What is the biggest challenge with the procedure?

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

Do you find the devices help decrease procedure time and are there any disadvantages to using a device?

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

For repeat or frequent declots, at what point do you decide to move to a surgical or catheter solution?

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

Do patients referred to you for dysfunction typically have a duplex ultrasound of the fistula or graft?

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

What do you do for closure?

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

What kind of learning curve is there with this procedure?