Example Venous Scan

Echocardiography

The heart is evaluated with duplex/color. The scan evaluates the overall function of the heart, wall thickness, chamber sizes, all four valves, murmurs, and can rule out Pulmonary Effusion

Carotid Doppler (Duplex)

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

• 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.

• 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.