Rush Dialysis Access (@Rush_DialAccess) | teapawt

Rush Dialysis Access retweeted

Monnie Wasse, MD, MPH @wasse_m

25 yo ESKD pt referred for eval for HD access after 9 yrs of PD & eventual sclerosing peritonitis. No previous AV access. - broke L arm at age 13 - not on tx list, so you want to start distal - you find a great cephalic vein - you see these: #orthotwitter @RenalFellowNtwk

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Rush Dialysis Access retweeted

Monnie Wasse, MD, MPH @wasse_m

Endo approach to the stuck tunneled dialysis CVC. No 🔪 needed. • Amplatz safety guidewire through venous port & parked in IVC • Guidewire through arterial port w/ serial PTA using 5 x 4 Sterling from first rib/clav to venotomy • 🥁…..CVC out!

Monnie Wasse, MD, MPH @wasse_m

A patient with 2+ yr old LIJ tunneled catheter is referred to for CVC removal. The CVC is unable to be removed d/t “tissue adhesions at the level of the clavicle”. Do you:

16%Pull harder 🫣

13%PTA w/in CVC lumen

70%Remove surgically

215 votes • Final results

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Rush Dialysis Access retweeted

Monnie Wasse, MD, MPH @wasse_m

Favorite part of #kidneyweek: visiting posters and talking to trainees! Even better when bringing along a friend @NMawlaMD Excellent poster and great discussion with med student Jasper Sim of @EinsteinMed! 🙌🏾🙌🏾 @ASNKidney

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Rush Dialysis Access retweeted

Monnie Wasse, MD, MPH @wasse_m

Great poster linking high-flow AV access to refractory ascites by renal fellow, Michael Kolman of @RushMedical ! #kidneyweek2024 #kidneyweek

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Rush Dialysis Access retweeted

Monnie Wasse, MD, MPH @wasse_m

A big thanks to special guests Drs. Alejandro Alvarez and Robert Shahverdyan for making the 11th Chicago Dialysis Access Dinner Club meeting dynamic, interactive and educational! Thanks to our sponsors for their support. 🙏🏾 📸 Cole Warner

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Rush Dialysis Access retweeted

Monnie Wasse, MD, MPH @wasse_m

Access surgeons: This is a prox radial-cephalic AVF that was superficialized and now the AVF lies under/just adjacent to the incisional scar. Please show me how you perform these to avoid this problem. 🤷🏽‍♀️

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Rush Dialysis Access retweeted

Monnie Wasse, MD, MPH @wasse_m

53 yo ESKD patient with 3 episodes of AVG thrombosis in two months. No known thrombophilia. Normal bp. Stenoses have been treated. Do you initiate:

42%Eliquis

13%Coumadin

21%Plavix + ASA

24%Leave ‘em alone

189 votes • Final results

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Rush Dialysis Access retweeted

Monnie Wasse, MD, MPH @wasse_m

Pt with a 4 mo radial-cephalic AVF referred for difficult cannulation & “very small vein”. AVF (in red) is 4mm. There’s a 4 mm competing collateral vein. How do you manage it? 🪡🧰🛠️ Ligate? Coil? Plug?

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Rush Dialysis Access retweeted

Monnie Wasse, MD, MPH @wasse_m

Help me understand.

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Rush Dialysis Access retweeted

CiDA @Dialysis_Access

Join us for the Controversies in Dialysis Access Symposium on October 3-5, 2024, in Washington, DC! Register now at dialysiscontroversies.org and save with early bird fees! #CIDA2024 #dialysis #access #CME #kidney #nephrology #radiology #surgery

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Rush Dialysis Access retweeted

Monnie Wasse, MD, MPH @wasse_m

Pt presents for difficult cannulation of his mature aneurysmal AVF. This is in the cannulation segment. It’s 12 mm and there are two of them. The prior US from 4 mo ago shows it, but now it’s bigger. How do you treat it?

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Rush Dialysis Access retweeted

Monnie Wasse, MD, MPH @wasse_m

Dialysis access surgeons: - How do you determine the size of your dialysis AVG’s? - What factors do you take into account?

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Rush Dialysis Access retweeted

AJKD @AJKDonline

A Holistic Framework for the Evaluation of Kidney Function in a Gender-Diverse Landscape buff.ly/3TvBw2x @keila_turino @turbo_dc @SofiaAhmedMD @ccolettep @sylviaerosas @Saad_Nathalie @UCalgaryMed @UAlberta_FoMD

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Rush Dialysis Access retweeted

Ajay Kumar @ajkumar76

Replying to @ASDINNews

@ASDINNews Help me win an argument with IR. Our IR dept routinely uses a 2-3 hr TPA infusion for dysfxn tdc arguing it has better patency rate than fibrin sheath pta or stripping with an exchange. I strongly doubt this is true/trying to find true h2h studies. @NMawlaMD @wasse_m

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Rush Dialysis Access retweeted

RushKidney @RushKidney

Thanks to our faculty, staff and volunteers for making the Rush Kidney Health Fair a success! @RushUNursing @RushMedical @nkf @RushDOIM #kidneymonth

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Rush Dialysis Access retweeted

Monnie Wasse, MD, MPH @wasse_m

Who else has never see a PD catheter lanyard? 🧐

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Rush Dialysis Access retweeted

Monnie Wasse, MD, MPH @wasse_m

ESRD HD pt with a brachial-cephalic AVF referred for decreased surveillance blood flow of 381 ml/min on Fresenius machine. Pump speed 450 ml/min, normal Kt/V & arterial pressure is 220 w/15 g needle. No other stenotic lesions.

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Rush Dialysis Access retweeted

Monnie Wasse, MD, MPH @wasse_m

Proud to have co-chaired the #VEITH2023 dialysis access symposium w/Drs Scher and Sidawy, and even prouder to have kicked off the morning with this stellar panel of dialysis access experts!! 💃🏽

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Rush Dialysis Access retweeted

Monnie Wasse, MD, MPH @wasse_m

Dialysis access surgeons: -Patient w/BMI of 43 is preparing for first AV access. Not on tx list. - RIJ CVC x 1 year - No veins for L forearm AVF Do you create a: - left forearm AVG - left BC-AVF - left prox-radial cephalic AVF - left upper arm AVG

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Rush Dialysis Access retweeted

Monnie Wasse, MD, MPH @wasse_m

An ESRD patient is referred for a pulsatile proximal radial-cephalic AVF with high VP’s. The patient has been going to an access center q3 months. You have no records. On angio, you see this:

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