Diagnosis of Arterial Disease
Diagnosis begins with a medical history and physical exam, checking pulses and skin health in the limbs. Our vascular team then uses imaging tests to confirm disease:
- Physical Exam and ABI: Doctors check pulses and compare blood pressure in the ankle and arm (Ankle-Brachial Index) to detect blockages.
- Duplex (Doppler) Ultrasound: A painless scan that shows blood flow in the arteries and identifies narrowed or blocked segments.
- CT Angiography / MR Angiography: Advanced 3D scans that map the arteries with contrast dye, highlighting blockages or aneurysms.
- Angiography: A minimally invasive X-ray test where dye is injected through a catheter to directly visualize artery blockages or clots.
These tests allow precise mapping of arterial disease so the best treatment plan can be chosen.
Treatment Options for Arterial Disease
We offer a full range of treatments, often using minimally invasive endovascular procedures. Key options include:
- Ultrasound-Guided Imaging: Duplex ultrasound is used during procedures to guide catheters and ensure precise treatment of blockages.
- Balloon Angioplasty and Stenting: A tiny balloon is threaded into the narrowed artery and inflated to open it. A small metal stent is often placed to keep the vessel open.
- Atherectomy: A catheter device is used to remove plaque from the artery wall, clearing blockages without open surgery.
- Stent Grafts (Aneurysm Repair): For aneurysms (weakened arterial walls), a fabric-covered stent (graft) is placed via catheter to reinforce the artery and prevent rupture.
- Thrombectomy: If an artery is blocked by a clot, this procedure mechanically removes the clot to restore circulation.
- Catheter-Directed Thrombolysis: Clot-dissolving medication is delivered directly to a blockage through a catheter to clear a thrombus.
These minimally invasive procedures often mean less pain and faster recovery than traditional surgery. Our specialists will recommend the best option for your condition.