Dr. Marina Gafanovich MD

Details

Dr. Marina Gafanovich MD, Internal Medicine

Specialties:

Internal Medicine, General Practice

Website(s):

Language(s):

English, Russian

Deal of the Day

Abdominal Aortic Aneurysm Screening

Internist Dr. Marina Gafanovich MD offers Abdominal Aortic Aneurysm S... for a 'Deal of the Day' price of $160




Examination for presence of Abdominal Aortic Aneurysm (AAA) risk using ultrasound.


Additional Information About This Offer:

Age Range: over 30

Background Information: What is an Abdominal Aortic Aneurysm (AAA)?

AAA is a condition in which the lining of the blood vessel called the aorta is enlarged within the abdomen. The Abdominal Aorta extends from your heart to above your groin.  Because abdominal aortic aneurysms are likely to tear if they reach 5 centimeters in diameter, monitoring is important for preventing a rupture. A ruptured AAA can cause blood loss, shock, and death. 

What you can learn from this test?
The abdominal aorta should measure less than 3 centimeters. If it measures more than 3 centimeters, an aneurysm is suspected. There are 2 types of aneurysms and our ultrasound equipment can screen for both. 

Abnormal abdominal aortic aneurysm screening results do not necessarily indicate the presence of an aneurysm, but they show the sign of a condition that could lead to an aneurysm.

Who should have a abdominal aortic aneurysm screenings?
Anyone who has risk factors for abdominal aortic aneurysms should have this screening. 

What are the risk factors? 
Gender: Males are five times more likely than females to be affected. 
Age: Approximately 5% of men over age 60 develop an abdominal aortic aneurysm. Aortic aneurysms are most common after 60 years of age. 
Cigarette smoking: cigarette smoking not only increases the risk of developing an abdominal aortic aneurysm, but it also increases the chance of life threatening complications. 
High blood pressure
High serum cholesterol 
Diabetes

What is the most common cause of aortic aneurysms?
Arteriosclerosis, or "hardening of the arteries" is the most common cause of AAAs, causing about 80%. The arteriosclerosis generally weakens the vessel wall and the high pressure of the blood flow shows expansion via ultrasound long before rupture generally.

What are other causes of aortic aneurysms?
Genetic/hereditary: People with close relatives that had abdominal aortic aneurysms have a higher risk of developing abdominal aortic aneurysm than the general population. They also tend to develop the aneurysms at younger ages and have a higher tendency to suffer aneurysm rupture than individuals without family history. 

Genetic disease: There are also rare inheritable genetic diseases of connective tissue (tissue that make up the wall of the aorta) such as Ehlers-Danlos syndrome and Marfan's syndrome that can lead to the development of aortic aneurysms. 

Post-trauma: After physical trauma to the aorta. 

Mycotic (fungal) infection: A mycotic infection that may be associated with immunodeficiency, IV drug abuse, syphilis, and heart valve surgery.

How often should one get an abdominal aortic aneurysm screening? 
This is a personal decision based on your risk factors and previous screening results. If you have two or more risk factors or have an enlarged area, we will recommend annual or even semi-annual visits.

Summary
Even though the risk is low, this is a simple, inexpensive, in-office test that can quickly rule out this possibility or potentially save your life.  We recommend all patients with one or more risk factors to get checked.  



Created on: 04/06/11
Last modified on: 04/06/11
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Locations:

Upper East Side Office

1550 York Avenue
(between 81st and 82nd Street)
New York, NY 10025

Accepted Insurance:

Aetna
Aetna Choice® POS
Aetna Choice® POS II
Aetna Health Network Only?
Aetna Health Network Option?
Aetna HealthFund® Aetna Choice® POS
Aetna HealthFund® Aetna Health Network Only?
Aetna HealthFund® Aetna Health Network Option?
Aetna HealthFund® Open Access Aetna Select?
Aetna HealthFund® Open Access Elect Choice® EPO
Aetna HealthFund® Open Access Managed Choice® POS
Aetna HealthFund® Open Access POS II
Aetna HealthFund® Open Choice® PPO
Aetna Open Access® Elect Choice (EPO)
Aetna Open Access® HMO
Aetna Open Access® Managed Choice® (POS)
Aetna Select?
Elect Choice® (EPO)
HMO
Managed Choice® (POS)
Open Access Aetna Select?
Open Choice® (PPO)
Quality Point-of-Service® (QPOS®)
USAccess®
Blue Cross Blue Shield
POS, PPO/EPO
Cigna HMO
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POS, POS Open Access
Preferred Provider Organization (PPO)
Empire Blue Cross Blue Shield
Direct HMO, Direct Pay HMO, Direct Pay POS, DirectShare POS
Healthy New York
MediBlue HMO
MediBlue PPO
Empire Plan
The Empire Plan (UHC)
Health Net
Advantage Platinum HMO/POS
Advantage Platinum Insurance PPO
Oxford Health Plans
Freedom Plan
Liberty Plan
UnitedHealthcare
Definity PPO
Harvard Pilgrim Choice Plus
Harvard Pilgrim Options
UnitedHealthcare Choice
UnitedHealthcare Choice Plus
UnitedHealthcare iPlan Choice Plus
UnitedHealthcare iPlan PPO
UnitedHealthcare Options PPO
UnitedHealthcare Select EPO
UnitedHealthcare Select Plus HMO
UnitedHealthcare Select Plus POS

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