Course Summary

This course is designed to provide a detailed evaluation of dialysis access grafts, fistulas, and the mapping involved prior to surgery. This course begins with a discussion of upper extremity venous and arterial anatomy along with proper scanning protocol for the vein mapping exam.  Graft and fistula placement options are discussed along with complications including non-maturing fistulas, thrombus, and stenosis. A detailed explanation of indications, hemodynamics, flow volume, and duplex imaging gives each student a thorough understanding of how fistulas work and why they might fail.

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Course Objectives

  • Accurately perform a vein mapping exam for dialysis access
  • Understand upper extremity venous and arterial anatomy
  • Evaluate a graft or fistula for thrombus, stenosis, or other complications
  • Identify an arterial steal
  • Accurately assess the arm for additional options for dialysis access
  • Perform an upper extremity venous exam for DVT or superficial thrombophlebitis
  • Understand flow dynamics, Doppler shift, angle correction and artifacts

CME Credits

This Course meets the SDMS Requirements for 12 CME Credits

Featured Case Study

Arteriovenous Fistula (AVF) Creation
Arteriovenous Fistula (AVF) Creation
Jenny seemed very tired but welcomed me to her hospital room for her bedside venous Doppler exam…