Hemodialysis Vascular Access Preoperative Vessel Mapping and Postoperative Surveillance

Evaluation of the patient with advanced chronic kidney disease (CKD) in preparation for the placement of a dialysis access is extremely important. Proper patient selection and preoperative diagnostic testing will materially enhance the opportunity to place the proper access type in the proper patient. 

This educational activity will discuss the clinical evaluation of a patient with CKD, noninvasive vessel mapping prior to the creation of the vascular access and postoperative surveillance and maintenance.  

Target Audience

Cardiologists, vascular surgeons, interventional radiologists, echocardiography and noninvasive vascular testing specialists, nurses, nurse practitioners, physician assistants, respiratory therapists (personal growth), radiology technologists and sonographers. 

Learning Objectives

  • Describe the details of patient evaluation and selection for vascular access placement. 
  • Explain the components of preoperative noninvasive diagnostic testing.
  • Recognize the criteria used to evaluate maturity of a vascular access to start the dialysis procedure. 
  • Describe the postoperative diagnostic surveillance, complications and interventions to maintain maturity.   
Additional information
Bibliography: 
  • Ko, S.H., Bandyk, D. F., Hodgkiss-Harlow, K.D., Barleben, A. & Lane III, Jr. (2015). Estimation of brachial artery volume flow by duplex ultrasound imaging predicts dialysis access maturation. Journal of vascular surgery, 61(6), 1521-1528.
  • National Kidney Foundation. KDOQI clinical practice guidelines and clinical practice recommendations for 2006 updates: hemodialysis adequacy, peritoneal dialysis adequacy and vascular access. Am J Kidney 
  • Steinke, T., Rieck, J., & Nuth, L. (2019). Endovascular arteriovenous fistula for hemodialysis access. Springer Link Gefasschirurgie, 24(1), 25-31
Course summary
Available credit: 
  • 1.25 AMA PRA Category 1 Credit™
  • 1.25 General certificate of attendance
  • 1.00 Nurse Practitioners
  • 1.00 Florida Board of Nursing
  • 1.25 Florida Bureau of Radiation Control
  • 1.00 Florida Board of Respiratory Therapy
Course opens: 
02/01/2021
Course expires: 
01/31/2022

Muhammad Hasan, MBBCh, RPVI, RVT, RDCS, RDMS
Speaker
Cardiovascular Clinical Education and Credentialing 
Miami Cardiac & Vascular Institute 
Baptist Health South Florida

Howard E. Katzman, M.D. 
Moderator
Vascular Surgery and General Surgery
Miami Cardiac & Vascular Institute
Baptist Health South Florida

Ignacio Rua, M.D, FACS, FSVS
Moderator
Vascular Surgery and General Surgery
Miami Cardiac & Vascular Institute
Baptist Health South Florida

Brian J. Schiro, M.D.
Conference Director and Moderator
Medical Director, Noninvasive Lab, Baptist Hospital
Vascular and Interventional Radiologist, Miami Cardiac & Vascular Institute
Miami, Florida

Muhammad Hasan, speaker for this educational activity, has no relevant financial relationship with ineligible companies* to disclose and has indicated that the presentation or discussion will include off-label or unapproved product usage. 

Howard E. Katzman, M.D., and Ignacio Rua, M.D., moderators, have no relevant financial relationship with ineligible companies* to disclose.

Brian J. Schiro, M.D., conference director and moderator, disclosed that he receives grant/research support from Medtronic and that he is a member of the speakers’ bureau for Penumbra. 

Elliott J. Elias, M.D., conference director, disclosed that he is a member of the speakers’ bureau for Abbott Laboratories. 

All of the relevant financial relationships listed for these individuals have been mitigated.

Non-faculty contributors and others involved in the planning, development, and editing/review of the content have no relevant financial relationships to disclose with ineligible companies*.  

*Ineligible companies -- Companies whose primary business is producing, marketing, selling, re-selling, or distributing healthcare products used by or on patients.

Disclosure Policy and Disclaimer

Baptist Health South Florida is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians. Baptist Health has been re-surveyed by the ACCME and awarded Commendation for 6 years as a provider of CME for physicians.
              
Baptist Health South Florida designates this enduring material for a maximum of 1.25 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

This activity has been approved for 1.25 credits by the Florida Bureau of Radiation Control Provider #3201106. Course #24000751.

Sonographer Credit FAQ.

Available Credit

  • 1.25 AMA PRA Category 1 Credit™
  • 1.25 General certificate of attendance
  • 1.00 Nurse Practitioners
  • 1.00 Florida Board of Nursing
  • 1.25 Florida Bureau of Radiation Control
  • 1.00 Florida Board of Respiratory Therapy
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