Dialysis Vascular Access

Coastal Vascular Specialists is a free-standing dialysis vascular access center dedicated to quickly resolving dialysis access complications. Our admitting system allows for rapid “in and out” treatment that is faster than your local hospital, allowing you to receive your dialysis on its regular schedule.

Our goal is to quickly schedule and resolve dialysis access complications and keep our patients out of the hospital. We understand the problems associated with scheduling of physicians and procedure room availability when you have an access complication. With one call to our center, we can schedule your vascular access intervention that day or, if an elective procedure, usually within 24 hours, meaning no more multiple calls to arrange a procedure.

Patients are seen in a timely manner upon arrival and are typically in and out within a few hours. Dialysis can be arranged the same day, following the access intervention. Our coordinated efforts with your dialysis facility will result in superb overall care and an end to the delays in dialysis treatment. Patient reports are forwarded to their dialysis facility within 24 hours of the procedure.

Areas of Expertise

  • Angiography                    • Fluoroscopy
  • Angioplasty                      • Graft Declot
  • Biopsy                               • Ultrasound
  • Catheter insertion, removal and exchange
  • Fistulagram                      • Venography

We maintain and mature dialysis accesses. We perform angiograms and angioplasties to keep hemodialysis accesses functioning at their optimum. Coastal Vascular Specialists can also remove, place and replace hemodialysis and peritoneal dialysis catheters. When a hemodialysis access becomes clotted, many times we can also re-open the access and keep the patient on dialysis without a hospitalization.

Dialysis is a treatment that does some of the things done by healthy kidneys. It is needed when your own kidneys can no longer take care of your body’s needs.

When is dialysis needed?

You need dialysis when you develop end stage kidney failure –usually by the time you lose about 85 to 90 percent of your kidney function and have a GFR of <15.

What does dialysis do?

When your kidneys fail, dialysis keeps your body in balance by:

  • removing waste, salt and extra water to prevent them from building up in the body
  • keeping a safe level of certain chemicals in your blood, such as potassium, sodium and bicarbonate
  • helping to control blood pressure

Preparation for Procedures

There is usually some minimal preparation before your procedure. Some patients may be asked to limit food and drink intake for a period of time before the procedure and/or make adjustments to their medications. Your dialysis center staff or a staff member at our facility will be able to assist you with specific instructions.


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