Welcome to the Chuback Vascular Lab, located in Paramus, New Jersey. Our goal is to serve you utilizing state-of-the-art medical ultrasound technology to diagnose vascular disorders, evaluate the severity of disease and determine the need for treatment.
At the Chuback Vascular Lab, we provide vascular sonography services utilizing noninvasive ultrasound and Doppler technology. We are able to gather and record information as it relates to the anatomy and physiology of the arteries and veins. Areas of interest include the cerebrovascular system, peripheral circulation, and the abdominal vasculature.
ICAVL protocol and guidelines, as well as industry-standard methods, including those dictated by the Society for Vascular Ultrasound and the American College of Phlebology are strictly adhered to, ensuring precise and reproducible imaging.
At the Chuback Vascular Lab we encourage patient awareness and education to inspire healthy lifestyle modifications including smoking cessation and weight loss. We encourage patients to follow up with their primary medical doctors for the management of other co-morbid conditions, such as hypertension, hyperlipidemia and diabetes. Together we can be active participants in the fight against vascular disease.
Vascular Imaging Services
- Peripheral Arterial Disease
- Deep Venous Thrombosis (DVT)
- Venous Insufficiency/Reflux
- Abdominal Aortic Aneurysm
- Renal Artery Stenosis
- Carotid Artery Stenosis
- Pre/Post Operative Imaging and Mappings
- Subclavian Steal Syndrome
- Pre/Post Prandial Mesenteric
- Abdominal and Peripheral Stent & Bypass Graft Surveillance
Ankle/Brachial Index determines segmental arterial pressures at multiple sites of the extremity and provides accurate, reproducible, and objective information regarding the degree of atherosclerotic disease.
Arterial duplex utilizes B-mode and Doppler technology to detect and/or monitor disease of the lower extremity in native arteries and arterial bypass grafts.
Venous duplex utilizes B-mode and Doppler technology to evaluate the lower and/or upper extremity venous system for the presence of deep and superficial venous thrombosis, either chronic or acute, as well as detect the presence of reflux or valvular incompetence.
Abdominal aortic imaging utilizes B-mode and Doppler technology to evaluate the abdominal aorta and iliac arteries to determine the presence of occlusive disease and/or aneurysmal dilatation. If an aneurysm is suspected or known, ultrasound will aid in confirming the presence of disease as well as monitor vessel proportions for signs of enlargement and plaque formation.
Renal artery duplex utilizes B-mode and Doppler technology to evaluate blood-flow velocities and waveform patterns in the aorta and renal arteries to determine the location and severity of atherosclerotic disease which may lead to hypertension and kidney dysfunction.
Carotid artery duplex utilizes B-mode and Doppler technology to evaluate the cervical carotid and vertebral arteries to determine the location and severity of atherosclerotic disease which may lead to stroke, blindness or death.
Vascular Screening Examinations
The Chuback Vascular Lab also performs vascular screening examinations to identify patients who are at risk for stroke, peripheral vascular disease or an abdominal aortic aneurysm. Ideal candidates for a screening exam include patients who smoke and are obese. Patients with diabetes, high blood pressure, high cholesterol, or a family history of cardiovascular disease are also good candidates for screening. Early detection and intervention is essential for your overall health and a disease free, high quality lifestyle.
How are vascular ultrasound studies performed? Vascular testing is performed in a comfortable, relaxed setting by our board certified vascular technologist, Jackie Sasek (RVT, RPhS). The procedure is simple. A water-based gel is placed on the skin and a hand-held transducer. The transducer is then placed on the skin to transmit the ultrasound waves and receive the returning echoes, producing a gray-scale image of your anatomy. Depending on the study, you may be in our office from 30 to 90 minutes. Exceptional test accuracy helps physicians evaluate the presence and severity of vascular disease.
What type of equipment is used for the vascular lab tests? At the Chuback Vascular Lab we use the latest, state-of-the-art sonography equipment which offers superior image clarity. The Philips CX50, CompactXtreme ultrasound system is the only portable system using PureWave technology, which is the greatest advancement in transducer technology in forty years yielding increased exam accuracy.
Are the vascular lab’s employees credentialed? The experience, skills and qualifications of an expert technologist are invaluable and an undeniable necessity. Our technologist is credentialed by ARDMS, as a Registered Vascular Technologist (RVT) and certified by CCI as a Registered Phlebology Sonographer (RPhS). Currently, Medicare, as well as most insurance carriers, have ruled that all diagnostic vascular examinations must be performed by a technologist who is Board certified in the field of vascular technology (RVT, RVS, RPhS). Additionally, laboratory credentialing agencies mandate that vascular ultrasound examinations must be read by a Registered Physician in Vascular Interpretation (RPVI). Dr. Chuback, the laboratory’s Medical Director and Reading Physician, holds this credential. RPVI status validates the physician’s expertise in vascular ultrasound testing and reporting. These actions are meant to protect the public and ensure that quality studies are obtained so that appropriate diagnosis and treatment measures are not compromised. Dr. Chuback is also certified by CCI as a Registered Phlebology Sonographer (RPhS).