ARTERIAL UPPER EXTREMITY Possible Symptoms: Arm claudication. Non-healing wounds, R/O ischemia as possible cause. Digit ulcers or other symptoms, i.e., Raynaud's Phenomenon, Buerger's Disease. A need for base-line evaluation prior to vascular reconstruction of arm. A need for post-operative follow-up after vascular reconstruction. Numbness or parasthesia of the extremity, e.g., R/O Thoracic Outlet Syndrome (TOS). Differential arm pressures exhibit exertional dizziness or syncope. These abnormal pressures may be secondary to subclavian stenosis (occlusion) or Steal Syndrome. Procedures Performed: SEGMENTAL PRESSURES AND ARTERIAL RATIO INDICES obtained in the upper arm, lower arm and digits as indicated. This information will be compared to the contralateral extremity. ANALOG WAVE FORMS will be obtained and analyzed to further delineate the severity of the stenosis. PHOTOPLETHYSMOGRAPHY may be used to record digit pulses and permit objective documentation of arterial insufficiency during thoracic outlet compression maneuvers. COLOR ULTRASOUND/POWER DOPPLER provides the ability to view the artery for possible abnormal blood flow. If you or your family members have any questions please feel free to contact Ohio Valley HeartCare at (800) 26-HEART.

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