do you manage it?
Lesson 27
How do you follow these patients up?
Lesson 28
At what point do you start to consider a surgical solution or new access?
Dialysis Interventions with DCB’s, Covered Stents & More with Dr. Ari Kramer
Lesson 29
Talk us through how you perform a basic fistulagram
Lesson 30
Do most patients have an outflow issue?
Lesson 31
Why do you go central and then work your way back to the access?
Lesson 32
What constitutes a significant stenosis?
Lesson 33
Do collaterals trigger you to do anything different or take a harder look?
Lesson 34
Tell us about your approach to angioplasty in the dialysis circuit
Lesson 35
What is a DCB and do you like them for the dialysis circuit?
Lesson 36
Tell us about Impact vs Lutonix for DCB's
Lesson 37
How do you use the DCB’s in the dialysis circuit?
Lesson 38
What situations would you not use a DCB?
Lesson 39
Are there any increased complications in adding the DCB to the algorithm?
Lesson 40
What is the cost of drug eluting balloons?
Lesson 41
How do stent grafts and covered stents fall into your algorithm?
Lesson 42
Where in your practice do you use stent grafts?
Lesson 43
When are you going to use a self expanding stent vs balloon expandable stent?
Declot Technique & Tools with Dr. Harris Chengazi & Dr. Omar Chohan
Lesson 44
What do you need to know on the day of the procedure if they have a clotted dialysis circuit?
Lesson 45
Are you using tPA and how much?
Lesson 46
Do you start with the venous side or arterial side and what are you looking for on your central run?
Lesson 47
When do you give heparin and how much do you give?
Lesson 48
Once you have access what are the next steps?
Lesson 49
When you-re doing your next run from the inflow what are you looking for and what do you do next?
Lesson 50
Why do you have to be careful near the arterial anastomosis?
Lesson 51
How often are you moving from a high pressure balloon to something more specialized?
Lesson 52
How do you know when you-re done?
Lesson 53
Lesson 54
When do you quit on a fistula?
HeRO grafts in HD patients with Dr. Jason Wagner
Lesson 55
How do you approach the end stage vascular access patient?
Lesson 56
What does HeRO stand for and what is it?
Lesson 57
What patient population is the HeRO graft for?
Lesson 58
Can you walk us through the procedure for placement?
Lesson 59
Procedure steps of the HeRO graft cont-d.
Lesson 60
What is the biggest challenge with the procedure?
Lesson 61
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