Program

07:45-08:00 h

Registration

08:00-09:00 h

Welcome and opening of the course
Cristina Carod, MD, Executive Director Hospital de Sabadell and Albada
Corporació Sanitària Parc Taulí

Dr. Jaume Almirall, Director del Servicio de Nefrología

Introduction and course objectives
José Ibeas-López, MD, PhD

Multidisciplinary management of vascular access: the importance of resource management
Antonio Giménez, MD, PhD

Clinical application of second-generation screening methods in the diagnosis of vascular access stenosis
Ramón Roca Tey, MD, PhD

09:00-10:30 h

From the physical principles of Color Doppler ultrasound to technical optimization. Adaptation to vascular access hemodynamics
Jana Merino Raldúa, MD, PhD

Practical use:

• B Mode
• Color Doppler and Power Doppler
• Spectral Doppler
• Settings: from PRF to SVP
• Flow measurement: how to avoid mistakes
   
• Clinical cases
• Clinical problems: how to avoid mistakes, Self-assessment

10:30-11:00 h

Coffee break

11:00-12:30 h

Presurgical mapping:
Joaquim Vallespín Aguado, MD

• Ultrasound anatomy of arterial and venous vascular tree: outline of systematic mapping
• From the morphological study to the hemodynamics
• Mapping for the first AVF
• Mapping of patients with complex vascular beds
• Mapping oriented to VA reconstruction
• Indications for angiography
   
• Clinical cases and Self-assesment

12:30-14:00 h

Pathological vascular access
José Ibeas-López, MD, PhD

• Outline of the systematic physical examination of the VA
• Outline of the systematic ultrasound study of pathological VA
• Diagnosis of stenosis: from moderate to critical
• Diagnosis of thrombosis: Approach to the identification of candidates for treatment
• Value of flow in decision making
• Mapping strategy for dysfunctional AVF puncture awaiting treatment
• The AFV with moderate stenosis: conservative management approach by US surveillance
   
• Clinical cases
• Clinical problems: Self-evaluation

14:00-15:00 h

Lunch

15:00-16:00 h

Surgical approach to complications in the arteriovenous fistula
Joaquim Vallespín Aguado, MD

• Stenosis
• Thrombosis
• Aneurismas and pseudoaneurismas
• Infection
• Distal hypoperfusion ischemic syndrome

16:00-17:00 h

Ultrasound-guide puncture in central vessels. Review of techniques and approaches
José Ibeas López, MD, PhD

• Review to optimize the use of ultrasound in the puncture of central lines
• Vascular anatomy. Anatomic variants
• Ultrasound-guided puncture: different approach techniques:
  • In plane and out of plane
  • Combinations of longitudinal, transverse, and oblique approaches

17:00-18:00 h

Endovascular approach to complications in the vascular access
Anna Alguersuari, MD

• Arteriovenous fistula: stenosis and thrombosis
• Catheter dysfunction treatment

18:00-20:00 h

HANDS ON WORKSHOP

09:00-13:30 h 

Workshop discussion based on the case.
Discussion of clinical cases and live surgery in parallel

1. Clinical cases
2. Live surgery

13:30-15:00 h

Lunch

15:00-16:00 h

Simulation Lab: ultrasound-guided arteriovenous fistula examination

16:00-20:00 h

HANDS ON WORKSHOP

9:00-10:00h

Simulation Lab: Ultrasound-guided catheter placement

10:00-12:00h

HANDS ON WORKSHOP

12:00-13:00h

That quiz! Interactive questions to review the learned concepts.

13:00h

WORKSHOP CLOSING