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CiDA Conference Cases

Controversies in Dialysis Access

Controversies in Dialysis Access (CiDA) focuses on approaches, techniques, and devices related to the placement and management of dialysis access that are constantly evolving. Through the sharing of information, practitioners can further their understanding and their skills.

Nephrologists Could Do a Better Job
Maurizio Gallieni, MD
Director, Nephrology and Dialysis Unit
Ospedale San Carlo Boirromeo, Milano, Italy
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PD or Hemodialysis in Children?
Mary L. Brandt, MD
Professor and Vice Chair Michael E. DeBakey Dept of Surgery
Baylor College of Medicine
Houston, TX, USA
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The PD First Breakthrough Initiative “Clinical Benefits of PD First”
Maurizio Gallieni, MD
Director, Nephrology and Dialysis Unit
Ospedale San Carlo Boirromeo, Milano, Italy
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PTA Only, Unless it Fails or Ruptures
Gerald A. Beathard, MD, PhD, FASN
RMS Lifeline
Austin, TX, USA
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Forget forearm loop graft & Proceed with upper arm AVF
Surendra Shenoy, MD, PhD
University School of Medicine
Barnes Jewish Hospital
St. Louis, MO, USA
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Construct A Forearm Loop Graft Before an Upper Arm Fistula
Dirk Baumann, MD, FACS
Peninsula Surgical Specialists Medical Group
Mills-Peninsula Health Services
Burlingame, CA
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Should Anyone Get an AVG When an AVF is Anatomically Possible?
Dirk Baumann, MD, FACS
Peninsula Surgical Specialists Medical Group
Mills-Peninsula Health Services
Burlingame, CA
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Why and When? Cephalic Arch Stenosis
Surendra Shenoy MD, PhD
University School of Medicine
Barnes Jewish Hospital
St. Louis, MO , USA
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Recoil & Spasm in AV Access Veno-plasty: How Important
Sanjoy Kundu BSc, MD, RVT, FRCPC, FASA, FCIRSE, FSIR
The Scarborough Hospital Toronto Endovascular Centre
Toronto CAN
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AVF Stenosis Angioplasty: How Does Balloon Venoplasty Work?
Prabir Roy-Chaudhury MD, PhD
University of Cincinnati and Cincinnati VAMC
Cincinnati, OH, USA
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The Best AVF and AVG Patency Data You Never Saw: Surprising Outcomes from Dialysis Access Consortium
Miguel A. Vazquez, MD
UT Southwestern Medical Center
Dallas, TX, USA
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Not So Fast Buzz Lightyear - It's Quality, Not Quantity: Or Are Too Many Fistulas Being Created?
Marc H. Glickman, MD
Division of Vascular Surgery/ Sentara Medical Group
Eastern Virginia Medical School
Norfolk, VA, USA
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To Infinity and Beyond: More AVFs Mean Better Care
Lawrence M. Spergel, MD, FACS
Director, Dialysis Management Medical Group
San Francisco, California, USA
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Balloon-Assisted AVF Maturation: A Primer for Nonbelievers
Gregg A.Miller MD
Assistant Clinical Professor
Columbia P & S
Chief Medical Officer
American Access Care
Brooklyn, NY, USA
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AVF Immaturity: Impact on the Success of the Fistula First Initiative
Lawrence M. Spergel, MD, FACS
Advisor, Fistula First Clinical
Work Group
Director, Dialysis Management Medical Group
San Francisco, CA
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What is “Center Effect?”
Ingemar Davidson, MD
UT Southwestern Medical Center
Parkland Memorial Hospital
Dallas, TX, USA
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Translating Pre-Op Vein Mapping to Fistula Maturity: Surgeon's Role
Marc H. Glickman, MD
Eastern Virginia Medical School
Vascular & Transplant Specialists
Norfolk, Virginia, USA
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The 21st Century Stethoscope
James L. Reus, MD, FASC
Surgical Associates
Olympia, WA, USA
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Tunneled Catheter Infections: Why They Occur and How Can They Be Treated
Stephen R. Ash, MD, FACP
Past President and Editorial Chief, ASDIN
Past President ASAIO
Clarian Arnett Health and Wellbound Inc.,
Ash Access Technology and HemoCleanse, Inc.
Lafayette, Indiana, USA
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Cathetica Exotica: Tips, maneuvers, unusual solutions and mechanical complications of catheter access
Maurizio Gallieni
Nephrology and Dialysis Unit
San Paolo Hospital
University of Milan, Italy
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Improved Designs and Coatings Offer Better CVC's for Dialysis
Stephen R. Ash, MD, FACP
Past President and Editorial Chief, ASDIN
Past President ASAIO
Clarian Arnett Health and Wellbound Inc.,
Ash Access Technology and HemoCleanse, Inc.
Lafayette, Indiana, USA
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Rubbish - There's no evidence that one device is better than the other
Scott O. Trerotola, MD
Stanley Baum Professor of Radiology and Surgery
Chief, Vascular and Interventional Radiology
University of Pennsylvania Medical Center
Philadelphia, PA
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8 yrs. of Increased Catheter Prevalence in the US: FistulaFirst?
Lawrence M. Spergel, MD, FACS
Clinical Chair, FistulaFirst Director, Dialysis Management Medical Group
San Francisco, CA
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FistulaFirst and Increased Catheter Prevalence in US
Miguel A. Vazquez, MD
UT Southwestern Medical Center
Dallas, TX
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Subclavian Vein Angioplasty: So Bad It Should be Rarely Done
Mitchell L. Henry, MD
Professor of Surgery
Chief, Division of Transplantation
The Ohio State University
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Dialysis Access Fistula: What to do before and after? Preoperative Evaluation & Postoperative Surveillance
Muhammad Hasan, RPVI, RVT
Baptist Cardiac & Vascular Institute
Miami, FL, USA
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Central Venous Obstruction: Surgical Options
Eric Peden, MD
Vascular Surgeon
The Methodist Access Center
Houston, Texas, USA
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Subclavian Vein Angioplasty: A good solution that buys time.
Dheeraj K. Rajan, MD, FRCPC, FSIR
Head - Division of Vascular and Interventional Radiology
University of Toronto – University Health Network
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Central Vein Obstruction: Why Do We See It? When Should We Treat It?
Scott Trerotola, MD
Stanley Baum Professor of Radiology and Surgery; Chief, Vascular and Interventional Radiology
University of Pennsylvania Medical Center
Philadelphia, PA
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PTA, Bare Metal Stents & Covered Stents for Central Venous Disease
Sanjoy Kundu BSc, MD, FRCPC, FASA, FCIRSE, FSIRBSc, FSIR
The Scarborough Hospital
Toronto Endovascular Centre
The Vein Institute of Toronto
Scarborough Vascular Institute
Scarborough Vascular Group
Scarborough Vascular Ultrasound
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The Clotted Access: Percutaneous Indications, Strategies, and Results
Gerald A. Beathard, MD, PhD, FASN
Interventional Nephrologist; Clinical Professor of Medicine
University of Texas at Galveston
Galveston, TX, USA
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Clotted Access: Surgical Therapy
Eric Peden, MD
Vascular Surgery
The Methodist Hospital
Houston, Texas, USA
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DRIL or BANDING How to Undo the Sin of Stealing
Ingemar Davidson, MD
UT Southwestern Medical School
Dallas, TX, USA
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Understanding Steal Syndrome: What Causes it; How can it be Prevented?
Scott S. Berman, MD, RVT, FACS
The Southern Arizona Vascular Institute
Tucson, Arizona
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Dos and Don'ts of Vascular Access
A. Frederick Schild, MD, FACS
Patrick Collier, BS
Joseph Fuller, BS
Department of Surgery - Miller School of Medicine - University of Miami
Miami, FL
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Appropriate Training for Safe and High-Quality Percutaneous Access Intervention: An Interventional Radiologist’s View
Sanjoy Kundu BSc, MD, FRCPC, FASA, FCIRSE, FSIRBSc, FSIR
The Scarborough Hospital
Toronto Endovascular Centre
The Vein Institute of Toronto
Scarborough Vascular Institute
Scarborough Vascular Group
Scarborough Vascular Ultrasound
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Appropriate Training for Safe and High-Quality Percutaneous Access Intervention
Gerald A. Beathard, MD, PhD, FASN
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Complications of catheter intervention
Jack Work, MD
Emory University
Atlanta, GA
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Achieving the DOQI Benchmark for Fistulas in Hemodialysis: Obese and Elderly Patients
Marc Webb, MD, FACS
Michigan Vascular Access, PC
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Covered stents for AV access stenosis: Options and challenges
Bart Dolmatch, MD
Professor of Radiology
Director of Vascular and Interventional Radiology
UTSW Medical Center, Dallas, TX
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Bare Stents: Have we abandoned them too soon?
Dheeraj K. Rajan, MD, FRCPC, FSIR
Head - Division of Vascular and Interventional Radiology
University of Toronto – University Health Network
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Cephalic Arch Stenosis: What it is and how do we treat it?
Prabir Roy-Chaudhury, MBBS, PhD, FRCP (Edin)
University of Cincinnati
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PTA is the Correct Treatment for Juxta-anastomotic Stenoses!!
Prabir Roy-Chaudhury, MBBS, PhD, FRCP (Edin)
University of Cincinnati
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Treatment of Juxta-Anastomotic Stenoses
Scott S. Berman, MD, RVT, FACS
The Southern Arizona Vascular Institute
Tucson, Arizona
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Venous PTA Often Works: Primary and Cumulative Patency of AVF PTA
Jack Work, MD
Emory University
Atlanta, GA
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Why Venous PTA Will Never Work: The Biology of AV Access Angioplasty
Jeffrey H. Lawson, MD, PhD
Departments of Surgery and Pathology
Duke University Medical Center
Durham, North Carolina
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A-V Grafts: Inferior to AVFs vs. Reasonable Alternative?
Lawrence M. Spergel, MD, FACS
Clinical Chair, FistulaFirst
Director, Dialysis Management Medical Group
San Francisco, California
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Should all ESRD Patients Have an AV Fistula?
A. Frederick Schild, MD, FACS; E. Perez, MD; E. Gillaspie, BS; J. Livingstone, BS; A. Thibonnier, BS; K. Noicely, MS; A. Torna; C. Seaver, MD; P. Collier, BS; J. Fuller, BS
Department of Surgery - Miller School of Medicine - University of Miami
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Surprising Findings on AVF Immaturity from DAC
Miguel A. Vazquez, MD
University of Texas Southwestern
Medical Center
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The A-V Fistula First Breakthrough Initiative (FistulaFirst) - Common Misconceptions
Lawrence M. Spergel, MD, FACS
Clinical Chair, Fistulafirst
Director, Dialysis Management Medical Group
San Francisco, California
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The Fistula Second Initiative
Maurizio Gallieni
Nephrology and Dialysis Unit
San Paolo Hospital – University of Milan, Italy
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AV Grafts - Do Newer Materials and Methods Offer Better Results?
Mitchell L. Henry, MD
Professor of Surgery
Chief, Division of Transplantation
The Ohio State University
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AV Access Stenosis: Veins Are Not Arteries: What We Do and Don’t Know
Jeffrey H. Lawson, MD, PhD
Departments of Surgery and Pathology
Duke University Medical Center
Durham, North Carolina
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Duplex Ultrasound: Reliable Enough to Predict Maturation?
Danny Chan, MD
Assistant Professor, Division of Interventional Radiology
University of Texas Southwestern Medical Center
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60 y.o. Woman with End-Stage Renal Disease on Hemodialysis
Bart Dolmatch, MD
University of Texas Southwestern Medical Center
Dallas, TX, USA
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AVF immaturity: What and why?
Bart Dolmatch, MD
University of Texas Southwestern Medical Center
Dallas, TX, USA
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The cases below were presented at Controversies in Dialysis Access, October 2007
Central Venous Occlusion
Bart Dolmatch, MD; Erik Weissler, BS
University of Texas Southwestern Medical Center
Dallas, TX, USA
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Juxta-Anastomotic Stenosis in an Immature Hemodialysis Arteriovenous Fistula
Bart Dolmatch, MD; Erik Weissler, BS
University of Texas Southwestern Medical Center
Dallas, TX, USA
Open the Conference Case
Cephalic Arch Stenosis
Bart Dolmatch, MD; Erik Weissler, BS
University of Texas Southwestern Medical Center
Dallas, TX, USA
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