General session – Room 1

09.00-09.15

Opening Ceremony
Session chairs: Maurizio Gallieni, Joris Rotmans

09.15-10:45

Vascular access: state of the art
Session chairs: Tamara Jemcov, Carlo Lomonte

1. Vascular access around the world
2. AVF then and now - almost 60 years after the first BC
3. AVG. Are the indications still the same?
4. Leveraging Multi-Disciplinary Partnerships to Improve Value in Vascular Access Care.

10:45-11:15

Coffee break

11:15-12:15

The central venous catheter
Session chairs: Maurizio Gallieni, Gianmarco Falcone

1. The right catheter for the right patient
2. Infectious complications of CVCs
3. Thrombotic complications of CVCs
4. How long can we keep a non-tunneled hemodialysis catheter in place?

12:15-13:15

Lunch Break and Industry Symposia (12:30-13:10 - 40 minutes)

13:15-14:00

Poster session discussion in the Poster Area
Discussants: Nick Inston, Maarten Snoeijs, Maria Guedes Marques, Yara Fares, Robert Shahverdyan, Matteo Tozzi (selection of best posters)

14:00-15:00

Young Committee session 1.
Training in vascular access: perspective of the trainee
Session chairs: Christopher Seet, Raquel Barba

• Should we have a curriculum for vascular access training
• International collaboration
• Is there a place for interventional nephrology in Europe?
• How to improve vascular access care

15:00-16:00

Young Committee session 2.
Building the interdisciplinary team in your unit
Session chairs: Yara Fares, Wouter Moest

• Local practice from different centers. How is vascular access organized?
• Interdisciplinary approach to vascular access creation
• Interdisciplinary approach to vascular access monitoring and surveillance
• Interdisciplinary approach to vascular access maintenance

16:00-16:30

Coffee Break

16:30-17:30

Vascular access planning
Session chairs: Carlo Lomonte, Jeremy Crane

1. What is the optimal timing for creating vascular access and starting dialysis?
2. Use of the kidney failure risk equation (KFRE)
3. The impact of an AVF on kidney function in patients with CKD 5
4. Earlier cannulation of AVFs

17:30-18:00

Mini lectures
Session chairs: Daniele Savio, Maurizio Gallieni

• How to publish in the Journal of Vascular Access
• Interventional Radiology: which treatment for which stenosis?

18.00-19:30

Welcome reception

Room 2 Session

11:15-12:15

Basic research in vascular access
Session chairs: Joris Rotmans, Roberto Vasquez Padron

1. The Evolving Landscape of Vascular Access Biology: Latest Insights and Key Updates US (15 min)
2. Hemodynamics and Its Impact on Vascular Access Maturation and Longevity (15 min)
3. Updates in Translational Science for Vascular Access (15 min)
4. Oral abstract presentation (5 +2 min)
5. Oral abstract presentation (5 + 2 min)

12:15-13:15

Lunch Break and Industry Symposia (12:30-13:10 - 40 minutes)

13:15-14:00

Poster session discussion in the Poster Area
Discussants: Nick Inston, Maarten Snoeijs, Maria Guedes Marques, Yara Fares, Robert Shahverdyan, Matteo Tozzi (selection of best posters)

14:00-15:00

Gender differences in hemodialysis access
Session chairs: Jose Ibeas, Maria Guedes Marques

1. Gender-related differences in vascular access of incident and prevalent dialysis patients.
2. Gender and susceptibility to vascular access complications. Speaker TBD
3. How gender affects vascular access selection. Diameters and functional characteristics.
4. Oral abstract presentation (5 +2 min)
5. Oral abstract presentation (5 + 2 min)

15:00-16:00

Video session: dialysis access creation
Session chairs: Maarten Snoeijs, Nicola Pirozzi

• Ultrasound evaluation of the arm for endovascular access creation.
• Intraoperative endo-lithotripsy for distal artery calcification.
• Microsurgery for distal AVF creation.
• Implantation of the biological aXess graft.
• Endovascular fistula creation with the new Velocity system.

16:00-16:30

Coffee Break

16:30-17:45

Recent clinical trials (Lectures 20 minutes)
Session chairs: Matteo Tozzi, Nick Inston

1. Drug-eluting technologies.
2. Wrapsody endoprosthesis.
3. Access study (RCT of regional vs local anesthesia).
4. Oral abstract presentation. 7 minutes. TBD
5. Oral abstract presentation. 7 minutes. TBD

Room 3 Session

11:15-12:15

Dialysis access and the cardiovascular system
Session chairs: Jan Malik, Marco Franchin

• What is the optimal flow for vascular access?
• Vascular access and cardiorenal syndrome
• Vascular access management after kidney transplantation
• Aneurysms in vascular access conduits

12:15-13:15

Lunch Break and Industry Symposia (12:30-13:10 - 40 minutes)

13:00-14:00

Poster session discussion in the Poster Area
Discussants: Nick Inston, Maarten Snoeijs, Maria Guedes Marques, Yara Fares, Robert Shahverdyan, Matteo Tozzi (selection of best posters)

14:00-15:00

Tissue engineering in vascular access
Session chairs: Francois Saucy, Joris Rotmans

1. Update of clinical trials of the aXess device
2. Biotubes as arteriovenous grafts, first results from clinical trial
3. Update on clinical trials of Acellular Tissue Engineered Vessel
4. oral abstract presentation. 7 minutes. TBD
5. oral abstract presentation. 7 minutes. TBD

15:00-16:00

Peritoneal dialysis access (Presentations: 10 minutes)
Session chairs: Tamara Jemcov, Ulrika Hahn Lundstrom

1. The right PD catheter for the right patient at the right time
2. PD-catheter shaving, a technique for salvage of infected catheters
3. Mini-laparotomic placement of the PD catheter
4. Laparoscopic placement of the PD catheter
5. Percutaneous placement of the PD catheter

16:00-16:30

Coffee Break

16:30-17:45

Management of high-flow and hand ischemia (Presentations: 20 minutes)
Session chairs: Robert Shahverdyan, Antonio Norton de Matos

1. Surgical techniques to reduce access flow
2. Pro con: bypass versus banding/ligation
3. FRAME-device: clinical indications and experience
4. Oral abstract presentation. 7 minutes. TBD
5. Oral abstract presentation. 7 minutes. TBD

General session – Room 1

09:00 – 09:30

Keynote lecture

09:30 – 9:45

VAS Awards (two awards with 5 minutes presentations form the awardee?)
Moderators: Maurizio Gallieni, Tamara Jemcov

9:45 – 10:45

VAS-VASA-JSDA-ERA-ISN cooperation session
Session chairs: VASA (Dirk Hentschel), ERA (Dimitrios Goumenos), and ISN (Jadranka Buturović) representatives

1. Discrepancies in vascular access clinical practices: why?
2. From small to tall: vascular dimensions and flow
3. Impact of reimbursement policies on vascular access management
4. The ISN interventional nephrology training program: opportunities and hurdles

10:45-11:15

Coffee break

11:15-12:15

The non-maturing access
Session chairs: Joris Rotmans, Alexandros Mallios

1. Big-BAM: a new method to enhance maturation?
2. Side-branch ligation or embolization in non-maturating fistulas: is it worth it?
3. Surgical rescue of peri-anastomotic stenoses
4. Oral abstract presentation (5 +2 min)
5. Oral abstract presentation (5 + 2 min)

12:15-13:15

Lunch Break and Industry Symposia (12:30-13:10 - 40 minutes)

13:15-14:00

Salvage of failing access
Session chairs: Luis Loureiro, Jan Tordoir

1. Endovascular salvage (15 min)
2. Hybrid surgery salvage (15 min)
3. Oral abstract presentation (5 +2 min)
4. Oral abstract presentation (5 + 2 min)

14:00-14:45

Vascular access in fragile patients (Minilectures (15 minutes)
Session chairs: Maarten Snoeijs, Jennifer Hanko

1. Vascular access in the elderly: Nephro-geriatric assessment
2. Vascular access creation in hemodialysis patients with heart failure
3. Oral abstract presentation (5 +2 min)
4. Oral abstract presentation (5 + 2 min)

14:45-15:30

Ultrasound in vascular access
Session chairs: José Ibeas, Jeremy Crane

1. Ultrasound-monitoring of maturation: does it have any value?
2. Surveillance of graft and fistulas
3. Ultrasound versus dilution techniques for access monitoring in clinical practice
4. Ultrasound-guided balloon angioplasty

15:30-16:00

Coffee Break

16:00 – 17:00

Best abstracts (7 min presentations of 5 best oral communications and 3 minutes presentations of best five posters)
Session chairs: Antonio Norton de Matos, Vladimir Matoussevitch

17:00-18:00

VAS General Assembly

Gala Dinner in Venice

Room 2 Session - Nursing Symposium

Coordinators:
Ruben Iglesias, Vascular Access Nurse
Gelisa Allers, Vascular Access Nurse
Clemente Sousa, Vascular Access Nurse

10:15 – 10:45

Ultrasound guided cannulation, pros and cons

10:45-11:15

Coffee break

11:15-12:15

Catheter locks

12:15-13:15

Lunch Break and Industry Symposia (12:30-13:10 - 40 minutes)

13:15-14:00

Management of the bleeding access post-dialysis

14:00-14:45

Monitoring and surveillance
One presentation on measuring access flow and recirculation during hemodialysis

14:45-15:30

Management of inadequate access flow during dialysis

15:30-16:00

Coffee Break

16:00 – 17:00

Nursing of vascular access: patient education and empowerment

17:00-18:00

VAS General Assembly

Gala Dinner in Venice

Room 3 Session

10:15 – 10:45

Clinical problem solving in vascular access 1 – Case analysis (7 min each + discussion 3 min)
Session chairs: Kate Steiner, Nicola Pirozzi

• Stents versus drug coated ballons for outflow complications
• The bleeding access
• High Flow AV access

10:45-11:15

Coffee break

11:15-12:15

Clinical problem solving in vascular access 2 – Case analysis (7 min each + discussion 3 min)
Session chairs: David Kingsmore, Robert Shahverdyan

1. Endo-AV fistula malfunction or complications
2. Decision on vascular access ligation after kidney transplantation
3. AV fistula maturation problems
4. 4. Indication to early cannulation graft placement
5. Problematic removal of cuffed catheters

12:15-13:15

Lunch Break and Industry Symposia (12:30-13:10 - 40 minutes)

13:15-14:00

Endo-AV fistula: First-generation devices and new developments
Session chairs: Matteo Tozzi, Gianmarco Falcone

1. Current status of endo-AVFs: outcomes of recent clinical trials
2. Overview of the currently available endo-AVF devices and those under investigation.
3. Economics of endo-AVFs

14:00-14:45

AV fistula, surgical issues
Session chairs: Flavia Gentile, Nick Inston

1. Unusual vascular access conduits, impact of patient characteristics
2. Managing the high flow fistula – why, when and how
3. Use of small vessels for distal AV access
4. Vascular access for non-renal indications (oncology, plasma exchange, parenteral feeding).

14:45-15:30

Video session: management of dialysis access complications (Four 10 min videos)
Session chairs: Georgios Chatzantonis, Matthias Widmer

1. Video 1
2. Video 2: Limberg skin flap for conservative treatment of skin necrosis complicating AV fistula.
3. Video 3: Treatment approach to CVC related right atrial thrombosis.
4. Video 4

15:30-16:00

Coffee Break

16:00 – 17:00

Innovation in vascular access
Session chairs: Roberta Brambilla, Ramon Roca-Tey

1. Intraoperative intravascular lithotripsy
2. Xeltis aXess Hemodialysis Graft.
3. Implantable magnetic device for blood flow control through AVF
4. Surgical planning of arteriovenous fistulae in routine clinical practice through a machine learning predictive tool

17:00-18:00

VAS General Assembly

Gala Dinner in Venice

General session – Room 1

09:00 – 09:40

Keynote lecture

09:40 – 10:00

VAS Awards (two awards with 7 minutes presentations form the awardee?)
Session chairs: Maurizio Gallieni, Tamara Jemcov

10:00 – 10:45

Round table - Answers to patients’ questions on vascular access.
Session chairs: Charmaine Lok, Clemente Sousa
Participants: Nephrologist: Charmaine Lok, Surgeon: TBD, Radiologist: Daniele Savio, Nurse: Clemente Sousa (?), Patient TBD; (questions should be collected with a patient-oriented survey before the meeting – through ANED)

10:45-11:15

Coffee break

11:15-12:15

Vascular access grafts. Should we use less or more?
Session chairs: Mario D’Oria, Luis Loureiro

1. The Role of Bioengineered Vascular Grafts in Reducing Complications: A Paradigm Shift.
2. The Use of Early-Cannuation Grafts for Hemodialysis Crashlanders: Mith or Reality
3. Graftulas: graft interpositions in fistulas, the worse of both worlds?
4. Oral abstract presentation (5 +2 min)
5. Oral abstract presentation (5 + 2 min)

12:15-13:00

Vascular access issues for home hemodialysis
Session chairs: Clemente Sousa, Marcello Napoli

1. AVFs versus CVCs for home hemodialysis
2. Buttonhole AV access for home hemodialysis, pros and cons
3. “Self-cannulation for home hemodialysis” or “Vascular access training for the caregiver” or “Management of vascular access complications in home hemodialysis”

13:00-13:15

Awards ceremony for best abstracts

13:15-13:30

Presentation of the VAS2027 Congress and final remarks