Dialysis Access Graft Evaluation Hands-On Training

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. Hands on instruction will allow students to practice mapping the upper arm prior to surgery and evaluating a mature fistula and/or graft.

This Course is intended for Physicians, Physician Assistants, Nurse Practitioners and Sonographers.

CME Credits

SDMS credits are available for this course.  The number of credits is dependent on the training curriculum.

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