OUR MISSION IS TO PROVIDE OUR EXPERTISE AND SPECIALIZED TRAINING TO IMPROVE YOUR VASCULAR HEALTH, IN A ONE-STOP CONVENIENT SETTING. OUR COMPREHENSIVE VEIN CARE AND VASCULAR IMAGING CENTER HELP PATIENTS TAKE CONTROL OF THEIR VASCULAR HEALTH.

OUR MISSION IS TO PROVIDE OUR EXPERTISE AND SPECIALIZED TRAINING TO IMPROVE YOUR VASCULAR HEALTH, IN A ONE-STOP CONVENIENT SETTING. OUR COMPREHENSIVE VEIN CARE AND VASCULAR IMAGING CENTER HELP PATIENTS TAKE CONTROL OF THEIR VASCULAR HEALTH.

Ultrasound Machine

La Jolla Vein Care and Vascular Imaging Center utilizes advanced imaging machines that look for vascular diseases that may affect how well blood flows in the arteries and veins. As an accredited Vein Center, we are expanding our services in vascular imaging to offer comprehensive diagnostic vascular testing. Our laboratory is accredited by the Intersocietal Accreditation Commission (IAC) for Vascular Testing.

Expertise & Medical Staff

AT LA JOLLA VEIN CARE, WE PROVIDE OUR OWN ON-SITE VASCULAR IMAGING. During Covid we also offering in-home ultrasounds.

The Vascular Sonography staff are clinically skilled and are RVT credentialed by the American Registry of Diagnostic Medical Sonographers (ARDMS).

The Vascular Lab’s director, Dr. Sarah Lucas is a board-certified vascular surgeon and holds a Registered Physician in Vascular Interpretation® (RPVI®) certification, which documents the highest standard in vascular ultrasound interpretation.

The Vascular Sonography staff are clinically skilled and are RVT credentialed by the American Registry of Diagnostic Medical Sonographers (ARDMS).

The Vascular Lab’s director, Dr. Sarah Lucas is a board-certified vascular surgeon and holds a Registered Physician in Vascular Interpretation® (RPVI®) certification, which documents the highest standard in vascular ultrasound interpretation.

Ultrasound Tech providing patient with a upper leg ultrasound

The vascular lab examines blood vessels throughout the body that feed major organs and tissue. These tests can help diagnose and treat many vascular conditions such as peripheral arterial disease (PAD), stroke, aneurysms and venous insufficiency.

Ultrasound of the leg

Vascular refers to the blood vessels in the body. There are two main types of blood vessels; the arteries and veins. Arteries bring oxygen-rich blood from the heart to every inch of the body; vein return the blood back to the heart and lungs for more oxygen. Vascular disease is when the blood vessels are no longer healthy.

Common types of

Vein Disease include:

Varicose Veins

Chronic venous insufficiency

Deep Vein thrombosis

Common types of Artery Disease include

 Carotid artery disease and stroke (TIA or Stroke)*

Lower extremity arterial disease (PAD)**

Upper extremity arterial disease

Abdominal aortic aneurysm (AAA)

Common types of

Artery Disease include:

At La Jolla Vein Care, we specialize in the treatment of varicose veins and chronic venous insufficiency and the vascular imaging of vascular diseases affecting the arteries and veins.

photo of a doppler autosound

What is Duplex Ultrasound?

Duplex ultrasound combines Doppler flow information and conventional imaging information, sometimes called B-mode, to allow physicians to see the structure of your blood vessels. Duplex ultrasound uses sound waves to get images of your blood vessels.  It also helps determine how fast blood moves through the vessels. It can also be useful to estimate the diameter of a blood vessel as well as the amount of obstruction, if any, in the blood vessel. Using duplex ultrasound technology, the structure of your blood vessels, the valve function, the movement of your red blood cells and direction of blood flow through the vessels, and any blockages or blood clots can be seen.

Diseases of the blood vessels can affect both veins and arteries.

VEINS

Venous Reflux or Venous Insufficiency

The Duplex Ultrasound examination allows us to visualize the blood vessels that are not visible to the naked eye, even blood vessels that are deep within the muscles.  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, patients who have failed prior treatment, patients who are symptomatic and in some patients with certain anatomic patterns of spider veins.

Before your test:  This study does not require any preparation. You should not wear your compression stockings the same day as the examination.  Make sure to be hydrated.

Vein Conditions May Not Be Visible to the Naked Eye: Venous ultrasound imaging is important in determining if an underlying vein problem exists.

Vein Mapping

A vein mapping ultrasound is used to map the anatomy of the veins, creating a ‘road map.’  The vein diameters are also measured at various points. 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 study is performed prior to undergoing a vein procedure.

Before your test:  This study does not require any preparation. You should not wear your compression stockings the same day as the examination.  Make sure to be hydrated.

Deep Venous Thrombosis

A deep venous thrombosis (DVT) is a blood clot in the deep veins of the legs.  This is a serious medical condition because the blood clot can travel from the deep venous system to the lungs and cause a lethal pulmonary embolism.  A DVT can be diagnosed by an experienced  vascular sonographer with a Duplex ultrasound examination.  A DVT study is performed when a person has signs and symptoms of a lower extremity DVT such as leg pain and swelling. It may also be performed routinely after a vein procedure or other surgery.

Before your test:  This study does not require any preparation.

Upper Extremity Venous Study (UEV)

Ultrasound of the upper arms and neck. This study is performed to assess the deep and superficial venous system to determine the presence or absence when a person has signs and symptoms of a lower pain and swelling in arms.

ARTERIES

Testing and Screening

Ankle-Brachial Index

The ankle-brachial index (ABI) is a test that uses inflatable pressure cuffs to assess blood flow in the legs and arms.

Duplex Ultrasound

The duplex ultrasound evaluates the blood flow through your arteries and veins. There are several types of ultrasound tests:

Lower Extremity Arterial study (LEA)

Ultrasound of the arteries within the lower legs. This study is designed to see if plaque has formed within the arteries, blocking the blood flow. This is also called atherosclerosis; hardening of the arteries.

Upper Extremity Arterial Study (UEA)

Ultrasound of the arteries within the upper arms and neck. This study is designed to see if plaque has formed within the arteries, blocking the blood flow. This is also called atherosclerosis; hardening of the arteries.

Carotid Artery Ultrasound

Ultrasound of the carotid arteries in the neck to identify or rule out blockages that can lead to a stroke

Renal Ultrasound

Ultrasound of the blood flow to the kidney to evaluate if there are significant blockages to the kidneys.

Abdominal Ultrasound

Ultrasound of the abdomen for identification and evaluation of aneurysmal disease of the aorta and its branches, such as an abdominal aortic aneurysm (AAA).

WHO SHOULD GET ARTERIAL SCREENINGS?

*In accordance with USPSTF and the AHA, ultrasound screening abdominal aortic aneurysm (AAA) with ultrasonography in men get 65-75 years who have ever smoked.

*Because people with peripheral arterial disease (PAD) have this increased risk for heart attack and stroke, the American Heart Association encourages people at risk or over the age 55 to discuss PAD with their healthcare professional to ensure early diagnosis and treatment.

Carotid Artery Ultrasounds are routine evaluatons for symptoms of Transient Ischemic Attack (TIA) or stroke.

Symptoms of TIA or stroke include:

Evaluated with Ultrasound Screening

Transient ischemic Attack (TIA)

Sudden Numbness

Trouble Speaking

Trouble Seeing

Dizziness

Severe Headache

Risk Factors

for Stroke and Arterial Disease

Know the Risk!

High Blood Pressure

Tabacco Use

Diabetes

Family History

Age

Obesity

Sleep Apnea

For more information on Vascular Health please visit our online library to view and download pdfs on many issues of vein disease.