Contact This Clinic
Phone: (319) 362-5118
Fax: (877) 894-3629

Located on Level 2
PCI Medical Pavilion

Clinic Hours
Monday - Friday: 9 am to 5 pm

Patient Forms
General Health History Form
Surgical Questionnaire
Vein Screening Form

Outreach Clinics
PCI Specialty Care, Waterloo

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Vascular Surgery

Physicians' Clinic of Iowa-Vascular Surgery is comprised of surgeons who are board certified in both general and vascular surgery and provide comprehensive care for patients with vascular disease. This involves the detection and diagnosis of vascular disease by noninvasive ultrasound and arteriography, with correction by open surgical reconstruction or by the use of the latest minimally invasive endovascular techniques.

What do PCI vascular surgeons treat?

  • Abdominal Aortic Aneurysm (AAA)
  • Carotid Artery Surgery & Stenting
  • Chronic Venous Insufficiency
  • Deep Vein Thrombosis (DVT)
  • Diabetic Vascular Disease
  • Peripheral Arterial Disease (PAD)
  • Renal Artery Disease

Photo Tour

Arterial Diseases

  • Abdominal Aortic Aneurysm (AAA)
  • Carotid
  • Upper & Lower Extremity
  • Graft Surveillance
  • Stent Evaluation
  • Renal Arteries
  • Dialysis Access
  • Ankle-Brachial Indices
  • Peripheral Artery Disease (PAD)

Venous Diseases

Diagnostic Testing

Screenings

  • Carotid Imaging (15 min.) $30
  • AAA Imaging (15 min.) $30
  • Peripheral Imaging (15 min.) $30
  • Combined Screening (1 hr.) $80

Medicare offers a free, one time Abdominal Aortic Aneurysm (AAA) ultrasound screening for qualified seniors as part of their Welcome to Medicare physical. Men who have smoked and anyone with a family history of AAA are eligible for this benefit.

*Note that screenings are not always covered by insurance companies. Check with your carrier before scheduling. Payment is due at the time of service.

Screenings do not require a referral and can be scheduled by calling the clinic at (319) 362-5118. Screenings can also be done in combination with a scheduled consultation.

Cerebrovascular Testing

This test uses ultrasound to examine blood flow in the neck arteries that supply the brain (carotid and vertebral arteries.)

During the exam, we will pass a transducer over both sides of the neck. The test evaluates the common carotid arteries, external carotid arteries, internal carotid arteries and vertebral arteries. They look for build up of plaque and fatty deposits (atherosclerosis) which may cause a narrowing or blockage.

Candidates for this test may have experienced:

  • Numbness, weakness or inability to move the face,
  • arm or leg especially on one side of the body
  • Trouble seeing in one or both eyes (dimness,
  • blurring, double vision or loss of vision)
  • Difficulty walking, dizziness, loss of coordination
  • Confusion, difficulty speaking or understanding
  • Stroke, transient ischemic attack (TIA) or mini stroke

Peripheral Venous Testing

Venous evaluations use ultrasound to evaluate blood flow in the veins of the arms, legs or both. Deep Vein Thrombosis (DVT) refers to the development of clot in the deep veins, which lie well within the tissue and muscle. DVT is a serious concern because a piece of the clot can break off and travel to the lungs, causing a pulmonary embolism. A venous evaluation may also be performed to determine if the valves in veins are working properly (venous reflux or venous insufficiency exam.)

During a venous evaluation, we will pass a transducer over the arm or leg to look at the blood flow in the veins.

Candidates for this test may have experienced:

  • Pain, swelling or tenderness in the limb
  • Bluish discoloration of the skin
  • Abnormal flush or redness of the skin
  • Suspected pulmonary embolism
  • Ulcers or wounds in the ankle region that have difficulty healing (venous insufficiency exam)
  • Varicose veins

Peripheral Arterial Testing

An arterial exam looks at the arteries of the arms or legs. Atherosclerosis–hardening of the arteries–occurs in all arteries to some degree, however the arteries of the neck, heart and legs are most commonly affected. Peripheral Arterial Disease (PAD) refers to blockages in the arms or legs.
A probe will be passed over the limb and visualize the flow. The exam may involve arteries in the trunk region as well.

Candidates for this test may have experienced:

  • Pain, abnormal coloring, or lack of pulse in arms or legs
  • Pain or cramping in calf, thigh or buttocks when walking that goes away with rest
  • Severe pain in the toes or foot
  • A sore or wound of the foot that does not heal

Gloria Davidson shares his story about being the first ever angioplasty patient at PCI, and how her surgeon David Lawrence MD, FACS (Vascular & Endovascular Surgery) made the experience so special!


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