General session – Mantegna Parterre Room

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
   Tamara Jemcov, Serbia
2. AV fistula then and now - almost 60 years after the first native access
   Nicola Pirozzi, Italy
3. AV grafts: Are the indications still the same?
   Matteo Tozzi, Italy
4. Leveraging multi-disciplinary partnerships to improve value in vascular access care
   Prabir Roy-Chaudhury, USA

10:45-11:15

Coffee break

11:15-12:15

The central venous catheter (CVC)
Session chairs: Boštjan Leskovar, Gianmarco Falcone

1. ECG-guided CVC insertion
   Tim Spencer, USA (President, WoCoVA)
2. Thrombotic complications of CVCs
   Gianmarco Falcone, Italy
3. How long can we keep a non-tunneled hemodialysis catheter in place?
   Jennifer Hanko, UK
4. Infectious complications of CVCs
   Maria Guedes, Portugal

12:15-13:15

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
Session chairs: Christopher Seet, Raquel Barba

1. International collaboration and teaching in vascular access
   Loreto Gesualdo, Italy
2. Establishing excellence: the case for a dedicated curriculum in vascular access for dialysis – design, implementation, and impact.
   Maarten Snoeijs, Netherlands
3. Teaching vascular access in the UK
   Mohummad Khurram, UK
4. Haptic simulators, virtual reality, augmented reality, extended reality in pre-operative planning and practical training in vascular access surgery
   Andrea Gattuso, Italy

15:00-16:00

Young Committee session 2.
Multidisciplinary Teams in Vascular Access
Session chairs: Yara Fares, Wouter Moest

1. How to integrate a nurse in a multidisciplinary vascular access team: A French example.
   John Lecompte, France
2. Setting up a multidisciplinary vascular access team in Japan.
   Toshihide Naganuma, Japan
3. Setting up a multidisciplinary team in the UK.
   Mohummad Khurram, UK
4. Impact of interprofessional collaboration of advanced practice providers - led team and nephrologists in placing non-tunneled dialysis access among cancer patients
   Joanne Dalusung, USA

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?
   Tamara Jemcov, Serbia
2. Use of the kidney failure risk equation (KFRE) for VA planning
   Ulrika Hahn Lundstrom, Sweden
3. The impact of an AVF on kidney function in patients with CKD 5
   Carlo Lomonte, Italy
4. Earlier cannulation of AVFs
   Nick Inston, UK

17:30-18:00

Mini lectures
Session chairs: Daniele Savio, Maurizio Gallieni

1. How to publish in the Journal of Vascular Access
   Jan Tordoir, VAS Editor, Netherlands
2. Interventional Radiology: which treatment for which stenosis?
   Daniele Savio, Italy

Parallel Session 1 - Room Mantegna Media 1

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
   Roberto Vazquez-Padron, USA
2. Hemodynamics and its impact on vascular access maturation and longevity
   Andrea Remuzzi, Italy
3. Updates in translational science for vascular access
   Joris Rotmans, Netherlands
4. Porcine Model of AVF stenosis treated with PTA.
   Sanjay Misra, USA
5. Intimal neovascularization is correlated with systemic inflammation and long-team arteriovenous fistula failure: a preliminary report
   Emil Marian Arbănași
6. Mechanisms of arterialization of arteriovenous fistulas for hemodialysis and their correlation with functionality
   Raffaella Mauro, Italy

12:15-13:15

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.
   Ramon Roca-Tey, Spain
2. Gender and susceptibility to vascular access complications.
   Gunilla Welander, Sweden
3. How gender affects vascular access selection. Diameters and functional characteristics.
   Tamara Jemcov, Serbia
4. Gender disparity in autologous arteriovenous access for hemodialysis
   Luís Santos, Portugal

15:00-16:00

Video session: dialysis access creation
Session chairs: Alexandros Mallios, Nicola Pirozzi

1. Ultrasound evaluation of the arm for endovascular access creation.
   Alexandros Mallios, France
2. Intraoperative endo-lithotripsy for distal artery calcification.
   Marcello Napoli, Italy
3. Microsurgery for distal AVF creation.
   Nicola Pirozzi, Italy
4. Implantation of the biological aXess graft.
   Matteo Tozzi, Italy
5. Endovascular fistula creation with the new Velocity system.
   Robert Shahverdyan, Germany

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.
   Narayan Karunanithy, UK
2. Cell-impermeable endoprosthesis.
   Leonardo Harduin, Brasil
3. Efficacy of Ultrasound-Guided Selective cutaneous Nerve Block During PTA for Dysfunctional Forearm Radiocephalic AVFs
   Taisuke Shimizu, Japan
4. Translating VasQ Clinical Study Outcomes into the Real World
   George Blessios, USA
5. Six-month reintervention rates following treatment with WRAPSODY vs PTA
   Leonardo Harduin, Brasil
6. Mentreultic data in crashlanders: should we reduce tunneled CVC insertion?
   Elettra Lomeo, Italy

Paralles Session 2 - Room Mantegna Media 2

11:15-12:15

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

1. What is the optimal flow for vascular access?
   Carlo Lomonte, Italy
2. Vascular access and cardiorenal syndrome
   Jan Malik, Czech Republic
3. Vascular access management after kidney transplantation
   Ulrika Hahn Lundstrom, Sweden
4. Aneurysms in vascular access conduits
   Marco Franchin, Italy

12:15-13:15

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
   Robert Shahverdyan, Germany
2. Mechanically reinforced biotubes for dialysis access: 18 months results from a first-in-man structured registry study
   Qining Fu (Deling Kong group), China
3. Preclinical evaluation of a fully biological, human, woven vascular graft
   Nicolas L'Heureux, France
4. Evaluation of safety and performances of the novel Silkothane® vascular access in a clinically-relevant ovine model
   Stefania Adele Riboldi, Italy
5. Reduced platelet activation and fibrin adsorption on the surface of urokinase-coated dialysis catheter
   Kenichi Kokubo, Japan

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
   Charmaine Lok, Canada
2. PD-catheter shaving, a technique for salvage of infected catheters
   Miroslava Popovic, Serbia
3. Mini-laparotomic placement of the PD catheter
   Maurizio Gallieni, Italy
4. Laparoscopic placement of the PD catheter
   Maarten Snoeijs, Netherlands
5. Percutaneous placement of the PD catheter
   Ingemar Davidson, USA

16:00-16:30

Coffee Break

16:30-17:45

Management of high-flow and hand ischemia
Session chairs: Robert Shahverdyan, Antonio Norton de Matos

1. Surgical techniques to reduce access flow
   Ingemar Davidson, USA
2. Pro con: bypass versus banding/ligation
   John Lucas III, USA
3. FRAME-device: clinical indications and experience
   Vladimir Matoussevitch, Germany
4. High flow reduction on distal radio-cephalic fistula: description of a novel banding technique
   Arianna Ceravolo, Italy
5. AVF elective ligation in kidney transplant recipients (KTRs) is not associated with an acceleration of kidney function decline
   Francesco La Fergola, Italy

General session – Mantegna Parterre Room

09:00 – 09:30

Keynote lecture: Dialysis access beyond the guidelines: new perspectives
Charmaine Lok, Canada

09:30 – 9:45

VAS Awards
Session chairs: Maurizio Gallieni, Tamara Jemcov

9:45 – 10:45

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

1. Discrepancies in vascular access clinical practices: why?
   Toshihide Naganuma, Japan (JSDA)
2. From small to tall: vascular dimensions and flow
   John Lucas III, USA (VASA)
3. Impact of reimbursement policies on vascular access management
   Maarten Snoeijs, Netherlands (VAS)
4. The ISN interventional nephrology training program: opportunities and hurdles
   Jadranka Buturović, Slovenia (ISN Interventional Nephrology Working Group)

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?
   Leonardo Harduin, Brasil
2. Side-branch ligation or embolization in non-maturating fistulas: is it worth it?
   Antonio Norton de Matos, Portugal
3. Surgical rescue of peri-anastomotic stenoses
   Alexandros Mallios, France
4. Innovative and unconventional techniques to accelerate maturation of distal fistulas
   Tomasz Gołębiowski, Poland
5. Mobile health app reduces catheter time for patients with newly created arteriovenous fistulas
   Qining Fu, china

12:15-13:15

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
   Kate Steiner, UK
2. Hybrid surgery salvage
   Georgios Chatzantonis, Greece
3. Failed thoracic central vein recanalization: salvage utilizing a radio frequency guide wire
   John Aruny, USA
4. Safety and performance of a cell-impermeable endoprosthesis for hemodialysis vascular access central venous occlusion: a Brazilian multicenter retrospective study
   Leonardo Cortizo, Brazil

14:00-14:45

Vascular access in fragile patients
Session chairs: Maarten Snoeijs, Jennifer Hanko

1. Vascular access in the elderly: Nephro-geriatric assessment
   Alferso Abrahams, Netherlands
2. Vascular access creation in hemodialysis patients with heart failure
   Jan Malik, Czech Republic
3. Effect of arterio-venous fistula on advanced echocardiographic parameters in chronic kidney disease patients with preserved ejection fraction heart failure
   Denis Fornazarič, Slovenia
4. Vascular access surgery timing: A prospective European cohort study in elderly patients with end-stage kidney disease
   Boudewijn Heggen, Netherlands

14:45-15:30

Ultrasound in vascular access
Session chairs: José Ibeas, Maria Guedes Marques

1. Ultrasound-monitoring of maturation: does it have any value?
   José Ibeas, Spain
2. Surveillance of graft and fistulas
   Maria Guedes Marques, Portugal
3. Ultrasound versus dilution techniques for access monitoring in clinical practice
   José Luis Merino, Spain
4. Ultrasound-guided balloon angioplasty
   Boštijan Leskovar, Slovenia

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

• Best oral communications (7+2 min)
• Does dialysis access flow affect right ventricular-pulmonary arterial coupling in patients on chronic hemodialysis with pulmonary hypertension?
  Kristína Burýšková Salajová, Czech Republic
• From vascular mapping to hemodialysis: determinants of arteriovenous vs. catheter access as the first vascular access
  Luís Santos, Portugal
• Intraoperative optimization of radiocephalic arteriovenous fistula surgery with contemporary techniques: a retrospective study
  Nicholas White, Netherlands
• Pre-emptive vascular access creation – getting the timing right
  Ben Edgar, UK
• The single cell landscape of the human vein after arteriovenous fistula creation and implications for maturation failure
  Laisel Martinez, USA
• Best posters (3 min)
• Transjugular EKOS followed by CATD vacuum-assisted thromboaspiration: a new therapeutic perspective for treatment of acute thrombotic superior vena cava syndrome
  Manuel Di Napoli, Italy
• High-oxalate diet kidney disease induces hypertension and inflammation and drives impaired murine arteriovenous fistula remodeling
  Eduard de Winter, Netherlands
• Central access related superior vena cava obstruction: a possible overlooked risk factor in kidney transplant outcomes
  Gozde Gultekin, UK
• Comparision of three types distal arteriovenous fistulas for hemodialysis - short term results
  Tomasz Gołębiowski, Poland
• Vascular access and life outcome in patients with low cardiac function
  Sadanori Shintaku, Japan

17:00-18:00

VAS General Assembly

Gala Dinner in Venice

Parallel Session 1 - Room Mantegna Media 1

11:15-12:15

Abstracts- Cannulation and surveillance (7 min + 3 min discussion)

• Influencing factors in arteriovenous fistula needling suitability for hemodialysis
  Rui Pinto, Portugal (10 min)
• Implementation of the Multiple Single Cannulation Technique (MuST) in Spain: Training and Initial Experience
  Ruben Iglesias, Spain (10 min)
• The Role of ePROM in improving patient-centered care through enhanced vascular access management in Hemodialysis: A case-control study.
  João Barros, Portugal (10 min)
• Global differences in using point-of-care ultrasound for assessment and cannulation in haemodialysis
  Monica Schoch, Australia (10 min)
• Plastic cannulae in hemodialysis: evaluation by usability methodology
  Decenzio Bonucchi, Italy (10 min)
• Impact of Ultrasound (US) surveillance on arterovenous fistula (AVF) survival among hemodialysis patients. A retrospective single-centre 2-cohorts study
  Silva Corti, Italy (10 min)
• Application of Drug-Coated Balloon in Balloon-Assisted Maturation (BAM) Technology for Dialysis Arteriovenous Fistulas
  Jianing Yue, China

12:15-13:15

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

13:15 – 17:00

Nursing Symposium
Coordinators: Ruben Iglesias, Gelisa Allers, Clemente Sousa

13:15-13:45

Keynote lecture: The role of professional nursing associations: opportunities and challenges
Ilaria De Barbieri, Italy. EDTNA/ERCA President
Session chair: Silvia Corti

13:45-14:25

Ultrasound guided cannulation
Session chairs: Clemente Sousa, Gelisa Allers

1. Barriers and facilitators.
   Monica Schoch, Australia (10min)
2. Cannulation in complex accesses management.
   Rui Pitno, Portugal (10min)
3. Discussion
   (15min)

14:30-15:25

Nursing Vascular Access management and monitoring
Session chairs: Ruben Iglesias, Monica Schoch

1. Role of POCUS in daily routine.
   Silvia Corti, Italy (15min)
2. How to manage arteriovenous access in use with complications.
   Maurizio Gallieni, Italy (15 min)
3. Bleeding access post-dialysis: Factors and management.
   Maarten Snoeijs, Netherlands (15 min)
4. Discussion
   (10 min)

15:30-16:00

Coffee Break

16:00-16:30

Central venous catheter management
Session chairs: Telmo Carvalho, João Barros

1. CVC infection prevention: role of nursing care.
   Frederica Vienna, Italy (10 min)
2. Strategies to minimize dysfunction - how to do it.
   Gelisa Allers, Netherlands (10 min)
3. Discussion

16:30 – 17:00

Nursing of vascular access: patient-centered care
Session chairs: Rui Pinto, Gelisa Allers

1. Patient education for vascular access care.
   Telmo Carvalho, Portugal (10 min)
2. Improving vascular access: PROMs for patient-centered care.
   João Barros, Portugal (10 min)
3. Discussion

17:00-18:00

VAS General Assembly

Gala Dinner in Venice

Parallel Session 2 - Room Mantegna Media 2

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

1. Stents versus drug coated ballons for outflow complications
   Kate Steiner, UK
2. Decision on vascular access ligation after kidney transplantation
   Nick Inston, UK
3. High Flow AV access
   Pasquale Zamboli, Italy

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
   Robert Shahverdyan, Germany
2. The bleeding access
   Maarten Snoeijs, Netherlands
3. AV fistula maturation problems
   Monnie Wasse, USA
4. Indication to early cannulation graft placement
   David Kingsmore, Glasgow, UK
5. Problematic removal of cuffed catheters
   Gürkan Sengölge, Austria

12:15-13:15

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. Overview of the currently available endo-AVF devices and those under investigation.
   Gianmarco Falcone, Italy
2. Current status of endo-AVFs: outcomes of recent clinical trials
   Monnie Wasse, USA
3. Economics of endo-AVFs
   José Ibeas, Spain

14:00-14:45

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

1. Unusual vascular access conduits, impact of patient characteristics
   Flavia Gentile, Luxembourg
2. Managing the high flow fistula – why, when and how
   Antonio Norton de Matos, Portugal
3. Use of small vessels for distal AV access
   Marcello Napoli, Italy
4. Vascular access for non-renal indications (oncology, plasma exchange, parenteral feeding).
   Roberta Brambilla, UK

14:45-15:30

Video session: management of dialysis access complications
Session chairs: Georgios Chatzantonis, Matthias Widmer

1. Video 1: A case of complicated dialysis access.
   Alexandros Mallios, France
2. Video 2: Limberg skin flap for conservative treatment of skin necrosis complicating AV fistula.
   Nicola Pirozzi, Italy
3. Video 3: Treatment approach to CVC related right atrial thrombosis.
   Daniele Savio, Italy
4. Video 4: A case of complicated dialysis access.
   Monnie Wasse, USA

15:30-16:00

Coffee Break

16:00 – 17:00

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

1. Implantable magnetic device for blood flow control through AVF
   Joris Rotmans, Netherlands
2. Intraoperative intravascular lithotripsy
   Marcello Napoli, Italy
3. aXess hemodialysis graft and endogenous tissue restoration.
   Matteo Tozzi, Italy
4. Surgical planning of arteriovenous fistulae in routine clinical practice through a machine learning predictive tool.
   Andrea Remuzzi, Italy

17:00-18:00

VAS General Assembly

Gala Dinner in Venice

General session – Mantegna Parterre Room

09:00 – 09:30

Keynote lecture: 100 years of hemodialysis: the vascular access issue from the past to the future
Claudio Ronco, Vicenza, Italy
Session chairs: Maurizio Gallieni, Joris Rotmans

09:30 – 10:10

Oral abstract presentations
Session chairs: Tamara Jemcov, Maurizio Gallieni

1. The Advantages of Side-to-Side Anastomosis in Vascular Access Surgery.
   Boštjan Leskovar, Slovenia
2. Latest clinical results from the Covera Covered Stent In arteriovenous fistulae
   Robert Shahverdyan, Germany
3. Establishment of an ultrasound screening program for arterio-venous fistulas at the time of kidney transplantation
   Jakob Gubensek, Slovenia
4. The role of Vessel Preparation and drug-coated angioplasty in treatment of hemodialysis access.
   Robert Shahverdyan, Germany

10:10 – 10:45

Round table - Answers to patients’ questions on vascular access.
Session chairs: Charmaine Lok, Clemente Sousa
Participants:
Nephrologist: Charmaine Lok
Surgeon: Matteo Franchin
Radiologist: Daniele Savio
Nurse: Clemente Sousa
Patient: TBD

10:45-11:15

Coffee break

11:15-12:15

Vascular access grafts
Session chairs: Mario D’Oria, Luis Loureiro

1. The Role of Bioengineered Vascular Grafts in Reducing Complications: A Paradigm Shift.
   Luís Loureiro, Portugal
2. The Use of Early-Cannuation Grafts for Hemodialysis Crashlanders: Mith or Reality
   Marco Franchin, Italy
3. Graftulas: graft interpositions in fistulas, the worse of both worlds?
   Joaquim Vallespin, Spain
4. Association between blood flow monitored over time by ultrasound and the risk of thrombosis in autologous and prosthetic AV accesses
   Mariia Romanova, Italy
5. Percutaneous echo-guided mechanical thrombolysis with Cleaner XT™ in hemodialysis patients with graft thrombosis
   Valentina Stucchi, Italy

12:15-13:00

Vascular access issues for home hemodialysis
Session chairs: Clemente Sousa, Federico Nalesso

1. AVFs versus CVCs for home hemodialysis
   Nick Inston, UK
2. Buttonhole AV access for home hemodialysis, pros and cons
   Federico Nalesso, Italy
3. 3. Management of vascular access bleeding complications in home hemodialysis
   Maurizio Gallieni, Italy

13:00-13:15

Awards ceremony for best abstracts

13:15-13:30

Presentation of the VAS2027 Congress (Belgrade, Serbia) and final remarks
Chairs: Joris Rotmans, Tamara Jemcov