Diagnostic Imaging

Advanced Vascular Imaging Technology


At our out-patient surgical center we inject a dye into the blood vessel leading to the affected area, and follow its path using x-ray imaging. This allows us to see narrowing, blockages, or damage. An angiogram is very useful for diagnosing narrowed or blocked arteries, and a venogram is used for diagnosing narrowed or blocked veins. It’s also a critical check for anyone facing limb amputation, as this procedure can determine if the limb can be preserved. If a blockage is found to be causing the lack of blood flow to one limb, a stent can be placed in hopes of returning that blood flow and saving the limb.

Doppler & Ultrasound

We use a combination of ultrasound and Doppler technologies to visualize veins and arteries using sound waves. This is one way to diagnose PAD, PVD, and CVI. These type of screenings are done in our St. Louis and Farmington offices.

CT Angiography

This is a CT scan specifically for blood vessels, used to visualize the arteries in the abdomen, pelvis, and legs. This is an excellent option for people who have a pacemaker or stent. We use CT Angiography to help diagnose PAD, PVD, and CVI. This type of screening can be done at any imaging center.

Magnetic Resonance Angiography (MRA)

This is MRI technology specifically for imaging blood vessels. Like an MRI, it uses magnets to create the image. We use MRA to help diagnose PAD, PVD, and CVI. This type of screening can be done at any imaging center.

We Invest in Technologies to Save Life & Limb

We will always have the latest technologies available to our patients, because the more accurately we can see issues, the better opportunity we have to resolve them.

Get Treated Sooner

Because we’re highly specialized, with seven treatment locations in the St. Louis area, we’re able to schedule your exam and treatment much sooner than other facilities. Call us at 314-849-0923 or complete this contact form to get started.

Schedule a Consultation

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What To Expect


You will change into shorts and be moved into the ultrasound room. From there, gel will be placed on your legs and you will wait 5-10 minutes before wiping off the gel. At that time, you will then change back into your clothes. After the test you will have your vitals taken, and then placed back into an exam room so the doctor can go over the results and discuss next steps.

What Happens if a Problem is Detected

Depending on the type of problem detected, an in-office procedure may be recommended, a surgical center procedure may be recommended, or new medication may be prescribed by the doctor.

Follow Up

The follow-up will be determined based on what type of procedure or medication is prescribed by the doctor.

"No More Pain"

MaryAnn R.

My daughter could not believe how good my legs looked! She is going to see Dr. Krikorian too. I was completely satisfied with my treatment and am no longer in pain. The result is fantastic and I highly recommend going to see Dr. Krikorian if you are experiencing any leg pain.

"I Walked 2 Miles the Next Day!"

Shirley M.

I had suffered with varicose veins for years. I recently went to see Dr. Krikorian at Virtue Vein & Lymphatic Center where he told me everything I needed to know about vein disease and the treatment options. He performed a laser ablation on my diseased vein, and I was able to resume my normal activity the day after my procedure!

"They Listen Very Well!"

Jeff K.

Dr. Krikorian is a busy man, but he will take the time necessary to really listen to you and figure out what the problem is. Most doctors these days seem to be talking to the computer, and not the person. Well, here it is the other way around.

"Very Knowledgable!"

Happy Patient

After my stress test was normal, Dr. Krikorian explained that the test was around 70% accurate and that I should pay close attention to my body for any warning signs. A few weeks later I was exercising when my energy was zapped in less than 10 minutes and I had a pain under the sternum. I called Dr. Krikorian and he scheduled a cardiac catheterization the next day. He said I showed no sign of a heart attack but he found a 99% blockage in the circumflex artery, which he opened with a stent. I am grateful that he explained possible warning signs and then responded quickly with the catheterization and stent.

"My Leg is Feeling So Much Better!"

Marlene G.

Dr. Krikorian performed a laser ablation to treat the vein disease in my right leg. I didn’t even realize how much my left leg hurt from varicose veins until he fixed my right leg! I thought the treatment would be painful, so I was so pleasantly surprised to find that it wasn’t.

Diagnostic Imaging FAQ

Is imaging covered by insurance?

We accept all insurances at all of our locations excluding Anthem Pathway plans. Only at our Farmington location do we not accept Essence plans. To ensure imaging is covered we contact each insurance company to obtain a pre-certification prior to the imaging.

Is the imaging painful?

Angiograms and venograms can be painful, however, we administer medication to minimize the pain. You can take over-the-counter pain relievers to also help minimize pain. Further doppler ultrasounds, CT scans, and MRIs should not be painful.

Are there any risks to imaging procedures?

The only risk would be during stent placement. Angiograms and venograms are done in a sterile environment and we make sure to apply antibiotics post-procedure to prevent any chance of infection.

Will Dr. Krikorian be doing the imaging himself?

In-office dopplers are performed by our sonographer, Kirk. Angiograms and venograms are performed by Dr. Krikorian. If a CT scan or MRI is ordered it will be done by the staff at the imaging center you choose to have the imaging performed.

Where are CT scans and MRIs performed?

At the imaging center of your choosing.

If I'm not seen in St. Louis or Farmington can I still have a doppler ultrasound performed?

Yes. At our Sullivan office, our same sonographer, Kirk, performs the dopplers at Premier Health Center. Otherwise, we order them through the hospital we occupy for all of our other practices.

Am I awake for an angiogram and venogram?

Yes, but IV medication is used for these procedures, so you may be a little dazed. If you have ever had an upper or lower GI scope it will be very similar.

How long until I get my imaging results?

You should expect to see your imaging results within 7 days of screening.

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