Vaibhav Tiwari

Nephrologist | Consultant - Sir Ganga Ram Hospital | Associate Professor - GRIPMER | FASN | FISN | ESENeph | Fitness Enthusiast | SoMe ERA

[Vaibhav Tiwari @drvt87]

Is CAPD a viable option for those with refractory ascites?
The data suggests YES
#NephTwitter
#medtwitter
#CAPD
#RefractoryAscites
#PeritonealDialysis
#Dialysis

[ERA - European Renal Association @ERAkidney]

🔥Late Breaking Clinical Trials 2 #ERA26 

⏩ Efficacy, safety and pharmacokinetics/pharmacodynamics of crovalimab for atypical haemolytic uraemic syndrome (aHUS): Phase III COMMUTE-a trial in adults/ adolescents 

🎙️Presented by @DrBradleyDixon

💊 Crovalimab: long-acting SC C5 inhibitor with home-administration potential

[AncaSt @AncaSt13]

Being in #latebreakingclinicaltrials at #ERA26 feels like a Taylor Swift concert. Loving every second ❤️✨ #finerenone #findCKD #obinutuzumab #rituximabinnephroticGN #aHUS

[Vaibhav Tiwari @drvt87]

Finerenone in CKD!!
It's raining publications - NEJM, JAMA, Lancet, NDT
Live from #ERA26

[AncaSt @AncaSt13]

Such an amazing encounter and talk with @markus_schlaich and @drvt87
#ERA26 experience ✨❤️

[ERA - European Renal Association @ERAkidney]

How to assess bone health in CKD?

Speaker: Dr. Hanne Skou Jørgensen

#ERA26

[ERA - European Renal Association @ERAkidney]

Should Romosozumab be used in advanced CKD?

Speaker: Dr. Maria Lerche Mac
#ERA26

[ERA - European Renal Association @ERAkidney]

Is ADPKD actually good for bone?

Speaker: Dr. Magdalena Jankowska

#ERA26

[Vaibhav Tiwari @drvt87]

🔅Combine strategic BTM panels with DXA BMD measurements.

🔅 This combined strategy dramatically improves the identification of high-risk patients.

#ERA26

[Vaibhav Tiwari @drvt87]

To Biopsy or Not??

🔅Markus Ketteler’s presentation at #ERA26

🔆Exploring how to bypass invasive bone biopsies using serum biomarkers

[Vaibhav Tiwari @drvt87]

🔅PTH and total ALP are heavily affected by renal and HD clearance.

🔅 bALP, PINP, and TRAP5b do not rely on renal or HD clearance for removal.

🔅This makes their specific high/low cut-off thresholds highly stable in advanced CKD.
#ERA26

[ERA - European Renal Association @ERAkidney]

🥳After months of preparation, coordination, and teamwork, the time has finally come.

🎉The ERA Staff has danced its way from Parma to Glasgow, and now they are ready for #ERA26.

💡Ready to challenge your thinking!

[Shreshta Tripathi @ShreshtaT]

@sciqst @CNSI2026 @VinBhargava @DineshKhullar3 @smritisinha29 @CriticalCareNew @drvt87 Thankyou @sciqst Great point—this gap is multifactorial:

• Hyperkalemia risk (real/perceived) ⚡
• Rise in creatinine → premature down-titration 📉
• Hypotension in advanced CKD 🩺
• Monitoringconstraints 🏥

New K⁺ binders + closer monitoring may help bridge this.

[Shreshta Tripathi @ShreshtaT]

🔥Day 2️⃣ @CNSI2026
Sharp takes from Dr Sanjay Srinivasa on simplifying post-transplant immunosuppression:

AAP regimen (Azathioprine + Advagraf OD + Prednisolone) →
✔️ Better adherence
✔️ Comparable graft outcomes vs BD tac
✔️ Lower infections & PTDM, stable Tac

#CNSICON2026

[Shreshta Tripathi @ShreshtaT]

Dr Ramesh Prasad on DGF—sharp takeaways:

⏳ DGF shapes long-term graft survival
🧊 Perfusion > hypothermia (DBD & DCD)
🫁 Oxygenation critical in DCD
🔄 Every step (donor→transport→recipient) is an intervention window

#CNSICON2026
@CNSI2026 @VinBhargava @drvt87 @rajdebsaha

[Shreshta Tripathi @ShreshtaT]

10 things I learned at #CNSICON2026 (Day 1) 👇 (a thread) @KatherineTuttl8
@CNSI2026 @VinBhargava @drvt87 @rajdebsaha @smritisinha29 @JasmineNephro

[Shreshta Tripathi @ShreshtaT]

@sciqst @DineshKhullar3 @CNSI2026 @VinBhargava @rajdebsaha @smritisinha29 @drvt87 Absolutely—this is where the field is evolving:
• 🧪 New K⁺ binders (patiromer, SZC) enabling RAASi continuation
• 💊 Non-steroidal MRAs (finerenone) with lower hyperkalemia risk
• 📊 AI/biomarker-driven risk prediction for early intervention
• 🎯 Personalized RAASi + binder

[Shreshta Tripathi @ShreshtaT]

🔥Hyponatremia made simple Dr Ajay Kher:

1️⃣ Serum Osm → hypo vs pseudo
2️⃣ Urine Osm → <100 = polydipsia, >100 = ADH present
3️⃣ Urine Na → <20 = volume depletion, >40 = SIADH

🙇‍♀️Structured thinking = faster diagnosis. #CNSICON2026
@CNSI2026 @VinBhargava @rajdebsaha @drvt87