Vascular Access Associates

As nephrologists caring for patients on dialysis, our goal is to help care for you and your vascular access. We understand your vascular access is your lifeline to health and well-being. We are in an ideal position to recognize problems before they threaten the patency of the dialysis access. We tailor our care for you with that in mind. With one call to our vascular center, we can often complete your vascular access care on the same day or at least within the same week to help prevent costly and time-consuming hospitalizations and missed dialysis treatments. With seamless access to our facility, we offer a team approach between your nephrologist, the vascular access coordinator, your dialysis clinic and your surgeon.

Interventional Nephrologists at the Lab:

Dr. Jyotheen Karam

Dr. Stanley Lee

Dr. Matt Leavitt

Dr. Hany Rezk

Dr. Ashish Soni

Dr. Ling Yu

Procedures performed at the Vascular Lab:

Vein Mapping

Fistulagram

Shuntogram

Declot

Catheter Placement

Catheter Removal

Catheter Exchange

Catheter Repair

Stent Placement

Ultrasounds

Schedule Preventative Evaluation If:

  • Total access flow lower than desired (ask your dialysis staff about monitoring)
  • High venous pressure
  • The thrill or “buzzing” of your fistula or graft has stopped or not as strong
  • Hyperpulsatile or bounding pulse
  • Loss of access blood flow during dialysis or need to decrease dialysis pump speed
  • Frequent alarms during dialysis
  • Difficulty sticking or cannulating your dialysis access
  • Prolonged bleeding from your dialysis access  (more than 20 minutes) or break-through bleeding
  • Difficulty achieving high quality dialysis treatments (ask your dialysis staff about Kt/V and URR)
  • Arm, fingers or hand swollen, cold or numb
  • Visible changes in access, including aneurysm formation

 

IF YOU THINK YOU ARE HAVING PROBLEMS WITH YOUR DIALYSIS ACCESS, PLEASE CALL 615-356-3838.

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What to bring to an appointment:

Insurance cards

List of allergies and reactions

List of home medications and/or medication bottles

Any medications you would like to take post procedures

*Some procedures require you do not eat or drink prior to the procedure.  Check with the dialysis staff or lab for specific instructions.


PLEASE INFORM STAFF:

If you have an allergy to heparin or contrast dye.

If you take any blood thinners.

If you are diabetic.

If you have had previous problems with sedation.

staff

Vascular Access Associates

1272 Garrison Drive

Murfreesboro, Tennessee 37129

Thursdays 7:00am – 4:00 pm

238 Orlando Avenue

Nashville, Tennessee  37209

Monday thru Friday 7:00am – 4:00 pm

Phone:  615-356-3838

Fax: 615-356-8418

Vasclab@tnkidney.com