Tests and Procedures

TO US, EVERY CONDITION IS A SERIOUS CONDITION.

Tests and Procedures

Where High Technology Meets Depth Of Experience.

From simple aesthetic vascular treatments to life-changing surgeries, our doctors and nurse-practitioners have mastered both the techniques and the technology to provide these state-of-the art therapies and procedures:

Arterial Brachial Index

Also known as ABI. The test studies the arterial blood flow in your arteries of the legs. This test is the gold standard for evaluation of peripheral arterial disease Whereas there are different modalities of the performing the test, we offer a 3- minute rapid test with high accuracy, reliability and painless compared with the traditional blood pressure cuffs (QuantaFlo, sensitivity of 86%, specificity of 100% and accuracy of 87.5%).

Vascular Ultrasound

This a test includes no-needles. The test “sees” your venous and arterial blood flow searching for blockages, blood clots or malfunction of the valves of your veins (also known as venous reflux).  The test typically last 30 minutes. The ultrasound technician will ask you to uncover your legs from the groin down and apply topical gel to scan the blood vessels from top to bottom. The technician will also be pressing over the skin the evaluate the presence of blood clots. In case of studies for venous reflux, you would be ask standing for some period to evaluate the “leaking veins”.

Echocardiography

This a test includes no-needles. The test is used to see your heart muscle is pumping, measure the size of heart and see how the heart valves are opening and closing. The ultrasound technician will ask you to uncover your chest area and apply ultrasound gel. The test last about 30 minutes. The heart is being seen from different areas in the chest to better evaluate the heart function.

Holter Monitor

This a live monitor of your heartbeat for evaluation of fast, slow, or irregular heartbeat. You will also indicate if you have any symptoms associated with the irregularity of your heartbeat.

Ambulatory Blood Pressure Monitor

This a live monitor of your blood pressure. The ambulatory blood pressure has been demonstrated to be more accurate than the office blood pressure and can tease out the anxious patient with elevated blood pressure at the office. This patient generated data will help us to tailor your hypertension therapy.

Stress Test

This test aims to evaluate the heart for problems with the blood flow or irregular heartbeat triggered by exercise. There are two types of stress test: exercise (treadmill) or “chemical”.  You will have to fasting for the test.
The exercise stress test is performed when the patient can perform certain time of exercise in the treadmill sufficient to increase the heart rate. The optimal heart rate to be achieved depends on the age of the patient. The maximal heart rate is estimated as follows by the formula 220- age (years). That means that an elderly patient will have lower maximal heart to be accomplished than a younger patient.  There also be an imaging part of the test in which heart images would be obtain before and after the exercise.
If the physician determines that you cannot do an “optimal treadmill exercise test”, the next option is to get a “chemical stress test”. This is a short-acting medication to be given to “simulate” exercise in the heart and increase the heartbeat, so we can discern whether your heart has blood flow problems.

Lower Extremity Angiography

This procedure is similar to the heart catheterization except for is done in the legs. The indications for the procedure include leg pain or similar (fatigue, edema) with abnormal ABI (see above for description of ABI). This procedure is an outpatient procedure, and you go home after. The procedure usually last 30 minutes including the sterile preparation and post-procedure observation of 2 hours. It aims to search for arterial blockages in your legs. An intravenous line is placed under ultrasound guidance in the groin and we obtained pictures of your arteries. If an arterial blockage is found and is determined that is severe enough that needs to be fixed, a procedure called angioplasty with atherectomy and/or stent can be performed (see description of angioplasty, atherectomy with stent). Once the procedure is done, the equipment is removed, and the arterial intravenous access is sealed with a “closure device” to avoid bleeding”.  After a certain period of time of observation for potential complications, you can go home safely.
 
Heart Catheterization
A now common and useful diagnostic procedure, heart catheterization allows your medical team to evaluate the condition of your heart. This is achieved by inserting a small tube into a blood vessel and injecting a dye that will allow them to see the flow through your arteries and identify any blockages. In most cases, you will be awake and resting comfortably throughout, complications are very rare and you will be home that evening. Preparation for this procedure is simple and begins 12 hours beforehand. Your Heart & Vascular Care doctor or nurse-practitioner will provide complete instructions beforehand.

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