Vascular ultrasound; Peripheral vascular ultrasound
A duplex ultrasound is a test to see how blood moves through your arteries and veins.
A duplex ultrasound combines:
There are different types of duplex ultrasound exams. Some include:
You may need to wear a medical gown. You will lie down on a table, and the ultrasound technician will spread a gel over the area being tested. The gel helps the sound waves get into your tissues.
A wand, called a transducer, is moved over the area being tested. This wand sends out the sound waves. A computer measures how the sound waves reflect back, and changes the sound waves into pictures. The Doppler creates a "swishing" sound, which is the sound of your blood moving through the arteries and veins.
You need to stay still during the exam. You may be asked to lie in different body positions, or to take a deep breath and hold it.
Sometimes during a duplex ultrasound of the legs, the health care provider may calculate an ankle-brachial (ABI) index. You will need to wear blood pressure cuffs on your arms and legs for this test.
The ABI number is obtained by dividing the blood pressure in the ankle by the blood pressure in the arm. A value of 0.9 or greater is normal.
Usually, there is no preparation for this test.
If you are having an ultrasound of your stomach area, you may be asked not to eat or drink after midnight. Tell the person doing the ultrasound exam if you are taking any medicines, such as blood thinners. These might affect the results of the test.
You may feel some pressure as the wand is moved over the body, but there is no discomfort most of the time.
A duplex ultrasound can show how blood flows to many parts of the body. It can also tell the width of a blood vessel and reveal any blockages. This test is a less invasive option than arteriography and venography.
A duplex ultrasound can help diagnose the following conditions:
A renal duplex ultrasound can also be used after transplant surgery. This shows how well a new kidney is working.
A normal result is normal blood flow through the veins and arteries. There is normal blood pressure and no sign of a narrowing or blockage of a blood vessel.
An abnormal result depends on the specific area being examined. An abnormal result may be due to a blood clot or plaque buildup in a blood vessel.
There are no risks.
Smoking may change the results of an ultrasound of the arms and legs. This happens because nicotine can cause the arteries to shrink (constrict).
Goldstein LB. Approach to cerebrovascular diseases. In: Goldman L, Schafer AI, eds. Goldman's Cecil Medicine. 25th ed. Philadelphia, PA: Elsevier Saunders; 2016:chap 406.
Leon LR, Labropoulos N. Vascular laboratory. In: Cronenwett JL, Johnston KW, eds. Rutherford's Vascular Surgery. 8th ed. Philadelphia, PA: Elsevier Saunders; 2014:chap 18.
Stone PA, Hass SM. Vascular laboratory. In: Cronenwett JL, Johnston KW, eds. Rutherford's Vascular Surgery. 8th ed. Philadelphia, PA: Elsevier Saunders; 2014:chap 16.
Last reviewed on: 6/6/2016
Reviewed by: Deepak Sudheendra, MD, RPVI, Assistant Professor of Interventional Radiology & Surgery at the University of Pennsylvania Perelman School of Medicine, with an expertise in Vascular Interventional Radiology & Surgical Critical Care, Philadelphia, PA. Review provided by VeriMed Healthcare Network. Also reviewed by David Zieve, MD, MHA, Isla Ogilvie, PhD, and the A.D.A.M. Editorial team.