Arterial & Venous Doppler
- An imaging test that uses high-frequency sound waves to create pictures of the inside of and the blood flow through arteries and veins of the legs. This test uses an ultrasound machine, which includes a computer, a screen, and a transducer. The transducer is a handheld device that sends and receives sound waves.
- An imaging test of the carotid arteries, the arteries in the neck.
- Patients who suffer from severe Peripheral Arterial Disease (PAD), may require endovascular treatment to alleviate or correct blood flow to the legs. Most procedures are non-invasive providing life giving blood flow to the arteries in the legs and surrounding tissues. Without proper circulation, the legs can be deprived of oxygen and blood to the point of starvation causing gangrene or limb loss. These are extreme examples; however, early diagnosis combined with proper treatment can easily prevent this worst case scenario. The most common PAD surgical procedures include the following:
- Angioplasty is considered to be minimally invasive in comparison to open surgery. It is most effective for more localized blockages in the larger arteries. During the angioplasty procedure, a long, thin, flexible tube called a catheter is inserted into a small puncture over an artery in the arm or groin. The catheter is guided through the arteries to the blocked area. Once in place, a special balloon, which is attached to the catheter, is inflated and deflated several times. The balloon pushes plaque in the artery against the artery walls to widening the vessel.
- Endovascular Stent Placement may be required for some patients who suffer from peripheral artery disease. During the procedure, a tiny mesh-metal tube, called a stent, is inserted into the narrowed area of an artery to keep it open. The stent remains permanently in the artery allowing blood to flow more freely through the artery.
- Endovascular Atherectomy is a minimally invasive surgical procedure that removes plaque from arteries and blood vessels in the body. Instead of pushing plaque into the walls of vessels and arteries, this technique completely removes plaque buildup. The most common access point is near the groin through the common femoral artery (CFA). Other common places are the brachial artery, radial artery, popliteal artery, and dorsalis pedis.
- Endovenous laser therapy (EVLT) is a procedure that involves ultrasound waves to identify the source of major varicose veins. The vein is collapsed using laser energy delivered from a thin laser fiber placed within the specific vein.
- A PICC line is a thin, soft, long catheter (tube) that is inserted into a vein in a patient’s arm or neck. The tip of the catheter is positioned in a large vein that carries blood into the heart. The PICC line is used for long-term intravenous (IV) antibiotics, nutrition or medications, and for blood draws.
- A port (or port-a-cath) is a device typically placed under the skin in the right side of the chest. It is attached to a catheter (a thin, flexible tube) that is threaded into a large vein above the right side of the heart called the superior vena cava. A port may stay in place for many weeks or months. A needle is inserted through the skin into the port to draw blood or give fluids.
- A Sphenopalatine Ganglion (SPG) Block is a procedure that involves inserting a soft catheter through a natural opening in the sinuses behind the nose and irrigating the SPG with a local anesthetic liquid.