Examination of blood vessels

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Examination of blood vessels at Da Medika Polyclinic

The diagnostics of blood vessels is performed with the use of the latest methods. The examination of blood vessels is done by Dr. Mihailo Mićić, a specialist in cardiovascular surgery with years-long experience.

What is the examination of blood vessels?

The examination of blood vessels is a modern, quick and painless diagnostic method which gives insight into the condition of blood vessels (arteries and veins) in a certain part of the organism. The ultrasound of the vessels serves as an initial condition for adequate planning of prevention and treatment of blood vessels diseases. This method reveals diseases of the veins (venous thrombosis, venous insufficiency) and diseases of the arteries (atherosclerotic changes in the blood vessels, carotid artery disease as the cause of a stroke, lower and upper extremity arterial diseases as the cause of gangrenes, an aneurysmal disease of peripheral arteries and other circulation disorders).

Who should undergo an examination of blood vessels?

The following persons should undergo an examination of blood vessels:

– persons having pain, cramps, tingling sensation, swollen or cold legs and arms

– exposed to risk factors for diseases of blood vessels (e.g. diabetes, smoking, the burden of hereditary diseases of blood vessels, IVC with a carotid disease).

What does the examination of blood vessels involve?

A colour Doppler ultrasound for the analysis of blood vessels (arteries and veins) in different pats of body, including the neck, arms, legs and the abdominal aorta is applied in the examination. This modern, quick and painless method helps in discovering:

– Venous diseases such as venous thrombosis (blood clots in the veins) and venous insufficiency (poor circulation in the veins)

– Arterial diseases such as atherosclerosis (constriction of arteries), carotid artery disease (the main cause of a stroke) and diseases of peripheral arteries in the arms and legs, which may lead to severe complications, such as a gangrene.

Specific vascular diseases which are discovered during an examination of blood vessels

The examination of blood vessels enables early detection of various vascular diseases which may seriously affect the health.

Carotid artery disease

Carotid artery stenosis is one of the main causes of a stroke. Timely detection and treatment of a carotid artery disease may lead to the prevention of severe and potentially life-threatening complications.

Symptoms: Carotid arteries are situated on the front side of the neck and their main function is to feed the brain. If there is considerable narrowing of carotid arteries, the symptoms such as dizziness, fainting, instability while walking, transient weakness in the arm or leg or a transient vision loss may occur, while the most severe complication is certainly the occurrence of a brain attack, i.e. a stroke. Unfortunately, with a majority of patients, a stroke is usually the first manifestation of carotid artery stenosis, as most of the patients have never had a colour Doppler, i.e. an ultrasound examination of the carotid arteries done before.
Diagnosis: All patients who experience the aforementioned symptoms are advised to have a colour Doppler of the blood vessels in the neck done, while patients over 60 are advised the same even if they do not have any symptoms, but have hypertension, hyperlipidemia, who are smokers or are exposed to other risk factors for atherosclerosis. It is crucial to have a colour Doppler of the blood vessels in the neck timely so that considerable carotid artery stenosis would potentially be discovered in time and serious complications prevented. Apart from the narrowing, the morphological anomalies of carotid arteries, so called kinking and coiling, i.e. pathological tortuousness which can be surgically solved in an elegant manner, may also appear.
Treatment: Carotid artery stenosis is treated surgically, sometimes by a balloon dilation, i.e. stent insertion, or through a pharmacological therapy.

Abdominal aortic aneurysm

An aneurysm is a localised dilation of a blood vessel greater than 50 per cent of normal diameter. One of the most frequent localisations is the abdominal aorta, and its timely detection and treatment are of vital importance.

Symptoms: The aorta is the main arterial blood vessel in our body which carries blood from the heart to all organs. An aortic aneurysm is a local dilation in the wall and it most commonly affects the abdominal part. Symptoms which may occur are pulsation or a dull pain in the abdomen, and the greatest danger lies in the rupturing of the aneurysm, the outcome of which is often fatal.
Diagnosis: The diagnosis is established by an ultrasound examination, i.e. a colour Doppler of the abdominal aorta, and if needed, CT angiography is indicated.
Treatment: The treatment is usually surgical, although in special cases it may be less invasive and endovascular, by the placement of a stent or a graft or through EVAR.

Peripheral artery disease

The narrowing of the blood vessels of the lower extremities is characterised by pain in the calves while walking, and, in the most severe cases, by the occurrence of pain while resting and the occurrence of a gangrene. The treatment involves a conservative, surgical and endovascular approach.

Symptoms: Arteries which feed the lower extremities are rather susceptible to atherosclerotic changes. The symptoms which the patients complain about are usually pains, i.e. cramps in the calves or upper legs while walking, usually after 100, 200 or more metres crossed. As the disease advances, the distance crossed is getting increasingly shorter, up to less than 50 metres crossed and even pain being felt while resting, when the pains are constantly present. A gangrene develops as the last stage of reduced circulation, when there is greater risk from the loss of extremities. It is important to emphasise that persons suffering from diabetes are at much greater risk from the occurrence of sores and a gangrene than the rest of the population.
Diagnosis: The diagnosis of an atherosclerotic diseases of lower extremities is established by a colour Doppler of the blood vessels and a clinical examination by a cardiovascular surgeon. In the indicated cases, CT angiography should also be done.
Treatment: The treatment is pharmacological, surgical or endovascular, by stent placement.

The disease of varicose veins

The most prevalent vascular disease is the disease of varicose veins. It is characterised by the occurrence of venous capillaries, visible varicose veins and, in the most severe cases, open sores.

Symptoms: Varicose veins are a very common phenomenon with both elderly and young persons. What patients most commonly cite as their discomforts are the swelling and pain in the legs after standing or sitting for a long time, while the very varicose veins are often visible above the surface of the skin. If it is not treated in time, the disease of varicose veins may lead to severe complications such as superficial and deep vein thrombosis, pulmonary embolism and open sores and venous ulcers on the lower extremities.
Diagnosis: The diagnosis is established by the colour Doppler examination of the lower extremity veins and a clinical examination by a vascular surgeon.
Treatment: The treatment of venous disease is surgical/ involves traditional or laser surgery or it is pharmacological.

Why is the examination of blood vessels important?

Ultrasound of blood vessels is a key step in diagnosing and planning adequate treatment of vascular diseases. Early discovery may significantly reduce the risk from sever complications such as a stroke, a gangrene or venous ulcers, which improves health outcomes and quality of life.

Experts who perform the examination of blood vessels at Da Medika Polyclinic

The examination of blood vessels at Da Medika Polyclinic is performed by Dr. Mihailo Mićić, a specialist in cardiovascular surgery and expert for venous and arterial diagnostics and surgery.

Our team of vascular surgeons

Dr. Mihailo Mićić, specialist in cardiovascular surgery

expert for venous and arterial diagnostics and surgery

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Impressions of our patients

Slobodan Nikolic

9. October, 2025.

The exam prices are a bit higher but the location is excellent, there is parking and everyone is really nice.

Maja Vukovic

2. October, 2025.

my first visit to the polyclinic: a lovely and above all kind and professional nurse Olivera always happy to help - WELL DONE 🙏✨💪

Nina Milovanovic

8. August, 2025.

Highly recommended- full praise for Da Medika!

Biljana Cvetic

1. August, 2025.

Professor Damjanov is truly an exceptional man, not to mention his expertise. I have never met a more dedicated and kind doctor. All praise and recommendations for all the staff, thanks to sister Olivera who came to meet us and enabled us to start treatment with the best specialist in this area. My husband and I are very satisfied.

Vlada Petrovic

13. July, 2025.

Too friendly staff The rooms are too clean Excellent doctors All recommendations for cooperation All the best and I wish you all the best Government, Arandjelovac.

Mateja Lazarevic

2. July, 2025.

Sister Aleksandra is very kind and professional, as is sister Vanja. All praise for Prof. Damjanov, keep it up!

Uroš Perić

10. April, 2025.

All praise for Da Medica, Professor Damjanov is an exceptional expert and of course wonderful sisters.

Sofija Drecun

3. April, 2025.

I liked the nurse at the reception - really friendly and helpful. Prof Damjanov amazing as always.

Marija Žerajić

20. February, 2025.

A wonderful experience with Prof. Damjanov and Sister Olivera. For any recommendation...

Lana Jovanovic

15. February, 2025.

All recommendations for Da Medika clinic. dr. Damjanov is one of the most professional and best doctors I have ever met.

Marija Zerajic

13. February, 2025.

Great clinic and wonderful sister Olja ❤️❤️❤️

Marina Vojimirovic

7. February, 2025.

For every praise from nurses to doctors

Strahinja Vojimirovic

2. February, 2025.

Phenomenal polyclinic, exceptional, professional staff, Olivera No. 1, perfect doctors, all praise

Marica Kulic

14. January, 2025.

All praise and recommendation for Dr. Nemanja Damjanova - rheumatologist...a wonderful man and a top expert...the prices are a bit higher for us pensioners, but it's worth it - the right person in the right place...recommendation...

Vladislav Ilic

22. December, 2024.

Very professional, especially Prof. Damjanov.
All the best.

Vujica Zaric

2. October, 2024.

Prof. Dr. N. Damjanov and a team of exceptional experts from various fields of medicine give this institution top expertise, seriousness and recognition. Great dedication and knowledge, which has been accumulated for many years, is at the service of our health. Honest recommendation.

Gaga305

2. July, 2024.

Wonderful and friendly staff, Doctor Victor is so calm and devoted to the patient, thanks to you the headaches and pain are now under control. Recommendation from the bottom of my heart…

Branka Pavlica Petrović

26. June, 2024.

I had the honor to meet Professor Damjanov personally, a wonderful doctor and an expert in his work.

Dragica Vasić

19. June, 2024.

All praise to Prof. Dr. Raičević.

Milan Jakovljević

6. June, 2024.

Dr. Vesna is an exceptional expert and very kind during the examination.

Hatidja Marković

22. May, 2024.

Dr. Vesna is an exceptional expert and very pleasant.

Nada Spasojević Petričević

7. May, 2024.

Professor Jasmina Ćirić is exceptional and pleasant — all praise to her

Marina Savić

10. April, 2024.

Kind staff, pleasant space, and Dr. N. Dajanov, way to go. So devoted, proficient and ready to answer all the questions.

Stefan Prlja

1. March, 2024.

Very professional and kind staff. Communication, scheduling appointments, and check-ups are very simple. Rheumatologist Prof. Damjanov is unrivalled — a kind-hearted man first and foremost, and then a doctor. Way to go, Da Medika!

Jasmina Petrovic

29. February, 2024.

Strong recommendation — a brilliant team. Prof. Damjanov, with his invaluable experience, helped my husband, who, in addition to Parkinson’s disease, also has arthritis, which is now in remission. His walking has improved, and we are happy and overjoyed. Thank you!!!

Olika Drobnjak-Tomašek

20. February, 2024.

My regards to the entire team of dear colleagues — you are brilliant! Special thanks to Nemanja Damjanov for everything!

Snežana Đorđević

21. January, 2024.

My respect to Prof. Damjanov — an outstanding expert and a wonderful doctor. Way to go! I say this from personal experience, as his long-standing patient of more than 25 years.

Radivoje Simić

21. January, 2024.

I had pain in the thumbs of both hands and in my right shoulder for several months, and I felt completely drained. I was treated with medication and physical therapy by several physiatrists and rheumatologists, but the pain did not subside. Then I consulted Professor Damjanov, who examined me and determined that I had swelling and inflammation in both shoulders, as well as skin thickening and inflammation in both hands. After an ultrasound examination and lab tests, the Professor’s suspicion was confirmed — I had an autoimmune disease: vasculitis. I was prescribed medication, and I soon started feeling much better. I feel like a new person! The inflammation is gone, and the Professor now plans to gradually discontinue my treatment altogether. I’m deeply grateful to Professor Damjanov for identifying the true cause of my condition and prescribing the right treatment.

Stojanka Popović

21. January, 2024.

Professor Damjanov treated me at the Institute of Rheumatology ten years ago. At that time, the doctors in Šabac claimed I would end up immobile and in a wheelchair. And yet, here I am — after four fractures, Dr. Vidić and Professor Damjanov cured me. I’m now entering my 78th year, I walk, and I do everything on my own. I cannot thank Professor Damjanov enough. May God protect him!

Stefan Mihajlović

21. January, 2024.

I had constant pain in my lower back. Physiatrists treated me for sciatica using physical therapy for years, but to no avail — I wasn’t feeling better at all. Then I made an appointment with Prof. Damjanov, who finally discovered the true cause of my condition. He diagnosed me with rheumatic inflammation of the spine — spondyloarthritis. He explained that this disease could only be treated with a biological drug, which I received through the Republic Health Insurance Fund. Since starting this therapy, I’ve been pain-free and able to live and work normally. I am deeply grateful to Professor Damjanov.

Milena Đorđević (53)

2. November, 2023.

I had severe pain in my left arm. I couldn’t bend it or raise it. I made an appointment with Professor Damjanov, and based on a physical and ultrasound examination, he discovered inflammation, a rupture, and fibroses in several places. He gave me an injection and advised me on what I should and shouldn’t do during recovery. After that, the pain stopped, and I now function normally.

Jelena Veličković (41)

28. October, 2023.

I visited Professor Damjanov while he was working at the Institute. I suffered from constant pain in my feet — literally on a daily basis. In addition to the pain in my feet, which was the most severe, all my muscle attachments also ached. None of the painkillers helped, and neither physiatrists nor orthopaedists could figure out what the issue was. Professor Damjanov immediately realised that I had hypermobile joint syndrome and told me I had to stop doing aerobics. He gave me advice on which activities are suitable for me, and I’ve followed it for years. The pain is now much less intense and far less frequent — and I no longer need any medication. An exceptional diagnostician.

Dobrila Ivković (70)

23. October, 2023.

Professor Damjanov saved my life. I was in great pain and had difficulty moving. During an ultrasound examination, the professor saw that the cup of my hip had ruptured and that there was an unusual mass next to it. My hip was operated on, and the benign tumour was removed. However, about ten days after the operation, my general health worsened. I had no energy at all, and my legs were swollen — the swelling would not go down. None of the specialists could identify the cause. Then I was examined by Professor Damjanov, who made the correct diagnosis, admitted me to hospital, and immediately started treatment. Had my pseudomembranous colitis remained undiagnosed, I would likely have died within a day or two. I am eternally grateful to him.

Examination of blood vessels