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.

SoDA Stations


  • 8:00 AM – 12:00 PM  – Concurrent rotations
  • 12:00 PM – 1:30 PM – Break
  • 1:30 PM – CiDA starts

Station 1

Live Hemodialysis 
Mr. Paul West is on home dialysis and uses a NX stage machine and buttonhole technique. He has been on dialysis for 23 years including two transplants. Faculty: Dr. Paul Gibbs,  Ms. Denise Barnes, RN and Mr. West 

Station 2

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. Gallieni and Hohmann

Station 3

Physical Examination done right. Patients with AVFs and graft accesses will be at this station. Faculty: Drs. Beathard and Gilbert

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

RVT “Knobology”: Teaching doctors to use the ultrasound machine.  Faculty: Dr. Bandyk

Station 6

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 Jennifer Bartley RDMS, RVT

Station 7

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

Station 8

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, Saad, Shahverdyan and Simulator Technical Team

Station 9

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: Drs. Ross and Sheta

Station 10

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 Mallios

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. Aruny and Jones

Station 12

Surgical Vascular Anastomosis: Using various, customized 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 2019 SoDA Anastomosis champion! The app will send your performance will be scored to your cell phone. Faculty: Drs. Gasz, Hedin, Inston, Kennealey and Neville


  • 12:00 – 1:00 PM     Registration
  • 12:50 – 12:55 PM   Welcome and Introduction
  • 1:00 – 5:05 PM       Start rotations

SoDA program agenda

(Rotation Schedule)

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