The Vascular Laboratory at La Jolla Vein & Vascular utilizes advanced, noninvasive, diagnostic, medical ultrasound technology while ensuring high quality results to detect diseases that may affect blood flow in the arteries and veins. We utilize “state-of-the-art” color duplex ultrasound imagers and indirect testing equipment.
Why Ultrasound?
Vein conditions are not always visible with the naked eye. Visible varicose and spider veins may be the ‘tip of the iceburg’ -indicating an underlying issue. Ultrasound looks at the health of the blood vessels beneath the skin’s surface.
book an appointment in Our center
To make an appointment or to inquire about how we can help you understand your treatment options.
Follow-up clinic visits with our on-site vascular team
Direct testing (duplex imaging)
Deep Vein Thrombosis- upper or lower extremity
Venous Reflux
Abdominal Aortic Aneurysm (AAA) Screening
Carotid Duplex
Lower Extremity Duplex
Indirect testing (non-imaging)
Ankle brachial index (abi) with waveforms
Segmental pressures and waveforms (P&Ws)
The Vascular Lab offers of:
Non-invasive testing
Same-day imaging appointments
Follow-up clinic visits with our on-site vascular team
Direct testing (duplex imaging)
Deep Vein Thrombosis- upper or lower extremity
Venous Reflux
Lower Extremity Duplex
Learn More About Testing
Venous Reflux Ultrasound
Ultrasound looks at deep and superficial veins in the legs to check for venous-valvular incompetence (the underlying condition that causes varicose veins). The ultrasound examination is used to both identify the veins that have faulty valves and to map the anatomy of the veins, creating a ‘road map.’ This is necessary to make an accurate assessment of the cause and extent of the varicose veins, as well as to formulate the best treatment plan. This should be done for any individual being evaluated for varicose veins, leg swelling, skin changes, patients who have failed prior treatment, patients who are symptomatic and in some patients with certain anatomic patterns of spider veins. Up to 40 million Americans have varicose veins. Left untreated, the veins may become worse.
Deep Vein Thrombosis (DVT) Ultrasound
Venous ultrasound uses sound waves to produce images of the veins in the body. It is commonly used to search for blood clots, especially in the veins of the leg – a condition often referred to as deep vein thrombosis. Ultrasound does not use ionizing radiation and has no known harmful effects.
Who Performs the test?
Accuracy is critical. Our ultrasounds are ALWAYS be performed by a credentialed sonographer, called a Registered Vascular Technologist (RVT). An RVT is a sonographer who completed a two-year ultrasound program, plus additional clinical training and obtained certification by meeting the highest standards by The American Registry for Diagnostic Medical Sonography® (ARDMS®). It is important that a specially trained RVT perform the study, because a special protocol must be followed for each study to meet accreditation standards. The protocol involves taking images at certain anatomic locations using special waveforms to show blood flow. All images taken by the RVT are reviewed by the physician.
Before Your Test
Venous ultrasound uses sound waves to produce images of the veins in the body. It is commonly used to search for blood clots, especially in the veins of the leg – a condition often referred to as deep vein thrombosis. Ultrasound does not use ionizing radiation and has no known harmful effects.
Carotid Artery Ultrasound
Ultrasound evaluation of the carotid arteries that screens for buildup of fatty plaque — one of the leading causes of strokes. Carotid arteries are the main blood vessels to the brain. They can develop a buildup of plaque caused by atherosclerosis, or hardening of the arteries. When the buildup becomes very severe, it can cause a stroke. A stroke occurs when part of the brain is damaged by these vascular problems; in fact, 80 percent of strokes are “ischemic strokes” where part of the circulation to the brain is cut off, usually due to blockages in the carotid arteries. The process is similar to the buildup of plaque in arteries in the heart that causes heart attacks. Strokes are the third leading cause of death in the United States according to the National Center for Health Statistics.
Peripheral Arterial Disease Testing
This test uses ultrasound and blood pressure measurements to check for peripheral arterial disease (plaque build-up) in the lower extremities. If you get leg cramps when you walk, it may be a sign of PAD. Learn more about keeping your legs healthy. Peripheral arterial disease (PAD) occurs when atherosclerosis, or hardening of the arteries, causes a buildup of plaque in the blood vessels that carry oxygen and nutrients to all the tissues of the body. As these plaques worsen, they reduce essential blood flow to the limbs and can even cause complete blockages of the arteries. Early on, PAD may only cause difficulty walking, but in its most severe forms, it can cause painful foot ulcers, infections, and even gangrene, which could require amputation. People with PAD are three times more likely to die of heart attacks or strokes than those without PAD.
Abdominal Aortic Aneurysm
The abdominal aorta serves the entire lower half of the body.
Abdominal Aortic Aneurysm (AAA) is an enlargement or “bulge” that develops in a weakened area within the largest artery in the abdomen. The pressure generated by each heartbeat pushes against the weakened aortic wall, causing the aneurysm to enlarge. If the AAA remains undetected, the aortic wall continues to weaken, and the aneurysm continues to grow. Eventually, the aneurysm becomes so large, and its wall so weak, that rupture occurs. When this happens there is massive internal bleeding, a situation that is usually fatal. The only way to break this cycle is to find the AAA before it ruptures. Nearly 200,000 people in the U.S. each year are diagnosed with an AAA, which can be deadly without treatment.
book an appointment in Our center
To make an appointment or to inquire about how we can help you understand your treatment options.
What a wonderful experience, I love the site and the staff are super knowledgeable and helpful. To actually have someone assess and conduct an ultrasound on my legs and veins is an absolute dream come true. Thank you for your help!
Chelsey G.
Wow, where do I begin… how about with 10 stars (5 isn’t enough!). I am very impressed with La Jolla Vein & Vascular. I visited the Vista office and was greeted by the most friendly team ever. Everyone was so nice and welcoming, they really make you feel valued… that’s important especially when you deal with bad anxiety. But they will put you at ease and they know exactly what they are doing. Everything is thoughtfully explained and you feel confident in their diagnosis and treatment plan. The office is so clean and professional. I wish all medical offices, doctors and staff were like this!
Rebeca T.
This practice is exceptional. All staff members are extremely nice and efficient. There is no wait time to be seen by appointment.Dr Steinberger is friendly, engaging, and highly competent. I am very satisfied with the treatment and the experience in general.
Samantha R.
For Health Care Professionals
How to Refer?
Fax a referral form with supporting documentation to 858-550-0676.
For same day appointments, check ‘STAT’ box on the order and call us at 858-550-0330.
Dr. Amanda Steinberger is a Harvard-trained, board-certified vascular interventional radiologist. She specializes in a broad range of superficial vein disease including varicose veins, spider veins, venous leg ulcers, lymphedema and cosmetic laser vein treatments. Dr. Steinberger sees patients in our La Jolla Office.
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Can I get insurance coverage for my vein treatment?
Depending on your insurance plan, you may or may not have out of pocket expenses. We work with your insurance providers to maximize your insurance coverage and provide a complete overview of your treatment cost. We believe in cost transparency and will provide a cost estimate of any anticipated out of pocket expenses. Cost is important. We can work with your insurance to find out this information today!
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Can I get insurance coverage for my vein treatment?
With Molina insurance plans, most patients should not have out of pocket expenses. We work with Molina to maximize your insurance coverage and provide a complete overview of your treatment cost. We believe in cost transparency and will provide a cost estimate of any anticipated out of pocket expenses. Cost is important. We can work with your insurance to find out this information today!
