New Services

Intima Media Thickness Assessment (IMT)

Measurement of the carotid inimal media thickness can help assess the risk for coronary artery disease. Thickening of the intima and media layers of the carotid artery wall is indicative of corresponding hardening and thickening of the coronary arteries. Measuring the thickness of the intima and media layers can determine a patient's risk for atherosclerosis in the early stages.

AAA Screening:

Medicare approved payment for a one time screening for males over 65, and females with a family history of aortic aneurysmal disease.

Home Services:

Our mobile equipment brings the cardiovascular lab to the comfort and convenience of the patients' home or office, for patients that are too ill, or cannot tolerate the long wait, stress,and activity of the hospital.

Services and Exams

Carotid Doppler (Duplex)

The carotid arteries are evaluated using duplex / color ultrasound. Disease in the internal carotid artery is reported in percent stenosis.

Indications:

• Bruit
• Syncope
• Ataxia
• Paralysis of Limb
• Pasesthesia
• Aphasia
• Speech
• CVA/TIA
• Mental Status Change
• Amaurosis fugax
• Pre-op cerebrovascular evaluation

Arterial- Upper and Lower extremity

The arterial system of the lower extremities is evaluated by duplex/color scanning to determine the presence and severity of flow reducing lesions. An ankle-brachial index is taken to provide the overall level of ischemia. The degree of ischemia is reported as normal, mild, moderate, or severe.

Indications:

• Claudication
• PVD
• PVD with rest pain
• PVD with ulcer
• Ulcer
• Aneurysm
• Raynaulds
• Buergers Disease
• Complication of procedures
• Pseudoaneurysm
• Complication of procedures
• Injury to blood vessel

Venous- Upper and Lower extremity

The deep and superficial veins are evaluated using duplex/color ultrasound to determine the presence or absence of thrombus and valvular incompetence. The presence of deep vein thrombosis is reported as acute, chronic or age-indeterminate. Valves are reported as being incompetent.

Indications:

• Pain in limb
• Localized edema
• Swelling of limb
• Localized superficial swelling, lump, or mass
• Suspected PE
• Chest pain
• Dyspnea
• DVT
• Vein mapping
• Post op monitoring
• Varicose veins
• Vascular abnormalities

Abdominal Vascular

Renal

Duplex/color ultrasound is utilized to evaluate the renal arteries for the presence of significant stenosis. An abnormal renal artery scan would be reported as having greater than 60 percent stenosis.

Indications:

• Hypertension

Mesenteric

The celiac, superior mesenteric and inferior mesenteric arteries are evaluated using duplex/color ultrasound to determine the presence of significant stenosis. An abnormal scan is reported as sat least one of the above arteries having a greater than 70 percent stenosis.

Indications:

• Abdominal pain with eating
• Weight loss
• Chronic diarrhea

Abdominal Aorta

The abdominal aorta is scanned using duplex/color ultrasound to identify the presence and location (infrarenal) of an aneurysm. Any dilatation of the aorta above 3 cm would be reported as abnormal. The presence of flow reducing lesions can also be identified.