Programme at a glance

Registration

Welcome Speech by Organising Chairman

Dr. Naresh Govindarajanthran

Plenary 1

Renal Access in Dialysis - the changing doctrines in KDOQI guidelines

Plenary 2

Team approach in renal access training

Special Symposium: Covid and dialysis access

• Challenges of dialysis in COVID-19 patients 

• Creating rapid access in COVID-19 era 

• How to make the dialysis centre a fortress against COVID-19 infection

• Dialysis access during pandemic

• Dialysis access during pandemic in Malaysia

Tea Break

Symposium 1: Renal Access System

• Factor determining choice of access procedures

• Towards efficient renal access system

• Access procedure by non-vascular surgeons- challenges and solutions

• Renal access in rural areas (issues in East Coast of Malaysia)

• Malaysian ideal of renal replacement therapy

Symposium 2: Improving patency in native fistula

• Pathogenesis of Juxta-anastomotic stenosis

• Can Juxta-anastomosis stenosis be reduced?

• Side to side anastomosis; does long term patency outweigh venous hypertension

• Role of constructing fistula with vein or arterial diameter of 2mm

• Does early intervention in failure to mature native fistula prolong patency?

LUNCH SYMPOSIUM

Symposium 3: Challenges and Innovations in Native Fistula

• Endovascular fistula creation- the future is here or just a passing cloud?

• Creating fistula in the obese

• Creating fistula for patients with radial artery harvested for CABG

• Brachio-basilic transposition

• Should BCF be the primary fistula in older patients?

Symposium 4: Grafts- role in bridging native access and catheters

• Early cannulation graft in modern renal access

• Graft innovation- has it improved patency?

• Managing graft infections and pseudoaneurysms

• Managing graft thrombosis

• Non-conventional sites for AV grafts

Tea Break

Symposium 5: Endovascular techniques

• Approach to fistula stenosis- choice of procedure

• POBA versus DEB- the evidence

• Stenting JAS across arterial anastomosis

• Role of stent grafting in dysfunctional fistula

• Ultrasound Guided Balloon Angioplasty for dysfunctional fistula

Free Paper (Top 5 Virtual / Physical)

Plenary 3

Debate

Salvaging thrombosed fistula- surgery/hybrid or endovascular?

Debate

Stand-alone comprehensive dialysis service versus multispecialty hospital care

Special Symposium 6: Peritoneal dialysis

• Malaysian national PD program

• Is PD better than HD in crash dialysis 

• Home PD/HD program - Dr. John Swinnen

• Modern technique of PD catheter insertion

• Managing PD catheter dysfunction

Tea Break

Symposium 7: Renal Transplants

• Endovascular therapy for failing transplant grafts

• How could renal transplant organ procurement be improved

• Team approach to renal transplant-role of vascular surgeons

• Combined renal-pancreas transplant

• Current state of the art of renal transplants and the results

Symposium 8: Cephalic arch and Central vein occlusion

• When CVC becomes blocked- role of thrombolysis and anticoagulation

• Central vein occlusion- intervention or observation

• Cephalic arch stenosis- endovascular or open surgery

• HeRO in central vein occlusions- lessons learnt

• Stenting versus DEB versus POBA in central vein occlusions

LUNCH SYMPOSIUM

Symposium 9: Managing access complications -thrombosis and steal syndrome

• Comprehensive approach towards a thrombosed fistula

• Managing venous aneurysms

• Native Access Infection, How to deal with it 

• Managing steal syndrome with tissue loss

• Proximal arterial inflow in steal syndrome

Symposium 10: Cannulation practice, monitoring and surveillance

• Does rope ladder or button hole cannulation affect patency

• US guided cannulation in difficult access

• Tell-tale signs of access dysfunction during dialysis

• Transonic device versus clinical monitoring

• Device for monitoring dialysis flow

Symposium 11: Central line for renal access

• When is cuffed catheter indicated primarily in ESRD?

• Managing cuffed catheter thrombosis

• Technique of fibrin sheath stripping for cuffed catheter thrombosis

• Managing central line infection

• Managing major complications from central venous catheters

Closing Remark

Dr. Naresh Govindarajanthran