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Nephro-Logic

Nephro-Logic

Nephro-Logic
Formazione Scolastica

Join two interventional nephrologists as they cut through the complexity of dialysis vascular access. Tune in for straight-talking discussions on topics that matter most - foundational principles to the debates still dividing the field.

Hosted by:

Monnie Wasse, MD, MPH, Chicago, IL

Neghae Mawla, MD, Dallas, TX

8 - Dialysis Access: Where We're Headed with Ellen Dillavou, MD
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  • 8 - Dialysis Access: Where We're Headed with Ellen Dillavou, MD

    What's next in dialysis vascular access, and which new technologies are actually worth watching? In this episode of Nephro-Logic, we sit down with vascular surgeon Dr. Ellen Dillavou to talk about innovations in dialysis access that have caught her attention and why they matter. 


    00:00 Introductions

    03:03 Choosing a Specialty in Medicine

    04:53 Improving Patient Outcomes in Dialysis Access

    07:46 VasQ External Fistula Support

    12:59 The VenoStent

    14:14 Flex Vessel Prep System

    16:50 Cutting Balloons

    19:32 Vexev

    20:29 Innovations in Cannulation Techniques

    23:16 Advancements in Graft Technology

    Fri, 25 Sep 2026 - 28min
  • 7 - Dialysis Access From the Front Line with Debbie Brouwer-Maier, RN, CNN

    The vascular access conversation everyone in dialysis should hear is here: buttonhole cannulation, ultrasound in the unit, and the biggest documentation gap in the field all come into focus in this candid, practical exchange with Debbie Brouwer-Maier. 

    00:00 The One Minute Check Explained

    00:00 Introductions

    01:07 Understanding the Components of Access Surveillance

    03:37 The One Minute Check

    07:39 Empowering Patients Through Self-Monitoring

    08:07 Understanding Buttonhole Cannulation

    13:25 The Role of Ultrasound in Cannulation

    17:40 The Need for Better Documentation in Dialysis

    21:35 Exploring Plastic Cannulas and Their Benefits

    24:28 Future Directions in Dialysis Education and Innovation

    Fri, 04 Sep 2026 - 25min
  • 6 - Access Lore: Things We Know That We Don't

    This episode brings more logic to dialysis access lore by questioning what we do out of habit versus what the evidence actually supports, helping sharpen how clinicians think about dialysis access.

    00:24 Exercise and Fistula Care

    03:30 Catheter Tip Preferences

    06:52 Catheter French Sizing

    07:32 Right Atrial Placement

    08:02 Catheter Placement Strategies

    09:12 The Forceful Flush

    10:23 Site Selections

    11:40 Managing Catheter Dysfunction

    12:25 IVC Tip Placement

    14:33 Below the Diaphragm

    18:16 Patient-Centric Approaches to Fistula Management

    20:39 Central Lesions

    22:39 Access with CIEDs

    25:26 Stenting and Central Occlusions

    Fri, 14 Aug 2026 - 27min
  • 5 - Surgical Perspectives with John Ross, MD

    This episode is a masterclass in dialysis access—from HeRO graft myths to fistula revisions, steal risk, and the value of a truly multidisciplinary center. Dr. John Ross brings decades of surgical experience and practical insight that every access team can learn from.

    00:17 The Dialysis Access Institute

    03:24 Revising a Fistula with PTFE

    06:59 Catheter-Free Approaches in Access Revision

    07:31 HeRO Grafts and Their Indications

    10:02 The HeRO Connector

    14:40 The Abandoned HeRO

    16:12 One-Stage vs. Two-Stage Basilic Fistula Procedures

    20:31 Assessing Risk for Steal Syndrome

    23:25 After Thoughts

    Wed, 15 Jul 2026 - 23min
  • 4 - A Surgeon's Response with Stephen Hohmann, MD

    Dr. Stephen Hohmann joins us to offer a surgeon’s perspective and continue the conversation from the prior episode.

    Hosted by:

    Monnie Wasse, MD, MPH, Chicago, IL

    Neghae Mawla, MD, Dallas, TX

    00:00 Introductions

    01:14 Challenges in Access and Tunneling Techniques

    06:16 Creating New Arterial Anastomosis

    09:26 Graft Length and Angles in Anastomosis

    12:36 The Median Nerve

    13:13 Understanding Graft Selection and Use

    15:13 Early Cannulation Grafts: Pros and Cons

    20:05 Managing Early Failures

    23:13 Building Effective Partnerships in Patient Care

    25:00 Securing Tunnelled Catheters

    Wed, 01 Jul 2026 - 26min
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