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Artery and vein imaging evaluates blood flow throughout the body using non-invasive ultrasound and physiologic testing.

These studies assess circulation in the carotid arteries (neck), abdominal aorta, renal arteries, and upper and lower extremities. They are used to detect narrowing (stenosis), blockages, aneurysms, and venous dysfunction.

Our practice performs comprehensive duplex ultrasound and physiologic vascular testing in-office without radiation or invasive procedures.

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Vascular disease is systemic. Artery and vein imaging allows early detection of stroke risk, limb ischemia, aneurysm formation, and venous dysfunction.

When integrated with cardiac evaluation and risk factor management, vascular testing supports a comprehensive, prevention-focused cardiovascular strategy.

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Vascular testing may be recommended to evaluate:

  • Leg pain with walking (claudication)

  • Leg swelling

  • Varicose veins

  • Non-healing wounds

  • Cold or discolored extremities

  • Stroke or TIA evaluation

  • Abdominal aneurysm screening

  • Resistant hypertension

  • Known peripheral arterial disease

  • Abnormal pulses on exam

These studies help determine whether symptoms are related to arterial insufficiency, venous reflux, or other circulatory disorders.

Vascular imaging and physiologic testing can identify:

Arterial Conditions

  • Carotid artery stenosis

  • Peripheral arterial disease (PAD)

  • Arterial occlusion

  • Abdominal aortic aneurysm

  • Renal artery stenosis

  • Reduced limb perfusion

  • Exercise-induced flow limitation

Venous Conditions

  • Deep vein thrombosis (DVT)

  • Chronic venous insufficiency

  • Venous reflux

  • Valve incompetence

  • Superficial or deep venous obstruction

These tests help stratify stroke risk, limb ischemia risk, and vascular complications.

Most studies use duplex ultrasound:

  • A handheld ultrasound probe is placed over the skin

  • Gel is applied to improve image quality

  • Blood flow velocity and vessel structure are measured

ABI/PVR testing involves:

  • Blood pressure cuffs placed on arms and legs

  • Measurement of segmental pressures

  • Pulse waveform analysis

  • Optional treadmill exercise component

Testing duration varies from 30–60 minutes depending on the study.

All studies are non-invasive and performed in-office.

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Carotid Duplex Ultrasound

Evaluates blood flow in the carotid arteries to assess stroke risk and detect narrowing.

Upper and Lower Extremity Arterial Duplex

Assesses arterial blood flow in the arms and legs to detect blockages or reduced circulation.

Upper and Lower Extremity Venous Duplex

Evaluates for blood clots and venous obstruction.

Venous Insufficiency Study

Assesses valve function and reflux in the leg veins to determine causes of swelling or varicose veins.

Abdominal Aorta Duplex

Screens for aneurysm and evaluates aortic size and flow.

Renal Artery Duplex

Evaluates blood flow to the kidneys in patients with resistant or difficult-to-control hypertension.

ABI / PVR Testing (Ankle-Brachial Index & Pulse Volume Recording)

A physiologic test that compares blood pressure in the arms and legs to detect peripheral arterial disease.

  • Performed at 3–4 limb levels

  • Conducted at rest

  • May include exercise ABI when indicated

This combination of ultrasound and physiologic testing provides both structural and functional vascular assessment.

Preparation depends on the study:

  • Comfortable clothing is recommended

  • For abdominal or renal artery imaging, fasting may be required

  • Avoid tight clothing for limb testing

Specific instructions will be provided prior to the appointment.

Vascular ultrasound and ABI/PVR testing are non-invasive and carry no procedural risk.

  • No radiation exposure

  • No contrast dye

  • No injections required

These tests are widely used and considered safe diagnostic tools.

Results are carefully reviewed and interpreted.

After the study:

  • Findings are discussed clearly

  • Severity of narrowing or reflux is explained

  • Medical management may be initiated or adjusted

  • Further imaging (such as CT or MR angiography) may be recommended when appropriate

  • Referral for vascular intervention may be considered if necessary

These studies help guide preventive care, medication therapy, and when appropriate, procedural intervention.

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