Current Options in the Management of Hemodialysis Access

Session Description

This session will review both basic and complex hemodialysis access including the initial assessment and access planning for patients not yet on dialysis, intraoperative techniques, recognition and management of the failing access, and the role of surveillance strategies. The session will also discuss the broad range of endovascular and hybrid solutions that are currently available including angioplasty with drug-coated balloons and stents, management of central venous stenosis, and the use of the Hero catheter. Selection of conduit in the setting of inadequate veins and the use of balloon-assisted maturation will be included. This session is appropriate for surgeons just beginning an access practice, as well as surgeons with significant experience. There will also be emphasis on technical nuance and intraoperative techniques.

Moderator: Robyn A. Macsata, MD, FACS, Washington, DC

Co-Moderator: Karen Woo, MD, FACS, Los Angeles, CA


Strategic Planning of Arteriovenous (AV) Access
Peter R. Nelson, MD, MS, FACS, Tulsa, OK

Management of the Non-Maturing Access
Elina Quiroga, MD, MPH, Mercer Island, WA

Management of Central Venous Stenosis
Ellen D. Dillavou, MD, FACS, Durham, NC

Management of the Failing Access
Manuel Garcia Toca, MD, FACS, Palo Alto, CA

Non-Thrombotic Complications of AV Access
Sherene Shalhub, MD, MPH, Seattle, WA

Sponsored by the Advisory Council for Vascular Surgery

Target Audience

  • Practicing surgeons
  • Residents

Learning Objectives

  • Apply new knowledge and ideas to improve their surgical practice
  • Adapt concepts and quality measures in support of research advancements
  • Enhance the quality of patient care


For questions about the course, please contact

Course summary
Available credit: 
  • 1.50 AMA PRA Category 1 Credit™
  • 1.50 Certificate of Completion
  • 1.50 Self Assessment Credit
Course opens: 
Course expires: 

Disclosure Information

In accordance with the ACCME Accreditation Criteria, the American College of Surgeons must ensure that anyone in a position to control the content of the educational activity (planners and speakers/authors/discussants/moderators) has disclosed all relevant financial relationships with any commercial interest. For additional information, please visit the ACCME website.

The ACCME also requires that ACS manage any reported conflict and eliminate the potential for bias during the educational activity. Any conflicts noted below have been managed to our satisfaction. The disclosure information is intended to identify any commercial relationships and allow learners to form their own judgments. However, if you perceive a bias during a activity, please report it on the evaluation.

(Download the full list of disclosures).

Faculty and Disclosures

Elina Quiroga, MD, MPH - W. L. Gore: Honorarium: Consultant
Ellen D. Dillavou, MD, FACS - Acelity Corp: Grant support, speakers fees, consulting fee: Speaker, consultant; WL Gore: speakers fees: Speaker
Karen Woo MD, FACS - Nothing to Disclose
Manuel Garcia-Toca MD  FACS - Nothing to Disclose
Peter R. Nelson MD, MS, FACS - Nothing to Disclose
Robyn A. Macsata MD, FACS - Nothing to Disclose
Sherene Shalhub MD, MPH - Nothing to Disclose

Program Committee and Disclosures

CHAIR: Henri R. Ford, MD, MHA, FACS, FAAP, FRCSEng(Hon), Miami, FL - Nothing to Disclosure
VICE-CHAIR: David T. Cooke, MD, FACS, Sacramento, CA - Nothing to Disclosure


David C. Borgstrom, MD, FACS, Morgantown, WV - Nothing to Disclosure
Daniel L. Dent, MD, FACS, San Antonio, TX - Nothing to Disclosure
Roger R. Dmochowski, MD, FACS, Nashville, TN - Allergen: Honoraria: Consultant
Cynthia D. Downard, MD, FACS, Louisville, KY - Nothing to Disclosure
Audra A. Duncan, MD, FACS, London, ON - Nothing to Disclosure
Mariam F. Eskander, MD, Boston, MA - Nothing to Disclosure
Paula Ferrada, MD, FACS, Richmond, VA - Nothing to Disclosure
Neil H. Hyman, MD, FACS, Chicago, IL - Nothing to Disclosure
Martin S. Karpeh, Jr., MD, FACS, New York, NY - Nothing to Disclosure
Dennis H. Kraus, MD, FACS, New York, NY - Nothing to Disclosure
Kenneth W. Sharp, MD, FACS, Nashville, TN - Nothing to Disclosure


Daniel M. Herron, MD, FACS, FASBMS, New York, NY - Nothing to Disclosure
Edith Tzeng, MD, FACS, Pittsburgh, PA - Nothing to Disclosure


Barbara Lee Bass, MD, FACS, FRCSEng(Hon), FRCSI(Hon), FCOSECSA(Hon), Houston, TX - Nothing to Disclosure
Quan-Yang Duh, MD, FACS, San Francisco, CA - Nothing to Disclosure
B. J. Hancock, MD, FACS, FRCSC, Winnipeg, MB - Nothing to Disclosure
Ronald V. Maier, MD, FACS, FRCSEd(Hon), Seattle, WA - Nothing to Disclosure

Continuing Medical Education Credit Information


The American College of Surgeons is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

AMA PRA Category 1 Credits™

The American College of Surgeons designates this enduring activity for a maximum of 1.5 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Of the AMA PRA Category 1 Credits™ listed above, a maximum of 1.5 credits meets the requirements for Self-Assessment.

American College of Surgeons and ACGME Logos

Note: Residents will receive a Certificate of Completion.

Available Credit

  • 1.50 AMA PRA Category 1 Credit™
  • 1.50 Certificate of Completion
  • 1.50 Self Assessment Credit
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This course is available as part of the Clinical Congress 2019 Webcast Packages