Challenging Approaches in Dialysis Catheter Procedures

Training Overview

Challenging Approaches in Dialysis Catheter Procedures Training is a focused, simulation-based educational program designed to strengthen clinical decision-making and technical proficiency in complex central venous access and advanced dialysis catheter interventions. This one-day intensive training combines venous anatomy, patient risk stratification, case-based learning, and high-fidelity simulations to support safe and effective catheter placement and salvage in patients with exhausted access options.

The program begins with essential modules on central venous anatomy, mapping of chronic venous occlusions, and multi-modality imaging interpretation (Ultrasound, Venography, and CT Venography). Participants review pre-procedural planning, patient optimization, and gain a structured approach to identifying alternative routes—such as collateral vein adaptation, femoral, translumbar, or transhepatic access—in daily practice.

Simulation-based sessions focus on advanced wire-catheter manipulation, sharp recanalization techniques for chronic total occlusions (CTO), and safe sharp-needle or snare-assisted tracking. Hands-on device workshops cover the handling of diverse tunneled and non-tunneled dialysis catheters, tunneling techniques, and the deployment of advanced access solutions like the HeRO (Hemodialysis Reliable Outflow) Graft system.

Advanced case discussions address challenging catheter revisions, fibrin sheath management (stripping vs. disruption), and procedures in high-risk patients with severe central venous stenosis or superior vena cava (SVC) syndrome. Integrated simulations emphasize crisis management for life-threatening complications, including acute air embolism mitigation, venous perforation, cardiac tamponade, and severe access-site hemorrhage.

By the end of this intensive program, participants will be able to confidently select appropriate approaches, navigate complex venous occlusions, and execute dialysis catheter procedures safely while effectively preventing and managing potential complications.

Target Audience

• Interventional Radiologists

• Nephrologists performing endovascular access procedures

• Vascular Surgeons

• Radiology, Nephrology, and Vascular Surgery Fellows and Residents

• Dialysis Access Coordinators and Cath Lab Specialist Nurses

  
  

Training Specifics

• Training Name: Challenging Approaches in Dialysis Catheter Procedures Training

• Duration: 1 full day

• Language: English

• Simulation Lab: Central venous recanalization simulators, catheter tunneling and snare labs, advanced access deployment workshops, crisis scenarios

• Assessment Type: Quiz & practical evaluation

• Certificate: Certificate of Completion & CME Credits

• Program Venue: ADN CoE Training, Research Center & Core Lab

  
  

Additional Benefits

• Simulation-Based Learning: Practice advanced central venous recanalization, alternative site access, and complication troubleshooting in realistic clinical scenarios.

• Hands-On Device Lab: Master tunneling techniques, snare-assisted catheter exchanges, and specialized dialysis access systems.

• Venous Mapping Focus: Learn to identify collateral pathways and evaluate the feasibility of translumbar or transhepatic access routes.

• Fibrin Sheath Troubleshooting: Perfect mechanical disruption and exchange techniques for poorly functioning catheters.

• Crisis Management Training: Rapidly respond to acute venous perforations, air embolisms, or sudden hemodynamic instability.

• Expert Faculty Guidance: Receive practical tips, technical pearls, and real-time procedural feedback.

  
  

Key Benefits

• Improved interpretation of complex venography and central venous occlusion anatomy.

• Higher precision in microcatheter manipulation and wire tracking through stenotic segments.

• Enhanced ability to safely execute alternative large-bore access techniques.

• Greater confidence during challenging on-call catheter revisions and malfunctions.

• Strengthened multidisciplinary clinical decision-making between radiology, nephrology, and surgical teams.

Ethical and Educational Standards

All ADN CoE training programs are designed in compliance with ethical, animal-free, and environmentally responsible education policies, ensuring clinical excellence and sustainability. For inquiries regarding accreditation or ethical compliance, contact trainings@adncoe.com.

Logistics and Additional Information

Transfer Services

Participants using ADN CoE accommodation and transfer options should adhere to the scheduled pick-up and drop-off times, which were shared before the training.

International Participants

Ensure your passport and visa are valid before travel. For invitation letters or official documentation, contact trainings@adncoe.com at least 4 weeks before the course start date. Information on nearby hotels, transport, and regulations will be provided before the event.

Attire

Business casual attire is recommended. Clinical scrubs and personal protective equipment will be provided for simulation and imaging workstation lab sessions. Please note: ADN CoE is a non-smoking, green-certified facility.

Health & Safety

Our venues comply with the highest safety and hygiene standards. Participants will receive orientation on fire, emergency, and biosafety protocols.

Transfer of Registration

Participants may transfer their registration to another individual from the same institution with prior written approval from ADN CoE, provided the request is made at least 10 days before the course start date.

Course Postponement or Cancellation

ADN CoE reserves the right to postpone or cancel the course due to unforeseen circumstances. In case of cancellation by ADN CoE, participants will receive a full refund or the option to transfer to a future course date.  

Non-Transferable Fees  

Payment made for the course is non-transferable to other courses or services unless otherwise approved by ADN CoE.  

Faculty Disclosure and Conflict of Interest

All faculty members and proctors involved in this training disclose any financial or commercial interests. We maintain a strict policy of no conflict of interest with device companies, sponsors, or participants, ensuring unbiased and independent education.

Content Independence

The educational content is developed based solely on the latest scientific evidence and clinical best practices. No product promotion or commercial advertising is included in our training materials.

Evaluation and Feedback

We value your input. At the end of the course, you will be invited to complete a feedback survey and a knowledge assessment quiz. Your responses help us continually improve the training experience.

Quality Assurance

Our training materials and curriculum are regularly reviewed and updated to reflect the most current research and technological advances in the field.

Sponsorship Transparency

Any sponsorship or funding received for this course is disclosed upfront. We ensure that sponsors do not influence the content or delivery of the training.  

Data Protection and Patient Confidentiality  

We strictly protect the privacy of all participants and uphold the highest standards of confidentiality regarding patient information shared during the training, in accordance with applicable data protection laws.  

Accessibility and Inclusiveness  

We strive to make our training accessible to all participants. Language support and accommodations for disabilities are available upon request to ensure an inclusive learning environment.  

Please note that our training is specialized procedural training provided by ADN CoE. They are independent of any other training offered by relevant device companies.