Vascular screening

/Vascular screening
Vascular screening 2017-12-04T13:32:42+00:00

Vascular screening is recommended for people with an increased risk of vascular diseases. The goal of vascular screening tests is to detect possible vascular abnormalities at their earlier stages, abnormalities which might endanger the patient’s life (thrombus, carotid artery stenosis, aneurysms) or peripheral vascular problems which might lead to leg amputation (ischemia – blocking blood flow in the leg or a certain part in the leg).

If you suffer from one of the following vascular diseases it is essential that you are aware of the following aspects:

  • An accurate diagnosis;
  • All morphologic and hemodynamic parameters of the condition (size, blood flow velocity in the affected area).

Once you know these two things there might be two possibilities:

  • You don’t need an urgent intervention but the condition must be kept under observation. Your physician will recommend the exact time when you will have to repeat the screening test;
  • An intervention is necessary. In more than 70% of the cases, these diseases can be approached with minimally invasive techniques (stent, angioplasty, or catheterization).

Problems we identify include:

Legs:

  • Ischemia and arterial thrombosis (including on the iliac artery);
  • Venous diseases (large veins, saphenous veins, iliac veins, femoral veins).

Abdomen:

  • Abdominal aortic aneurysm.

Throat:

  • Carotid stenosis and carotid obstruction.

Categories of High-Risk Patients:

Patients with high risk of Abdominal Aortic Aneurysm:

  • Persons older than 60 years of age;
  • Women with high blood pressure, high cholesterol, high triglycerides, diabetes, heart disease or who take treatment for high blood pressure or high cholesterol;
  • Persons over 50 years old who have close relatives who already had an abdominal aortic aneurysm;
  • Persons over 50 who smoked or are smoking significantly for a long period of time;
  • If the general practitioner recommended that you take a vascular screening test.

Patients with high risk of Stroke & Carotid Artery Disease:

  • Close relatives with a past medical history of stroke;
  • Diabetes;
  • Current smokers or former heavy smokers;
  • Persons older than 40 years with high cholesterol and/or who take treatment for high blood pressure and high cholesterol;
  • Persons who suffer from coronary artery disease or who had a previous heart attack, a stent, an angioplasty or a heart bypass surgery;
  • Persons with blockage of circulation in the lower extremities;
  • If the general practitioner recommended you take a vascular screening test.

Patients with high risk of Peripheral Artery Disease (PAD):

  • Persons over 35 years old who smoke;
  • Persons over 40 years old who have high cholesterol, high triglycerides or who take treatment for hypertension/ high cholesterols/high triglycerides;
  • Diabetes;
  • Persons over 40 years old with close relatives who previously suffered from peripheral artery disease;
  • Persons who had a previous heart attack, a stent, an angioplasty or a coronary artery bypass surgery;
  • If the general practitioner recommended you take a vascular screening test.

The screening test is performed by a radiologist with experience and expertise in vascular Doppler ultrasound and other vascular imaging techniques (CT and MRI) or by a physician specialized in vascular imaging. The procedure lasts for about an hour but it might last longer, depending on the number and the complexity of the diseases.