Sound Vascular & Vein is an advanced outpatient medical facility focused on patient care and comfort.
We offer a broad and deep range of medical services for patients from ABVLM-certified physicians right here in Federal Way.
You don't need to drive to a hospital to get this level of advanced care. Welcome to Sound Vascular.
- OR -
In a friendly and convenient local setting. Skip the hospital. Find out more about Hemodialysis Access at Sound Vascular.
Whether you are new to dialysis or your fistula needs to be rested for various reasons, we can place a hemodialysis catheter in your vein that can be used for dialysis immediately. The most contemporary ultrasound and x-ray technology will be used to make the placement of your catheter successful. We can also fix clogged or clotted dialysis catheters.
An angiogram is an imaging technique used in diagnosing and treating a variety of medical conditions. It empower your doctor to see a video or still image of your veins or arteries. The angiography itself can be performed by the certified professionals at Sound Vascular & Vein with a focus on customer comfort and convenience, and then provided digitally to your doctor or hospital.
This study is performed to define the anatomy of your dialysis fistula or graft. It is performed by inserting a small needle into the fistula/graft and injecting X-ray dye. A fistulogram may be requested for the following problems: abnormal venous/arterial pressures, prolonged bleeding, difficulty with cannulation, abnormal physical exam, poor clearance, or low flow.
When a fistulogram confirms the presence of stenosis (narrowing) in the dialysis graft/fistula or the neighboring veins or arteries, it will be necessary to treat the narrowing. This is done by placing an angioplasty balloon catheter across the narrowing and streatching it open. Sometimes it is necessary to place a stent (a metallic cage) across the treatment area to obtain optimal results. These measures are taken to prevent the graft or fistula from clotting.
Sometimes a dialysis fistula or graft can become clotted, usually due to underlying stenosis. Fortunately, the clots can be removed and the stenosis can be corrected thus restoring the flow to your graft or fistula. When your dialysis provider determines that your fistula or graft has clotted, a simple phone call to us will start the process of correcting your problems. This will be done promptly and we will have you back to your dialysis unit for your usual dialysis without the need for a costly and/or unnecesary hospitalization.
We can also treat problematic dialysis catheters. Catheters can clot or become blocked by fibrin deposition around the catheter. We can treat this using medication to dissolve the blood or fibrin, by mechanically removing the clot or by changing the catheter over a wire. Sometimes, balloon angioplasty is used to treat the fibrin deposition.
A vascular surgeon sometimes will place a fistula in your arm or leg. The fistula is a connection between your own vein and artery. It takes time for the vein to enlarge and strengthen, thus becoming a fistula; this process is termed "fistula maturation." If this process does not occur in a timely manner (e.g. within six weeks), a fistulogram may be performed. This will tell us why the fistula has not matured properly (usually due to underlying stenosis) and angioplasty and/or other techniques can be performed to resume the maturation process.