Interventional Nephrology Forum 

INFORMnephro image

Interventional Nephrology has come a long way – from a fringe group of Nephrologists trying to do interventions themselves, to an established, subspecialty over the years. It is still peculiar, as it has no definite boundaries or proper guidelines and most interventionalists are only self taught. All these lead to longer learning curve and vulnerability to criticism. Although the International Society of Nephrology(ISN), Indian Society of Nephrology, American Society for Diagnostic and Interventional Nephrology (ASDIN) and initiatives like AVATAR are doing the best to promote this much needed field, there are no ongoing continuous training programs in India. This forum, INFORM, if groomed well, can look up to fill up some of the gaps!  

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Forthcoming INForm meeting is on 30 October 2021 8 - 9.30 pm

Last INForm web meeting, held on 25 SEP… 

Amongst all interventions taken up by Nephrologists, AVF is the most gratifying but the least practiced. The intimidating reasons for this sluggish take off are, AVF creation involves ‘cutting & suturing’ which are perceived to be surgeons’ domain and the demotivating sights of failing AVFs created by even ‘vascular surgeons’. But in reality, it is very much possible for a nephrologist to acquire enough skills to create functioning and long lasting AVFs. This has been time and again proven from data, especially from Indian Nephrologists. Although Initially AVF was attempted by nephrologist out of sheer necessity, now we seem to have more reasons to include AVF creation in day to day practice of passionate Interventional Nephrologists, if not all. Of course this cannot be learnt by simply attending meetings or seeing YouTubes – one needs to work hard with perseverance under supervision to get trained. If only teaching institutions manage to include this in the curriculum, more Nephrologists would be creating AVFs.

Last INForm meeting was held on 25th, September. Theme of the meeting was AVF creation by nephrologist. Padmashri Dr. D.S. Rana, the guest of honour and a panellist, in his opening remarks talked about the history of beginning of AVF creation by nephrologist in this country from his own experience. It was a great motivational talk for the youngsters. Dr.Sachin Soni from Aurangabad and Dr. Vel Aravind from Trichy, noted Interventional Nephrologists with vast experience in AV Fistula creation were the other panelists.

Dr Shailendra Shresta from Biratnagar, Nepal made a video presentation of AVF creation techniques. It was notable that he took pains to learn AVF creation after his DM course by spending months in different centres. He demonstrated end to side and side to side anastomosis in both radio cephalic and brachiocephalic areas.

Learning and getting trained in interventional Nephrology is one thing and getting it practised in an institution is another thing. This was brought out by Dr. Venkatramanan in his talk on ‘Travails of an aspiring interventional Nephrologist’, where he described the hardships he had to undergo before convincing the hospital administration to get around the obstacles posed by other specialists.

This was followed by a an interesting and down to earth talk on ‘Skills beyond boundaries…’ by Dr Joseph Sathianathan,  vascular surgeon from UK, our special guest speaker. His views from a surgeons perspective gave an interesting angle, hitherto not realized by us, to our outlook and endeavour to become Interventional Nephrologists.

Dr Athul Thomas from CMC Vellore gave a very useful demonstration of safe peritoneal puncture using Veres needle and the data from CMC. Following the talks there was active panel discussion by the panellists and interesting comments chipped in by Dr Adrian, Dr Vijay, Dr Narayan Prasad, and many others.

The video recordings of the meeting is available in our website.

The videos of the September 2021 meeting.

Welcome and DrRana’s address

AVF by Nephrologists

Travails of an  interventional Nephrologist

Skills beyond boundaries…

Safe peritoneal puncture… 

The videos of the August 2021 meeting.

Faculty and topic Introduction 

USG Guiding for PD Catheter placement

PD Catheter by Nephrologist

‘Make in India’ PD Catheter

Panel discussion and Q&A session

The videos of the July 2021 meeting.

Meeting Introduction and Dr.Anilas’ session 

Renal Biopsy – ‘Gunning for the Diagnosis’ 

‘Tips to Practice’ session. Alcohol saves catheters

Panel discussion and Q&A session

The videos of the June 2021 meeting.

Meeting Introduction and ‘Tips to Practice’ session 

Managing Blocked  Catheters

Vascular Mapping for AV Fistula

Discussion – Mapping for AV Fistula


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