The same risk factors for atherosclerosis are evident in patients with ischemic stroke and patients with coronary artery disease. Hypertension, cigarette smoking, diabetes, high cholesterol and obesity are most closely associated with carotid stenosis and stroke. Considerations for carotid artery evaluation should be sought in patients who have either one or more of these risk factors or a stroke.
At Manhattan CardioVascular Diagnostics , we perform diagnostic evaluation of carotid disease through duplex ultrasonography. Duplex ultrasound accurately detects carotid artery stenosis, with a sensitivity and specificity of 94% and 95% respectively.
We carefully scrutinize and identify areas of stenosis and determine the degree of carotid artery stenosis in order to aid in the prevention of stroke.
An abdominal aortic aneurysm occurs most commonly in older individuals (between 65 and 75), and more in men and smokers. There is moderate evidence to support screening in individuals with these risk factors. The majority of abdominal aortic aneurysms do not cause symptoms. Symptomatic and large aneurysms (>5 cm in diameter) are considered for repair.
The most important complication of an abdominal aortic aneurysm is rupture, which is most often a fatal event. An abdominal aortic aneurysm weakens the walls of the blood vessel, leaving it vulnerable to bursting open, or rupturing, and spilling large amounts of blood into the abdominal cavity.
A clinical practice guideline by the U.S. Preventive Services Task Force "recommends one-time screening for abdominal aortic aneurysm (AAA) by ultrasonography in men age 65 to 75 years who have ever smoked".↓
At Manhattan CardioVascular Diagnostics, we know that early detection saves lives, thats why we provide fast, non-invasive, painless abdominal ultrasonography to evaluate your patient's for AAA's in order to prevent possible future rupture's.
The renal arteries carry blood to the kidneys. If these arteries become narrowed or blocked, it may lead to kidney failure or high blood pressure. Patients with early signs of these conditions can undergo a renal artery duplex ultrasound, at Manhattan CardioVascular Diagnostics, that allows us to view diagnostic images of the arteries. The condition of the artery is determined by measuring the speed of the blood flowing through it.
The renal artery duplex ultrasound allows us to locate clots or narrowed areas within the arteries, and also determine the size of the kidney. Since there are often no symptoms present in the early stages of renal artery disease, this condition may be difficult to diagnose without an effective ultrasound exam. It can also be used to evaluate the severity of a renal artery condition that has already been diagnosed.
Vascular disease is a serious condition that involves abnormal functioning within the veins of the legs, and which can lead to complications such as aneurysm and stroke. At Manhattan CardioVascular Diagnostics we perform a lower extremity venous duplex ultrasound, which provides us with diagnostic images of the vessels within the lower extremities, most commonly used to diagnose vascular conditions in the legs. This procedure can identify narrowed or blocked arteries or veins, clotting or faulty valves, and is essential in achieving successful vein treatment.
While many diseased leg veins are visible in the form of varicose or spider veins, many patients may experience significant vein reflux that can only be detected through ultrasound imaging. A lower extremity venous duplex ultrasound can show us a thorough, detailed image of the veins, along with the direction of blood flow to help us accurately diagnose vascular conditions.
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