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BackTable / VI / Podcast / Episode #516
Dialysis Procedures: New Tools for Better Outcomes
with Dr. Ari Kramer and Dr. Omar Davis
Given the challenges that our dialysis patients face, how can we as providers stay sharp with the latest access techniques to help ensure the best possible outcomes? Dr. Omar Davis (interventional nephrologist) and Dr. Ari Kramer (general surgeon) join host Dr. Chris Beck to discuss advanced approaches to AV access and share their experiences with the FLEX Vessel Prep device.
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BackTable, LLC (Producer). (2025, February 11). Ep. 516 – Dialysis Procedures: New Tools for Better Outcomes [Audio podcast]. Retrieved from https://www.backtable.com
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Podcast Contributors
Dr. Ari Kramer
Dr. Ari Kramer is the Chairman of the Department of Surgery at Spartanburg Regional Healthcare System in Spartanburg, South Carolina.
Dr. Omar Davis
Dr. Omar Davis is an interventional nephrologist and Medical Director at Bluff City Vascular in Memphis, Ten.nessee
Dr. Christopher Beck
Dr. Chris Beck is a practicing interventional radiologist with Regional Radiology Group in New Orleans.
Synopsis
The doctors begin by describing how they create dialysis access and what they account for during the procedure. They then focus on the role of the FLEX VP system, its benefits, and how they use it in practice, touching on the latest clinical data. Dr. Kramer and Dr. Davis also stress the importance of mental health in dialysis care and share ways that we can better support our patients through difficult diagnoses and treatments. In fact, one of their patients, Fred Hill, authored the book “Dialysis Is Not Your Life,” which offers a unique perspective for patients feeling overburdened by dialysis, and the healthcare providers who treat them. The episode concludes with case presentations and practical guidance on when to use the FLEX Vessel Prep system.
Timestamps
00:00 - Introduction
07:00 - AV Access and Procedures
10:58 - Case Walkthrough
14:19 - Balloon Angioplasty and IVUS
24:43 - Flex VP Device and Vessel Prep
35:03 - Algorithm and Reimbursement Challenges
39:51 - Device Usage and Techniques
46:58 - Clinical Data and Outcomes
01:01:59 - Case Studies
Resources
Fred Hill, “Dialysis Is Not Your Life” Founder and Author:
https://www.dialysisisnotyourlife.com/meet-founder.php
“Dialysis Is Not Your Life” Book:
https://www.amazon.com/DIALYSIS-NOT-YOUR-LIFE-Redefine/dp/B09L4XGGNX
Novel Device Prior to Balloon Angioplasty for Dysfunctional Arteriovenous Access: Analysis of a Real-World Registry by Race and Sex Cohorts:
https://www.openaccessjournals.com/articles/novel-device-prior-to-balloon-angioplasty-for-dysfunctional-arteriovenousaccess-analysis-of-a-realworld-registry-by-race-and-sex-16852.html
FLEX Vessel Prep 12 Month AV Registry Data and 12 Month Belong PAD Data Shows Benefit to Micro-incisions Before Balloon or DCB Treatment:
https://www.venturemedgroup.com/wp-content/uploads/2022/12/VEITH-Data-FINAL.pdf
Angioplasty with novel, easy-to-use, bladed Flex Vessel Prep system “could replace standard of care”:
https://www.youtube.com/watch?v=iRpkrURx1mc
Surgical AVF Articles Atlas Condensed - sAVF Overview - Creation Maturation and Difficulties:
https://docs.google.com/document/d/1f26FT65s03oZjjeZhBVy8auz0h8PTNvX3CWU5Xi_H5c/edit?usp=share_link
Surgical AVF Articles Asif A, Early Arteriovenous fistula failure:
https://drive.google.com/file/d/1zZEWgxsdBM4MKCQFjw0U04ra_hB9Ey_N/view?usp=share_link
Surgical AVF Articles Asif A - Best Vascular Access in the Elderly - Time for Innovation:
https://drive.google.com/file/d/1IpH-KnZyfN5Rqm_kxLnERnEJD6vcjAO8/view?usp=sharing
Surgical AVF Articles EV Today - Managing Cephalic Arch Stenosis:
https://drive.google.com/file/d/17yVd2M706YCtX-xTK6teesgZqzVIgUoN/view?usp=share_link
VentureMed 2024 FLEX Vessel Prep System Reimbursement Guide:
https://www.venturemedgroup.com/wp-content/uploads/2024/04/MMA-CTO-15690_FlexVesselPrepSystem-BillingGuide_Lv6-003.pdf
BackTable VI Podcast Episode #139 - AV Fistula & Graft Maintenance with Dr. Ari Kramer:
https://www.backtable.com/shows/vi/podcasts/139/av-fistula-graft-maintenance
BackTable VI Podcast Episode #292 - Dialysis Interventions with Drug-Coated Balloons, Covered Stents and More with Dr. Ari Kramer:
https://www.backtable.com/shows/vi/podcasts/292/dialysis-interventions-with-drug-coated-balloons-covered-stents-more
Disclaimer: The Materials available on BackTable.com are for informational and educational purposes only and are not a substitute for the professional judgment of a healthcare professional in diagnosing and treating patients. The opinions expressed by participants of the BackTable Podcast belong solely to the participants, and do not necessarily reflect the views of BackTable.
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