Diagnostic Exams


ultrasound exams

Venous Duplex Ultrasounds


LOWER & UPPER

Description:

Gel will be placed on your skin to and sound beams will reflect off anatomy to give an image of the body. We will evaluate the lower or upper extremities using duplex Doppler ultrasound to document the presence or absence of thrombosis, individual venous anatomy and to assess valve function in its relationship to varicose veins, swelling and ulceration. Newer or older thrombosis can be identified and is treated differently.

Common Indications:

  • Swelling
  • Pain
  • Redness
  • Varicose veins
  • Superficial thrombophlebitis
  • Deep Venous Thrombosis (DVT)
  • Stasis ulcer (near the ankle)
  • Skin discoloration
  • Mapping vein for use in bypass surgery

Used to Evaluate:

  • Blood clots
  • Valve function (varicose veins)
  • Individual vein anatomy
  • Stent Surveillance

Arterial Duplex Ultrasounds (Peripheral Arterial Disease)


LOWER & UPPER

Description:

Evaluate the lower or upper extremities using both duplex Doppler ultrasound and Plethysmography using multiple blood pressure cuffs placed on the legs or arms to measure how much circulation is present. Severity and general location of disease can be determined. Walking on a treadmill might be required in special circumstances. If indicated, supplemental ultrasound is used to define disease patterns and locations.

Common Indications:

  • Claudication
  • Weak or absent pulses
  • Severe leg pain occuring at rest and most notable while lying down
  • Non-healing wound, usually on the toe or foot
  • Cold, discolored toes (Raynaud's/Vasospasm)
  • Possible distal embolization (black toe)
  • Leg artery aneurysm

Used to Evaluate:

  • Native Arteries (Peripheral Arterial Disease)
  • Bypass Graft Surveillance
  • Stents
  • Raynaud's Phenomenon

Carotid Duplex Ultrasounds


BILATERAL

Description:

Using duplex Doppler ultrasound we can evaluate the circulation in your neck going to you head. Gel will be placed on your skin to and sound beams will reflect off anatomy to give an image of the body. Both the carotid and vertebral arteries are assess and any plaque or stenosis (narrowing) present is characterized and graded.

Common Indications:

  • Stroke or CVA
  • TIA (transient ischemic attack)
  • Bruit (noise heard in a stethoscope)
  • Pre-operative screening
  • Vision deficits
  • Trouble speaking
  • Syncope

Used to Evaluate:

  • Native arteries in the neck
  • Stent Surveillance

Aortic Abdominal Duplex Ultrasounds


Description:

Using duplex Doppler ultrasound we can evaluate the circulation in your abdomen going towards your abdominal organs, pelvis and legs. Gel will be placed on your skin to and sound beams will reflect off anatomy to give an image of the body. The visible portion of the largest artery in your body, the aorta, will be assessed for aneurysm and flow. In addition, the iliac arteries will be evaluated for any abnormalities. In certain circumstances the arteries going to your abdominal organs or bowel may be assessed. Patients are asked to fast for 12 hours prior to this exam to allow optimal visualization of the abdominal contents.

Common Indications:

  • AAA (abdominal aortic aneurysm)
  • Pulsatile abdominal mass
  • Iliac aneurysm
  • Bruit (noise heard in a stethoscope)
  • Claudication
  • Weak or absent pulses
  • Possible distal embolization (black toe)

Used to Evaluate:

  • Aneurysm surveillance
  • Native Arteries (Peripheral Arterial Disease)
  • Aortic stent (EVAR) or repair surveillance
  • Renal and mesenteric arteries