An ESRD patient is referred for a pulsatile proximal radial-cephalic AVF with high VP’s. The patient has been going to an access center q3 months. You have no records. On angio, you see this:

Proud to have co-chaired the #VEITH2023 dialysis access symposium w/Drs Scher and Sidawy, and even prouder to have kicked off the morning with this stellar panel of dialysis access experts!! 💃🏽

Dialysis access surgeons: -Patient w/BMI of 43 is preparing for first AV access. Not on tx list. - RIJ CVC x 1 year - No veins for L forearm AVF Do you create a: - left forearm AVG - left BC-AVF - left prox-radial cephalic AVF - left upper arm AVG

ESRD HD pt with a brachial-cephalic AVF referred for decreased surveillance blood flow of 381 ml/min on Fresenius machine. Pump speed 450 ml/min, normal Kt/V & arterial pressure is 220 w/15 g needle. No other stenotic lesions.

Thanks to our faculty, staff and volunteers for making the Rush Kidney Health Fair a success! Rush U College of Nursing Rush University System for Health National Kidney Foundation RUSH Internal Medicine #kidneymonth

Who else has never see a PD catheter lanyard? 🧐

A Holistic Framework for the Evaluation of Kidney Function in a Gender-Diverse Landscape buff.ly/3TvBw2x Keila Turino Miranda David Collister @SofiaAhmedMD @ccolettep Sylvia Rosas,MD,MSCE Nathalie Saad UCalgaryMedicine UAlberta Med & Dent

Dialysis access surgeons: - How do you determine the size of your dialysis AVG’s? - What factors do you take into account?

Pt presents for difficult cannulation of his mature aneurysmal AVF. This is in the cannulation segment. It’s 12 mm and there are two of them. The prior US from 4 mo ago shows it, but now it’s bigger. How do you treat it?

Join us for the Controversies in Dialysis Access Symposium on October 3-5, 2024, in Washington, DC! Register now at dialysiscontroversies.org and save with early bird fees! #CIDA2024 #dialysis #access #CME #kidney #nephrology #radiology #surgery

Help me understand.

Pt with a 4 mo radial-cephalic AVF referred for difficult cannulation & “very small vein”. AVF (in red) is 4mm. There’s a 4 mm competing collateral vein. How do you manage it? 🪡🧰🛠️ Ligate? Coil? Plug?

53 yo ESKD patient with 3 episodes of AVG thrombosis in two months. No known thrombophilia. Normal bp. Stenoses have been treated. Do you initiate:

Access surgeons: This is a prox radial-cephalic AVF that was superficialized and now the AVF lies under/just adjacent to the incisional scar. Please show me how you perform these to avoid this problem. 🤷🏽‍♀️

A big thanks to special guests Drs. Alejandro Alvarez and Robert Shahverdyan for making the 11th Chicago Dialysis Access Dinner Club meeting dynamic, interactive and educational! Thanks to our sponsors for their support. 🙏🏾 📸 Cole Warner

Favorite part of #kidneyweek: visiting posters and talking to trainees! Even better when bringing along a friend Neghae Mawla, MD Excellent poster and great discussion with med student Jasper Sim of Albert Einstein College of Medicine - Official! 🙌🏾🙌🏾 American Society of Nephrology

Great poster linking high-flow AV access to refractory ascites by renal fellow, Michael Kolman of Rush University System for Health ! #kidneyweek2024 #kidneyweek

Endo approach to the stuck tunneled dialysis CVC. No 🔪 needed. • Amplatz safety guidewire through venous port & parked in IVC • Guidewire through arterial port w/ serial PTA using 5 x 4 Sterling from first rib/clav to venotomy • 🥁…..CVC out!

25 yo ESKD pt referred for eval for HD access after 9 yrs of PD & eventual sclerosing peritonitis. No previous AV access. - broke L arm at age 13 - not on tx list, so you want to start distal - you find a great cephalic vein - you see these: #orthotwitter Renal Fellow Network