Doppler ultrasound exam of an arm or leg

How the Test is Performed
The test is done in the ultrasound or radiology department or in a peripheral vascular lab.

A water-soluble gel is placed on a handheld device called a transducer, which directs the high-frequency sound waves to the artery or veins being tested.

When examining the arteries, the following will also be done:

Blood pressure cuffs may be put around different parts of the body, including the thigh, calf, ankle, and different points along the arm. A paste is applied to the skin over the arteries being examined. Images are created as the transducer is moved over each area.

How to Prepare for the Test
You will need to remove clothing from the arm or leg being examined.

How the Test Will Feel
There is little or no discomfort associated with this test.

Why the Test is Performed
This test is done as an alternative to arteriography and venography. It may help diagnose:

• Arteriosclerosis of the arms or legs
• Blood clot (deep vein thrombosis)
• Venous insufficiency

The test may also be used to evaluate injury to the arteries and to monitor arterial reconstruction and bypass grafts.

Considerations
A normal result means the blood vessels show no signs of narrowing or closure, and the arteries have normal blood flow.

What Abnormal Results Mean
Abnormal results may be due to:

• Blockage in an artery by a blood clot, piece of fat, or an air bubble
• Blood clot in an artery or vein
• Narrowing or widening of an artery
• Spastic arterial disease (arterial contractions brought on by cold or emotion)
• Venous occlusion (closing of vein)

Additional conditions under which this test may be performed include:

• Arteriosclerosis of the extremities
• Deep venous thrombosis
• Superficial thrombophlebitis
• Thromboangiitis obliterans
• Vascular tumors of the arms or legs

How the Test Will Feel
There are no risks specifically associated with this procedure.

Considerations
Cigarette smoking may alter the results of this test, because nicotine can cause the arteries in the extremities to constrict.

Quitting smoking significantly lowers the risk of problems with the heart and circulatory system. Most smoking-related deaths are caused by cardiovascular problems, not lung cancer.

Update Date: 6/5/2012
Ken Levin, MD, private practice specializing in Radiology and Nuclear Medicine, Allentown, PA. Review provided by VeriMed Healthcare Network. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M. Health Solutions, Ebix, Inc.

Read More

• Aortic dissection
• Arterial embolism
• Blood clots
• Coarctation of the aorta
• Deep venous thrombosis
• Peripheral artery disease - legs
• Superficial thrombophlebitis
• SVC obstruction
• Thromboangiitis obliterans
• Ultrasound
• Venous insufficiency