Objectives

  • Establish a firm foundation of clinical knowledge and technical expertise upon which to base further personal development in the field of vascular and interventional nephrology.
  • Provide a supervised, graduated clinical experience in interpreting and performing all studies encompassed by the specialty of vascular dialysis access and interventional nephrology.
  • Develop familiarity with the anatomy of vascular access as applicable to vascular interventional nephrology procedures.
  • Develop familiarity with the signs and symptoms of vascular access dysfunction.
  • Develop an understanding of the pathophysiology and natural history of the disease processes frequently encountered in this subspecialty and the medical, surgical, and interventional radiologic treatment alternatives for these various disorders.
  • Develop an understanding of common vascular interventional nephrology research methods and study design as well as common pitfalls to clinical research.
  • Develop basic understanding of the indications for and the contraindications to vascular and interventional nephrology procedures listed below.

Procedures

  • Ultrasound of Vascular access
  • Ultrasound of Native Kidney
  • Ultrasound Guided Needle Cannulation of Vein
  • Ultrasound guided Kidney Biopsy
  • Central Venous Catheter placement acute
  • Central Venous Catheter placement/removal chronic
  • Angiogram dialysis access
  • Angioplasty dialysis access
  • Thrombectomy of dialysis access
  • Stent of dialysis vascular access
  • Coil of dialysis vascular access
  • Dialysis access banding
  • Peritoneal dialysis catheter placement
  • Peritoneal dialysis catheter removal

ASDIN Requirements

One-hundred twenty-five (125) procedures will have been successfully completed as primary operator in the following categories within the preceding 24 calendar months of the submission of the application for certification:

  • Angiography of peripheral hemodialysis vascular access  –25 cases including both grafts and fistulas
  • Angioplasty of peripheral hemodialysis vascular access –25 cases including both grafts and fistulas
  • Thrombolysis/thrombectomy of peripheral hemodialysis vascular access –25 cases including both grafts and fistulas
  • Endovascular Stent Placement – 10 cases
  • Tunneled long - term catheter procedures  – 25 cases, of which at least  13 cases must be de novo placements and the remainder may be catheter exchanges.

Additional information at: The American Society of Diagnostic and Interventional Nephrology - Application for Certification Formal Training

Evaluations

Monthly evaluations will be completed by supervising faculty.
Fellows will require achievement of competency in all procedures for successful completion of the training.

Certification

Fellows will be eligible for American Society of Diagnostic and Interventional Nephrology (ASDIN) certification in hemodialysis vascular access procedures if they complete the minimum required procedures. Fellows will be responsible to monitor the numbers required for certification and maintain logs of all cases. 

Interventional Nephrology Fellowship