A service provided by a small team
specialising in vascular ultrasound is
now available to all referrers, including
GPs and Consultants, at Docklands
Healthcare and 31 Old Broad Street.
The service is run by ElaineYoung and
Kate Sommerville who were among the
first small group of specialists to work
in the routine application of diagnostic
vascular ultrasound in the UK and
jointly they have 40 years’ experience
in diagnostic vascular ultrasound. Both
have held the post of President for the
professional body in the UK (SVT GBI).
The service, which uses the latest
advanced Colour Doppler Ultrasound
technology, provides three half-day
sessions a week across the two sites
during working hours.
The team comprises four clinical
vascular scientists all of whom hold full
accreditation with the SVT GBI and have
extensive specialist experience of at least
ten years in full-time vascular ultrasound.
This experience includes running services
at a number of large NHS teaching
hospitals including UCH/Middlesex, St
George’s Hospital and the Royal Free
Hospital, as well as large private
hospitals and clinics across London.
Vascular Ultrasound or Colour Doppler
Ultrasound (Duplex) is a specialist,
non-invasive imaging modality, giving
accurate and detailed images of the
blood vessels and flow patterns in real
time.The investigations require minimal
preparation, will typically take from thirty
minutes to an hour, and the results are
available immediately to be sent to the
clinician.This allows prompt exclusion or
confirmation of disease, and therefore
management of any conditions diagnosed.
Patient groups regularly requiring these
specialist investigations include those
suffering from diabetes, heart disease,
high cholesterol and high blood pressure.
Patients who may require
Patients with suspected carotid artery
disease who present with suspected
TIA, stroke or who may have risk factors
and require screening. Below, image 3
shows a significant carotid stenosis.
Patients are also referred with a
suspected Abdominal Aortic Aneurysm
(AAA) or screening to exclude an
AAA (image 1 below). AAA ultrasound
screening has recently been introduced
as an NHS national screening programme
for males of 65 years or over, however
referrers may wish to exclude this
condition in other patient groups or
those at high risk.
Early detection of both carotid artery
disease and AAA can be of great benefit
to the patient in terms of disease
management and intervention if required.
Patients may also present with symptoms
of lower limb arterial disease.These
include intermittent claudication,
ischaemia and in extreme cases,
ulceration/gangrene.A lower limb arterial
ultrasound scan can easily and reliably
identify narrowing or occlusion in the
arteries and can provide a map of any
segments of disease from the aorta to the
ankles. Fine detail of the particular artery
affected provides information on the
aetiology of disease, location, percentage
narrowing and length of diseased
segments. Below, image 4 shows a normal
posterior tibial artery waveform.
Patients who may require
The patient may present with suspected
acute DeepVein Thrombosis (DVT) or
have a previous history of suspected
DVT which has resulted in possible
Image 2 shows an acute deep vein
thrombosis in the femoral vein.
The patient may also present with
varicose veins or thread veins, some
cases may be complex with recurrent
disease following surgery. A full map
of all the underlying incompetent veins
can be given allowing the referrer to
plan any treatment required.
The team are also highly experienced in
assessing renal dialysis patients either
pre or post fistula, patients with upper
limb symptoms of thoracic outlet disease/
thrombosis, lower limb entrapment
syndrome, false aneurysms, aortic stents
and lower limb grafts.
Now available at Docklands and 31 Old Broad Street
Abdominal aortic aneurysm
Common femoral vein partial
Internal carotid artery stenosis
Posterior tibial artery
For further details onVascular Ultrasound Screening Services, please visitwww.londonbridgehospital.com .
31 Old Broad Street – Tuesday (pm) &Thursday (am)
Docklands Healthcare, CanaryWharf – Monday (am)
T: 020 7234 3522
T: 020 7516 1999