Cardiovascular services also include the diagnosis, treatment and management of carotid artery disease, aortic aneurysms, and poor circulation to the legs and the abdominal organs. Our Vascular lab conducts a variety of examinations to help in the diagnosis and treatment of vascular disease.
This is an examination utilized to determine the carotid and vertebral arterial flow (main blood flow to the brain). It may be performed to determine the presence or absence of stenosis, ulcerative plaque, or aneurysmal dilatation in patients with carotid bruits, possible TIA's or CVA (stroke). Doppler, spectral analysis, and imaging are utilized for this examination.
This is an examination utilized to evaluate venous blood flow in the extremities. It may be performed to determine the presence of absence of a deep vein thrombosis (blood clot), or to determine the competency of the venous valves in the deep or superficial venous systems. Imaging and Doppler may be utilized for this examination.
Peripheral Arterial Evaluation
This is an examination utilized to determine the arterial blood flow in the extremities. It may be performed to determine the presence or absence of arterial obstruction as a cause for claudication pain (pain with exercise), ischemic changes, not ably decreased peripheral pulses or changes due to Diabetes. This examination is also utilized to follow patient's post operatively. Doppler arterial waveforms and segmental pressures are taken bilaterally and imaging may be utilized to determine graft patency.
Studies performed in the non-invasive vascular laboratory include:
- Carotid artery ultrasound
- Renal artery ultrasound
- Aorta and peripheral artery ultrasound
- Pulse volume recordings of the upper and lower extremities
- Exercise and treadmill testing of both upper and lower extremities (respectively)
- Venous ultrasound of both the upper and lower extremities
- Venous reflux testing
- Vein mapping
- Arterial mapping studies
- Intra-operative duplex ultrasonography
- Lower extremity graft surveillance