The goal is efficient blood flow throughout the circulatory system. From the heart to the toes and
back to the heart again. Millions of people suffer from some form of vascular incompetence and
in all stages of the disease's process.
Often symptoms of peripheral arterial disease can also sometimes mimic peripheral venous
disease. So what is a patient with symptoms, to do?
To help patients resolve some of their symptoms, it's essential to properly diagnose the issues.
Additionally, many patients who suffer with peripheral vascular disease, don't visit a cardiologist.
Some patients with peripheral blood flow disturbances, do not have prior cardiac histories that
would have them being followed by a Cardiologist. Dr. Smalling's passion and commitment to
limb salvage and patient education, is motivated to help patients identify disease before it
becomes a limb loss or salvage situation. Something that afflicts too many older people in the
We use technology to screen and test for PAD and CVI, which includes the following
assessments and measurements:
- Ankle-Brachial Index (ABI)/Toe-Brachial Index (TBI) and Pulse Volume Recording (PVR)
- Post-Exercise ABI and PVR testing help reveal masked disease
- Segmental Pressures (pressures taken at thigh and calf levels) help localize disease
- Venous Outflow testing via cuff to help determine the presence of proximal venous
- Venous refill testing via cuff or probe to help identify problems affecting venous circulation
and Chronic Venous Insufficiency (CVI)
- Doppler-enabled module conveniently integrates external vascular Doppler functionality
- Remote View allows physicians to retrieve tests online 24/7