Diagnostic Vascular Tests Performed

Cerebrovascular

• Test: Carotid Duplex Scan
  Indication: Sx related to Carotid disease: e.g., TIA
  (lateralizing and non-lateralizing), stroke, syncope, or carotid bruit

Upper Extremity Arterial

• Test: TOS Survey (Thoracic Outlet Syndrome)
  Indication: Sx suggestive of thoracic outlet syndrome: e.g., arm/shoulder pain, numbness, or weakness
• Test: Arm Pressure & PVR (Pulse Volume Recording)
  Indication: Sx related to subclavian or brachial artery occlusion: e.g., arm pain or numbness, especially with exertion
• Test: Vasospasm Testing, with or without ice water immersion
  Indication: Sx related to cold intolerance, Raynaud's phenomenon,
  digit ulcers, etc.

Lower Extremity Arterial

• Test: PVR (Pulse Volume Recording) resting or with exercise
  If patient has a cardiac history, please schedule exercise PVR through cardiac lab (302-645-3258).
  Indication: Sx suggestive of arterial insufficiency: e.g., claudication, decreased pulse, rest pain, ulceration, blue toes, or digit ulcers
• Test: PTP (Penile traces and pressures)
  Indication: Sx related to sexual dysfunction, impotence, etc.
• Test: Graft Patency
  Indication: Hx of previous femoro-popliteal or distal bypass graft

Venous Disease

• Test: Venous Duplex Scan
  Indication: Suspected DVT in lower extremity (iliac, femoral, popliteal) or upper extremity (subclavian, axillary) veins. Serial followup of clot resolution during lytic therapy.
• Test: PPG (Photoplethysmography)
  Indication: Venous ulceration or suspected chronic venous insufficiency

Visceral Vessels

• Test: Renovascular Hypertension Study
  Indication: Suspected renovascular hypertension
• Test: Celiac, Superior Mesenteric, Inferior Mesenteric Artery Scans
  Indication: Suspected mesenteric ischemia, abdominal bruit, abdominal angina
• Test: Portal Vessels
  Indication: Suspected portal vessel thrombosis
  
  

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