Interventional Nephrology
The division has developed an interventional program that offers diagnostic renal ultrasound, localization for native kidney and allograft biopsies, laparoscopic-guided peritoneal dialysis catheter placement, angioplasty of arteriovenous fistulas and grafts, and permcath placement. In the fully-equipped treatment room, located in the outpatient Hospital/Clinic on the renal floor of Jackson Memorial Hospital, Nephrology attendings use state-of-the-art ultrasound equipment and laparoscope (with full video monitoring) to offer these services to patients. Vascular procedures are performed at the University of Miami Hospital and Clinics, as well as at the Outpatient Diagnostic Unit at Jackson Memorial Hospital.
Dr. Arif Asif is the director of Interventional Nephrology for the Division of Nephrology and Hypertension here at the University of Miami School of Medicine. Dr. Asif is a member of the American Society of Diagnostic and Interventional Nephrology (ASDIN) and is a member of their Committee on Ultrasonography. In addition, Dr. Asif is licensed to train physicians to perform the following procedures:
- Insertion of peritoneal catheters
- Insertion of tunneled hemodialysis catheters
- Angiography and angioplasty of vascular accesses
- Training in renal ultrasonography
Information about the ASDIN
The American Society of Diagnostic and Interventional Nephrology was founded in 2000 to promote the proper application of new and existing procedures in the practice of nephrology with the goal of improving the care of nephrology patients.
Certification and Accreditation
Certification: Documentation by The American Society of Diagnostic and Interventional Nephrology that an individual physician has met specified requirements for the performance of a particular procedure.
Accreditation: Documentation by The American Society of Diagnostic and Interventional Nephrology that a nephrology training program or other training site has met specified requirements related to institutional support, facilities, expertise, experience, and personnel directed toward training in Diagnostic and Interventional Nephrology.
Please visit their website at http://www.asdin.org.
Interventional Nephrology Training Information
Please email Dr. Arif Asif at aasif@med.miami.edu to obtain information regarding the Interventional Nephrology training schedule, registration administrative procedures fees and licensing requirements.
- Training in Renal Ultrasonography
Basic Renal Ultrasonography Training Course
Trainee Requirements: Registration Form
ASDIN Training Guideline Requirements: Not Applicable
Training Duration: Two days
Fellowship in Renal Ultrasonography
Trainee Requirements: Registration Form
Prerequisites: Successful completion of Basic Renal Ultrasonography training course
Training Duration: One week - Insertion of Peritoneal Catheters
Trainee Requirements: Registration Form; Letter of Verification from Program Director*, Copy of Medical License (State of Florida); Copy of Malpractice Insurance
ASDIN Training Guideline Requirements: Observation of a minimum of one procedure; Performance of a minimum of six procedures
Educational Materials: Teaching video, lectures and articles
Training Duration: Six to Eight weeks or two four week sessions - Insertion of Tunneled Hemodialysis Catheters
Trainee Requirements: Registration Form; Letter of Verification from Program Director*, Copy of Medical License (State of Florida); Copy of Malpractice Insurance
ASDIN Training Guideline Requirements: Observation of a minimum of two procedures; Performance of a minimum of ten procedures
Educational Materials: Teaching video, lectures and articles
Training Duration: Four to Six weeks - Angiography and Angioplasty of Vascular Accesses
Trainee Requirements: Registration Form; Letter of Verification from Program Director*, Copy of Medical License (State of Florida); Copy of Malpractice Insurance
ASDIN Training Guideline Requirements: Observation of a minimum of two procedures; Performance of a minimum of 25 procedures
Training Duration: Four to Six weeks
* Applicable to Medical School Students and Residents only
IMPORTANT NOTES
Please submit your registration request in advance. On your registration form, please indicate your first and second preferences for training dates (due to limited space and in order to provide a more personalized training experience, a maximum of two trainees will be registered per month).
Trainee Categories & Fee Schedules Information
- Private Physicians: For information regarding training fees, please contact the Interventional Nephrology office within the Division of Nephrology at 305-243-6251.
- University of Miami School of Medicine / Jackson Memorial Hospital Faculty Members (from all Divisions on campus):
1. A Combined Training Program consisting of instruction in Peritoneal Catheter Insertion, Tunneled Catheter Insertion, Angiography and Angioplasty training are available.
2. For information regarding training fees, please contact the Interventional Nephrology office within the Division of Nephrology at (305) 243-6251. - Residents and Medical Students (local, out-of-state and international)
Fee schedule waived and PLEASE NOTE that:
1. Residents and Medical Students are not eligible to receive certification in these procedures (training is for educational purposes as a rotation or externship).
2. Residents and Medical Students do not possess malpractice insurance and are not covered by malpractice insurance and therefore will not have any direct patient contact.
3. Residents and Medical Students are not required to complete the entire four to six week training period as mandated by the ASDIN. In order to accommodate the length of time permitted by the various medical programs, the duration for observation and training is flexible and may be adjusted as needed.
Videos
- Renal Ultrasonography
Renal ultrasound is a safe and simple tool that a nephrologist can utilize as a critical element in the diagnosis of patients with renal disease. It is economically feasible and improves both patient care and physician efficiency.
Windows Media
(running time 1 minute) - Ultrasound Guided Renal Biopsy
Ultrasound-guided renal biopsies are performed by the nephrologists in a dedicated procedure room as well as at the bedside. The biopsies are performed under local anesthesia within 24 hours of request, including weekends if necessary.
Windows Media
(running time 3 minutes) - Peritoneoscopic Placement of Peritoneal Dialysis Catheter
- Interventional nephrology program provides comprehensive peritoneal dialysis access care and allows for timely placement of a peritoneal dialysis catheter to end stage renal disease patients choosing peritoneal dialysis. The procedures are performed in a dedicated interventional laboratory under local anesthesia.
Windows Media
(running time 23 minutes)
Endovascular Procedures
At the University of Miami, nephrologists provide hemodialysis vascular access care including percutaneous balloon angioplasty procedures and tunneled hemodialysis catheter insertion. Cases of percutaneous balloon angioplasty procedure for vascular access stenosis are shown below...
click on each image to enlarge
Virtual Tour of Interventional Laboratory
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