We know that long & tandem lesions in #AVFs have worse target lesion patency (TLP) outcomes after an intervention, so let’s hope that proper vessel preparation (such as this one with #FLEX ) and drug application (DCB) will increase the TLP rates in #ESKD #dialysis patients

Having an intense discussion with my own self during the #IMEndoForum 2024 on how to treat thrombosed dialysis access with our supermod Nick Inston 😎

Have you ever had an #ESKD patient with an (for >3 days) occluded #HeRO graft, who had traveled from Afrika for you to revise it? 😳 (spoiler alert: case done 😎) #VascularAccessCenter #Hamburg

There is nothing good about this image. If I had to say one good thing. I’d say, stent overlap seems to be very good. Agree with Michael C. Siah, MD

🎟️ Last chance to purchase a #CX2024 Faculty Dinner & Reception ticket! 🎟️

Join the CX faculty and delegates for an evening of celebration in 'Britain's Sistine Chapel', the Painted Hall on Wednesday, 24 April 2024.

The final day to secure a ticket is Wednesday, 10 April!

Should you remove a HeRO after a transplant? Robert Shahverdyan, MD 🇦🇲🇩🇪 Monnie Wasse MD, MPH Theodore Saad Theodore Yuo Zaib VASA VascularAccessSociety VASBI VascularAccess #vascularaccess #dialysisaccess

When 4 m/o old UA loop #AVG occluds in an #ESKD patient due to GVA stenosis, obese patient has known contrast allergy (no U/S procedure & CO2) „fogarty-balloon assisted angiogram“ & “non-contrast“ angioplasty + SG is an option. FYI: that ugly whitish sticky thing was in the graft

frank arko I’ve been a patient a lot lately, and I’m starting to sympathize with them more every day. It’s been good for my bedside manner and decision-making. I wish patients could have more transparency on the training, quality and outcomes of the doctors in which they place their trust.

Looking forward to seeing everyone at #CX2024 CX Symposium cxsymposium.com/cx-events-2024… Controversies, Vascular Access, #endoAVF , ExCel, London, UK 🇬🇧 …..

The #achilles heel of arteriovenous grafts ( #AVG ): graft-venous anastomosis stenosis ( #GVA ). Routine follow-up of a 3 months old AVG in #ESKD patient with perfectly looking anastomosis and outflow vein yet beginning neointimal hyperplasia ( #NIH ) in AVG. Close follow-ups and 🤞🏻 !

When treating dialysis access lesions by balloon angioplasty, it‘s NOT ONLY about GETTING THE BEST RESULT DURING THE INTERVENTION, but also about PROLONGING THE OUTCOME! This UA cephalic stentgraft edge stenosis was treated 6 months ago by 8mm #Conquest uHPB and 10mm #LTX #DCB

VASA Does anyone have images of veins damaged by venipunctures that interfere with vascular access creation? Sadly I can't find any studies documenting vessel damage to support the need for vessel preservation. Please post iamges if willing to share!

Only lost 10 digits and 6 hands but we opened every LAD

At the recent ASDIN annual scientific meeting (23–25 February 2024, New Orleans, USA), Gerald Beathard presented an algorithm designed help with deciding which modality to use when managing #bloodflow in #AVaccess renalinterventions.net/new-algorithm-…

Good morning! Black coffee is indeed a clear liquid and can be consumed (without milk, cream, sugar) safely up to 2 hrs before surgery. Do not deprive your patients of their morning coffee.

Ultrasound-guided dialysis access salvage at #VascularAccessCenter #Hamburg : Forearm (radial a. to brachial v.) straight #Flixene #AVG . Severe brachial vein stenosis cranial to GV anastomosis. Vessel preparation using #FLEX -Vessel prep, followed by #Aperto high-pressure #DCB .

Whoopsy….. #ESKD patient, 7 y/o (now re-thrombosed) axillary-to axillary upper arm #AVG with several revisions and consecutive relining (aka “stentgraftula”) of the exhausted graft 2 years ago! Rotational thrombectomy with a periprocedural “surprise” 🙈 #WhatTheHell

Apparently, it became routine to byte of a dialysis catheter 🤦🏻‍♂️ - both in 🇩🇪 and 🇺🇸🫣. 4 months old catheter suddenly „broke off“. What do you do now? 😉😝

How can anyone predict maturation of an #AVF ? If you do, please let me know how. Here is an example of a 4 weeks old Gracz AVF created with 2.3x3.1 mm AV anastomosis. Better than simply matured. #vascularaccesscenter #hamburg

The one ☝️ responsible for all of this: Vascular Access Course Director Maarten Snoeijs, who did a great job on this years program at #EVC2024 European Vascular Course 👋👋👋👋