Questions  Neph. Pre-Meeting Neph. Post-Meeting Surg. Pre-Meeting Surg. Post-Meeting
#1 Which patients do you consider poor AVF Candidates?
Nobody   2      
Geriatric/Elderly 7   1 0  
Cardiovas. Disease 2 2 1 1  
Prior Failed Access 5 0 1 1  
Drug Abusers 9 2 8 2  
Diabetic 9 2 1 0  
Obese 5 1 5 2  
Long term Steroid Use 4 0 3 1  
Other Diseases 10 5 5 4  
Pat. Pref. for Aes. Rsn. 0 1 0 0  
Short Life Expectancy 6 4 5 4  
Transplant list 3 3 1 2  
#3 Has the mtg. changed your way of thinking re: suitability of AVF? (post only, not pre)
Yes 13   4  
No 6   2  
Comments 3-grafts should be converted 1-change the way I do mapping
to fistulas per vasc. Guidelines 1-more pre-op lead time
4-be more aggressive to AVF 1-will try more upper arm Fistulas
1-try multiple AVF before AVG 1-conversion of AVG to AVF
3-good data to help convince
my team
#4 Most Significant area of Discussion? (post only, not pre)
Comments 2-zero graft rate 3-vein transposition of AVF
2-pre-esrd eval of access 1-philosophy for using AVF
alternatives 1-concept of access manager
4-access planning 1-surgical aspects
6-Nguyen & Griffith 3-technique of "how to"
3-different techniques of AVF 1-imaging studies to improve sel.
creation
3-more talking between Neph
and Surgeon
Questions (Cont'd)  Neph. Pre-Meeting Neph. Post-Meeting Surg. Pre-Meeting Surg. Post-Meeting
#5 Will you make any practice changes due to info today? (post only, not pre)
Yes 15 7  
No 0 0  
Maybe 1 0  
Comments 3-convert AVG to AVF 1-coninue on-going efforts to est.
4-educate surgeons database of access patients
6-more involved in pre-op 1-more vascular lab studies
evaluations 2-importance of vein mapping
1-we have lots of work to do to 1-will try more fistulas
get out of our comfortable but
dysfunctional rut if we are to
improve.