CiDA 2017  | NOVEMBER 9-10, 2017

SoDA 2017 | NOVEMBER 8, 2017

The Manchester Grand Hyatt, San Diego, CA

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Simulation of Dialysis Access (SoDA)

*SODA PRE-REGISTRATION IS CLOSED

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

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

 

SIMULATION STATIONS

STATION I: SIMULATION OF ANGIOGRAPHY AND PTA

Case-based approach to performing AV access angiography, lesion characterization (angio and ultrasound); Use of POBA, balloon with proximal injection port, Ultra High-pressure PTA, Cutting and Scoring PTA, and buddy wire PTA, DCB PTA. Cases will include Juxta-anastomotic stenosis and Cephalic Arch stenosis.

 


STATION II: SIMULATION OF STENT GRAFTS

Case-based and simulator experience to include current use of stents and stent grafts for treating AVG venous anastomotic stenosis and in-stent stenosis.

 


STATION III: THORACIC CENTRAL VEIN OCCLUSION

Case-based simulation of central vein recanalization (RF wire, sharp recanalization); Techniques, risks; Inside out techniques, use of a fully subcutaneous AV access graft catheter; when to use stents and stent grafts.

 


STATION IV: HOW IS DIALYSIS DONE?

The complete hemo-dialysis procedure steps are shown in a simulated demonstration, including a dialysis machine at flow rate of 450-500 ml/min into an arm loop graft that is cannulated with two needles using ultrasound guidance.

 

 

STATION V: VASCULAR MAPPING

Using ultrasound in live subjects (volunteers and patients), 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.

 

 

STATION VI: PLACEMENT OF THE PD CATHETER

Using an abdominal torso with artificial internal organs the trans-rectus muscle PD catheter is placed in a realistic simulated procedure. Additional procedures will be addressed.

 

 

STATION VII: TIPS AND TRICKS IN DIALYSIS ACCESS

New dialysis access techniques and devices are demonstrated and discussed with expert faculty. These include a new balloon with proximal injection port for delivery, bilateral vein obstruction management, suture-less vascular anastomosis techniques and grafts used and choice of dialysis catheters based on rigth atrium anatomy.

 

 

 

 

 

 

 

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PROGRAM AGENDA (ROTATION SCHEDULE)

IMG 1145    IMG 1164

 

IMG 1151    IMG 1142

 

12:30 p.m.   Welcome Remarks


12:40 p.m.   Why Simulation? Lessons from the FlightDeck
                  — Capt. Nolen (Ret.)


12:55 p.m.    Audience QuestionTime


1:00 p.m.      Hands-On Simulation


1:25 p.m.      Attendees Rotate to Next Station


1:30 p.m.      Hands-On Simulation


1:55 p.m.      Attendees Rotate to Next Station


2:00 p.m.      Hands-On Simulation


2:25 p.m.      Attendees Rotate to Next Station


2:30 p.m.      Hands-On Simulation


2:55 p.m.      Attendees Rotate to Next Station


3:00 p.m.      Hands-On Simulation


3:25 p.m.      Simulation Adjourns

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