Continuing his Vision Merrill P. Spencer, M.D. (1922-2006) Home About Us Services Locations Research PFO Testing Top Stories Patient Forms Services Exam Indications & Applications Cerebrovascular Evaluation Medicare Approved Indications Cervical bruits. Focal cerebral or ocular transient ischemic attacks. Subclavian steal syndrome. Blunt neck trauma. Amaurosis fugax Re-evaluation of existing carotid stenosis. Evaluation of pulsatile neck mass. Preoperative evaluation of patients scheduled for major cardiovascular surgical procedures. Follow-up after a carotid endarterectomy. Evaluation of nonhemispheric or unexplained neurologic symptoms. Retinal artery emboli. Evaluation of suspected dissection. Transcranial Doppler Evaluation Medicare Approved Indications Detection and evaluation of the hemodynamic effects of severe stenosis or occlusion of the extracranial arteries(greater than or equal to 60% diameter reduction) and major basal intracranial arteries (greater than or equal to 50% diameter reduction). Evaluation of intracranial hemodynamic abnormalities in patients with suspected brain death. Evaluation of cerebral embolization. Assessing patterns and extent of collateral circulation in patient with known region of severe stenosis or occlusion. Detection and serial evaluation of cerebral vasospasm complicating subarachnoid hemorrhage. Evaluation of invasive therapeutic interventions for cerebral malformations. Detecting arteriovenous malformation and studying their supply arteries and flow pattern. Venous Evaluation Indications / Applications Suspected deep venous thrombosis (DVT) of lower or upper extremities Unexplained leg swelling after major surgery Question of valvular function Chronic leg swelling of uncertain cause Suspected or proven pulmonary embolus Follow-up evaluation of anticoagulant therapy to document status of DVT and valve function Vein mapping – upper and lower extremities Dialysis graft evaluation Arterial Evaluation Indications / Applications Absent peripheral pulses Leg pain of questionable etiology, intermittent claudication Rest pain (diabetic neuropathy or ischemia?) Prediction of healing potential for foot ulcers, determination of amputation level Question of aneurysm / pseudoaneurysm Follow-up to vascular surgery and of medically managed vascular disease Arterial trauma Digital cyanosis / Raynauds Thoracic outlet / compression syndromes Abdominal Vascular Evaluation Indications / Applications Renal arteries / veins Screening for renal vascular hypertension Screening for ischemic nephropathy Monitoring of known renal artery stenosis or renal bypass graft Mesenteric vessels Suspected visceral ischemia Aneurysm / pseudoaneurysm Portal system Suspected portal hypertension, portal vein thrombosis Shunt evaluation Preoperative vessel patency Aorta / Iliac system Aneurysm evaluation Stenosis evaluation Graft follow-up Inferior vena cava / Iliac venous system Suspected thrombosis Suspected extrinsic compression Our hours of operation for outpatient services are 8:30am to 5pm, Monday-Friday (except Holidays). To schedule an exam, please call one of our locations below. To print out our referral form, please click on the link above. Spencer Vascular accepts all patients and most insurance plans, including Medicare & Medicaid. Swedish Hospital / Cherry Hill Campus Jefferson Medical Tower 1600 E. Jefferson Street, Suite 500 Seattle, WA 98122 Tel: 206.320.4400 Fax: 206.320.4696 Swedish Hospital / First Hill Campus Nordstrom Medical Tower 1229 Madison Street, Suite 890 Seattle, WA 98104 Tel: 206.386.6980 Fax: 206.386.6606 (c) 2008-2010 Spencer Diagnostic Services. All rights reserved. Privacy Policy