Deep Vein Thrombosis

logo_icavlNew this fall is our ICAVL accreditation for our vascular lab. We are one of the few physician based labs that has achieved this high standard of quality, and one that will be required of all labs who accept Medicare patients after 2012.

What is a vascular lab you ask? It is a diagnostic facility where your physician can send you for a wide variety of diagnostic ultrasound studies examining the vascular systems of the body. We can look at your “carotid artery” to determine if you are at risk for stroke as a result of “atherosclerosis” or plaque buildup in your artery. If this thick, yellow substance breaks off and travels to the brain, a severe stoke can result. Maybe you are experiencing problems with blood pressure – your doctor may want us to check if you have any swelling or an “aneurysm” of the aorta, the main artery that travels from the heart to the abdomen. Hypertension as well can be an indicator of high risk, so we will check your renal arteries and give your doctor the warning he may need – or we may alleviate your fears! The most common study we do aside from diagnostic studies for your veins, is a “rule-out DVT” (deep vein thrombosis), often signaled by pain or swelling in your legs. (see below for more info on DVT)

Many area physicians like to send us their studies – the convenience we offer with rapid scheduling and highly trained techs, makes us an attractive alternative to large impersonal hospitals and labs. Dr. Carabasi is able to read your study and call the results over to your attending doctor immediately. Our technicians are all “RVT’s” (registered vascular technologists) and highly experienced. Dr. Carabasi reads all our studies as well as those from other area labs.

In addition to your doctor’s orders, we offer a battery of screening tests for $139.00. These screening tests can really be a life-saver, especially for people in high risk groups. Risk factors include obesity, diabetes, smoking, hypertension/high blood pressure, and unexplained pain or swelling. Of course as a vein center we specialize in testing for venous disease in the legs as well as the other vascular studies we perform. And you don’t have to compromise on comfort to get great quality studies. With free and ample parking, a lovely comfortable office, friendly staff, and minimal wait times, your study will be as pleasant an experience as we can manage for you. We are here five days per week, and often are called on by area doctors to do emergency (stat) studies – they know we will fit their patients in as conveniently as possible, and without the long often cold, impersonal setting of a hospital or emergency room.

What is Deep Vein Thrombosis or DVT?

Deep Vein Thrombosis, known simply as DVT, is a condition that is identified by blood clotting in the deep venous system. While the appearance of DVT in the venous system in itself is not dangerous, the condition can worsen if left untreated. The presence of clots in the deep venous system can become potentially fatal if a piece of a blood clot breaks off and travels through the circulatory system to other locations in the body. Such a piece of blood clot, known as an embolus, can become lodged in the lungs resulting in a life threatening condition known as a pulmonary embolism or PE. Early diagnosis and treatment of DVT can drastically minimize the potential risks associated with this condition.

What causes DVT?

Stagnant blood in the venous system can lead to clotting, known as Venous Stasis. Situations that increase the likelihood of minimized blood flow in the venous system increase the risks of forming significant clots in the leg’s deep veins. Immobility as a result of long periods of sitting on train, car, or an airplane are often a cause for decreased blood flow. Trauma or injury to the legs, long term hospitalization, pregnancy, and obesity are some examples of situations that lead to limited circulation, possibly resulting in DVT. Trauma to the venous system as a result of an injury or a venous procedure can also lead to an increase in clotting in the deep venous system.

What are the signs and symptoms of DVT?

Common symptoms of DVT include but are not limited to: Swelling in the leg, especially near the ankle and foot, pain, warmth on the surface of the leg’s skin, and redness of the skin. All or none of these symptoms can point towards the presence of DVT, however at the first indication of any of these common symptoms, it is best to consult a physician to see if you are at risk.

It is also important to pay strict attention to these symptoms and the potential for DVT in the aftermath of an injury to the legs. Often those who suffer leg trauma write off pain, swelling, and redness as the consequences of their particular injury, while the trauma to their leg may have caused DVT.

How can DVT be diagnosed and treated?

DVT can be identified easily through the use of ultra sound. This can be done at Advanced Vein and Vascular, in our ICAVL (Intersocietal Commission for the Accreditation of Vascular Laboratories) accredited vascular lab. Treatment of this condition is very simple. The use of Anticoagulation medicine prevents further growth of the clot, thus treating DVT. For the most serious conditions there are surgical treatments that involve mechanically breaking up and removing clot or insertion of a “filter” to prevent clots traveling to the heart or lungs.

LIFE SAVING SCREENING TESTS BY REGISTERED VASCULAR TECHNOLOGISTS:

In addition to your doctor’s orders, we offer a battery of screening tests for $139.00. These screening tests can really be a life-saver, especially for people in high risk groups. Risk factors include obesity, diabetes, smoking, hypertension/high blood pressure, and unexplained pain or swelling. Of course as a vein center we specialize in testing for venous disease in the legs as well as the other vascular studies we perform. And you don’t have to compromise on comfort to get great quality studies. With free and ample parking, a lovely comfortable office, friendly staff, and minimal wait times, your study will be as pleasant an experience as we can manage for you. We are here five days per week, and often are called on by area doctors to do emergency (stat) studies – they know we will fit their patients in as conveniently as possible, and without the long often cold, impersonal setting of a hospital or emergency room.

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