Venous Disease Pre-Surgical Workup

If you suffer from any form of venous disease, a pre-surgical workup will be performed to determine the best treatment for you.

The treatment that will produce the best result requires a comprehensive knowledge of your unique physiology and condition.

At Advanced Surgical Technology, our pre-surgical workups may include:

Arterial and venous ultrasound

Vascular ultrasound is a non-invasive diagnostic test that employs sound waves to create images of the blood vessels, including veins and arteries. This diagnostic test can reveal the location of a blood clot so that the correct treatment can be performed.

Diagnostic venogram

A venogram is a type of X-ray and a type of angiogram. This test involves lying on an X-ray table with your legs elevated. Tourniquets are placed around your leg, one at the ankle and one on the thigh. The tourniquets slow the blood flow enough for an X-ray to be taken. A contrast dye is then injected into your bloodstream to make the veins visible. This diagnostic test may be combined with an intravascular ultrasound for superior accuracy in our pre-surgical workup.

Intravascular ultrasound

This diagnostic test employs a probe that generates soundwaves to create an image of the blood vessels. A specialized catheter is inserted into the vessel. The catheter has a tiny ultrasonic transducer at the end. It is threaded to the target location and activated to produce images for our surgeon to assess your condition and plan treatment.

Advanced Surgical Technology: Testing and treatment in Mt. Vernon and Centralia

Our pre-surgical workup at Advanced Surgical Technology can identify the venous condition or diseases causing your symptoms so that the correct treatment can be performed. Our diagnostic tests are performed in our offices, and in many cases, the treatment can be performed on the same day.

A venous disorder diagnosis may be one of the following conditions or diseases:

Chronic venous insufficiency: This condition occurs when the blood vessels cannot return the blood back to your heart as nature intended. This causes the blood to pool in the legs. The condition may be the result of age, genetics, obesity, pregnancy, or high blood pressure.
Deep vein thrombosis (DVT): This condition involves a blood clot developing in a vein deeper within the body, often in the thigh or leg, but can appear in any area of the body. Identifying the location of the clot is a critical aspect of planning treatment.
Blood clots: If a blood clot has formed, it must be precisely located so it can be treated at once. An intravascular ultrasound can reveal whether the clot is acute or chronic, and your workup may include a venogram, in which a dye is injected so the clot can be located and treated.

Phlebitis (superficial venous thrombosis): This condition involves inflammation and clotting in one of your superficial veins, which will become red, swollen, and uncomfortable. In most cases, the condition is visible, but due to the increased risk of pulmonary embolism, further testing may be recommended by our vascular surgeon.
Varicose veins: An ultrasound test may be performed in your pre-surgical workup for varicose veins. This test will reveal whether the valves in your veins are functioning correctly.
Spider veins: Spider veins can be treated with an advanced aesthetic laser device, which can remove visible spider veins from the face or body for the long term.

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