May 9-10, 1996, Tucson, Arizona

Introduction: This fifth symposium on vascular access was organized by Mitchell L. Henry, M.D., and Ronald M. Ferguson, M.D., Ph.D., who are faculty members at the Ohio State University College of Medicine. The meeting was held in Tucson, Arizona, May 9-10, 1996, and was funded by an unrestricted educational grant from W.L. Gore & Associates. Support and organization was provided by the ACCESS Medical group, Ltd., Long Grove, IL.

These vascular access symposia have been held every two years, and each new meeting has drawn more participants and faculty. This most recent meeting included abstract presentations from 28 physicians and faculty presentations from fourteen distinguished speakers.

With the support of the conference organizers, HDCN is very pleased to present four of the key faculty and abstract presentations at this meeting, and a debate between an interventional radiologist vs. a surgeon concerning radiologic vs. surgical approaches to access dysfunction or failure.

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The Faculty

Drs. Gelbfish, Oakes, Sands, Trerotola, and Woodle

Gary A. Gelbfish, M.D. , Vascular Surgeon, Beth Israel Medical Center and North General Hospital, New York, New York.
David A. Oakes, M.D., Associate Professor of Surgery at the Stanford University School of Medicine. Stanford, CA.
Jeffrey J. Sands, M.D., Renal Consultants of Wyoming Valley, PC, Director, Hazelton Biomedical Applications Unit, Wilkes Barre, PA.
Scott O. Trerotola, M.D., Associate Professor of Radiology and Director, Vascular and Interventional Radiology, Indiana University Medical Center, Indianapolis, IN.
E. Steve Woodle, M.D., Assistant Professor of Surgery and Immunology, Director, Renal Transplantation, University of Chicago, Chicago, IL.

The lectures

* Experience with Early Cannulation Vascular Access Grafts. (Dr. Gelbfish)
* Use of Color Flow Doppler in Vascular Access.(Dr. Sands)
* Access Recirculation in Hemodialysis.(Dr. Sands)
* Surgical Salvage of Failed Radiocephalic Fistulae. (Dr. Oakes)
* DEBATE: Radiologic versus Surgical Intervention for AV Graft Thrombosis/Stenosis: Cost and Outcome. (Drs. Trerotola and Woodle)

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Real Audio recording of Dr. Henry's introduction

Dr. Mitchell Henry. We sat down and thought about it, and realized that there was no specific forum where we could sit down and talk about vascular access. Vascular access is sort of the Rodney Dangerfield of medicine, and really hasn't had a lot of respect in the past. I think that the showing today demonstrates that there are people who are interested, and I think through some of these efforts we can improve the outcomes and the lives of patients who are on dialysis.

There are several people I'd like to thank before we get started: certainly our sponsors, W.L. Gore, Don Lass, and Susan Booth, who have been over the years very very helpful, and we thank them, and also the folks from ACCESS Medical, who have put together the specifics of the meeting, Fred Howayeck, David Gottlieb, and Sue Sessa, and my staff, Cindy Narcross and Joni Ashcraft. I'd like to thank all the presenters and all those who have put the abstracts together, and certainly the participants.

This is a forum where lively discussion will only enhance activity. We don't want to be standing up here and preaching to you. You need to get involved and be aggressive with your comments, and we'll try to entertain as many of those as we can.

The discussion is recorded and then transcribed for the book. If any of you have seen the books in the past, I think that they've been quite helpful. They are a nice collation of all of the talks. So if you have a comment, I'd just as soon that you come to the microphone and ask you question. If you're truly, terribly shy, there are question cards that can be passed to the front, and we'll read those, but you shouldn't feel shy; any question is a good question; it's just dumb answers that we try to avoid.

So without any further activities, Ron, would you care to get us started?

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