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Vascular Program

Vascular Program

Established in 1990, Beebe Medical Center's Comprehensive Vascular program boasts a fully accredited Vascular Lab, non-invasive vascular testing, and a highly skilled surgical staff.

Most of the patients at the center are treated for atherosclerosis, which is also called hardening of the arteries. Atherosclerosis is caused when deposits of plaque in the arteries constrict or completely block the blood flow, depriving the body of oxygen and nutrients. Plaque may even break off and create a dangerous embolism. Atherosclerosis may cause damage to artery walls, stretching or rupturing them, causing a life-threatening aneurysm. Tests performed at Beebe's lab help detect vascular disease.

Symptoms of vascular disease:

Temporary weakness in an arm or leg Brief blurring or loss of vision in one eye A moment of numbness in an extremity or the face Difficulty speaking or forming words Momentary dizziness or loss of consciousness Pain in the calf or thigh after walking a short distance Changes in skin color, or foot sores that don't heal

Non-invasive vascular testing

Non-invasive peripheral vascular testing allows the physician to make a clinical diagnosis without submitting the patient to costly, uncomfortable, and complicated invasive procedures. Non-invasive vascular studies show the functional aspect of the vessels rather than the structural changes that are indicated by an angiogram.

The Vascular Lab at Beebe Medical Center has been accredited by the Intersocietal Commission for the Accreditation of Vascular Laboratories since August 1994. It has state-of-the-art equipment, including color-flow duplex, which is capable of the most sophisticated non-invasive diagnostic procedures available. Tests performed at the lab provide physicians with an in-depth evaluation of the cerebrovascular, peripheral arterial, and venous systems.

Testing is done both for outpatients and inpatients. Most procedures require 30 minutes to perform and are painless. Interpretation of test results is provided by board certified vascular surgeons.

Please allow 24 hours for exam results. Immediate results are available on request.

Patients must be referred to the Beebe Medical Center Vascular Lab by a doctor. Procedures may be scheduled by calling (302) 645-3710 between 8:00 a.m. and 5:00 p.m. Monday through Friday.

Diagnostic 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

 

Vascular testing FAQs

Q: Is it painful? A: No. The studies are non-invasive, so there is practically no discomfort.

Q: What are the risks? A: Again, because the studies are non-invasive, the risks are minimal.

Q: How much time is involved? A: Generally, 30 minutes is sufficient time to complete a study. If multiple studies are requested, however, more time is required.

Q: Is it expensive? A: Vascular Lab studies are significantly less costly than related invasive procedures.

Q: What preparation is needed? A: No patient preparation is necessary for most of these tests, which are conducted in a pleasant office atmosphere. Patients who are to have visceral vessel or renal artery scans must not take anything by mouth (not even water) after midnight the night before the test. They may take any regular medication with sips of water.

Q: How do I find out the test results? A: The results of the test will be sent to your doctor.