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Taste of Boston
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Education Session@@@CME

C18: Management of the Complex Hemodialysis Access Patient

Friday, June 12, 2026
3:30 PM - 5:00 PM ET
Location: Hynes CC, Third Level, Room 302

    Moderator(s)

  • Larry Scher, MD

    Division of Vascular Surgery, Department of Cardiothoracic and Vascular Surgery, Montefiore Medical Center, Albert Einstein College of Medicine, Bronx, NY
    Chappaqua, New York

  • Rafael Santini-Dominguez, MD (he/him/his)

    Vascular Surgeon
    Centro Médico Episcopal San Lucas
    Ponce, Puerto Rico

Placement and management of arteriovenous fistulas and grafts in complex hemodialysis patients can present significant clinical challenges. We will review strategies for access placement in elderly, pediatric and obese patients and patients with breast cancer and implantable cardiac devices and discuss management of complications including recurrent access thrombosis and hypercoagulable states, ischemic complications, and infections.

Presentations:

  • 3:30 PM - 3:35 PM ET
    Welcome and Session Overview

    Moderator: Larry A. Scher, MD – Division of Vascular Surgery, Department of Cardiothoracic and Vascular Surgery, Montefiore Medical Center, Albert Einstein College of Medicine, Bronx, NY

    Moderator: Rafael Santini-Dominguez, MD (he/him/his) – Centro Médico Episcopal San Lucas

  • 3:35 PM - 3:43 PM ET
    Optimizing Hemodialysis Access in Patients With Obesity

    Speaker: Benjamin S. Brooke, MD, PhD – University of Utah Health

  • 3:43 PM - 3:51 PM ET
    Hemodialysis Access in the Elderly: Strategies for Success

    Speaker: Ellen D. Dillavou, MD (she/her/hers) – WakeMed Hospital

  • 3:51 PM - 3:59 PM ET
    Creating and Maintaining Hemodialysis Access in Pediatric Patients

    Speaker: Vincent L. Rowe, MD (he/him/his)

  • 3:59 PM - 4:07 PM ET
    Access Planning in Patients With Breast Cancer or Implantable Cardiac Devices

    Speaker: Victoria J. Teodorescu, MD, MBA (she/her/hers)

  • 4:07 PM - 4:21 PM ET
    Panel Discussion / Audience Q&A – Special Populations & Anatomic Challenges
  • 4:21 PM - 4:29 PM ET
    Managing Recurrent Access Thrombosis and Hypercoagulable States

    Speaker: Stephen E. Hohmann, MD (he/him/his) – Texas Vascular Associates

  • 4:29 PM - 4:37 PM ET
    Recognition and Treatment of Ischemic Complications of Hemodialysis Access

    Speaker: Jeffrey Indes, MD – Lahey Hospital and Medical Center, Department of Vascular Surgery

  • 4:37 PM - 4:45 PM ET
    Diagnosis and Management of Infected Hemodialysis Access

    Speaker: Jeffrey J. Siracuse, MD, MBA – Division of Vascular and Endovascular Surgery, Boston University, Chobanian and Avedisian School of Medicine and BMC Health System, Boston, MA

  • 4:45 PM - 5:00 PM ET
    Panel Discussion / Audience Q&A – Thrombosis, Ischemia, Infection