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Vascular Ultrasound: Arterial&Venous Mapping

What is ultrasonography?

In ultrasonography (ultrasound), high-frequency sound waves, inaudible to the human ear, are transmitted through body tissues. The echoes are recorded and transformed into video or photographic images.

Ultrasound images help in the diagnosis of a wide range of diseases and conditions. The idea for ultrasonography came from sonar technology, which makes use of sound waves to detect underwater objects.

Ultrasound is used to create images of soft tissue structures and can also be used to detect blockages in the blood vessels. Ultrasound may be used with other diagnostic procedures or by itself.

What is a vascular ultrasound?

Vascular ultrasound is a noninvasive ultrasound method (also called a duplex study) used to examine the blood circulation in the arms and legs. Noninvasive means the procedure does not require the use of needles, dyes, radiation or anesthesia.

During a vascular ultrasound, sound waves are transmitted through the tissues of the area being examined. These sound waves reflect off blood cells moving within the blood vessels, allowing the reading physician to calculate their speed. The sound waves are recorded and displayed on a computer screen.

Why do I need this test?

Your physician has ordered this test to make sure the arteries are patent (open) and do not have blockages. The “mapping” portion of the ultrasound test is performed to determine which blood vessels may be used as a lower extremity bypass graft or coronary artery bypass graft for your surgical procedure.

How long is the test?

The ultrasound takes about 30 to 90 minutes to complete. Please plan to arrive about 15 minutes before your scheduled appointment to complete the registration process.

  • Please do not bring valuables such as jewelry and credit cards.
  • There are no special dietary guidelines; you may eat and drink as you normally would.
  • You will be asked to change into a hospital gown and remove all jewelry.
  • Your ultrasound test is performed by specially trained technologists and interpreted by a vascular physician.
  • You will lie on a padded examining table during the test.
  • A small amount of water-soluble gel is applied to the skin over the area to be examined. The gel does not harm your skin or stain your clothes.
  • A small device called a transducer is placed over the gel-coated area to be examined. The transducer produces images on the ultrasound screen. The transducer is held in place until the blood flow information has been recorded.
  • There is virtually no discomfort during the test. You may hear noises when the technologist listens to the blood flow and records measurements.
  • Your surgeon may ask that the veins be marked on the skin surface with a special ink so they can be located during the surgery. These markings should not be washed off before your surgery. If your surgery is scheduled more than a few days from the time of the vascular ultrasound, you may be given a pen to remark the areas if they become faded after bathing.

The gel will be wiped off your skin. There are no special instructions to follow after the test. You may go home or to your other scheduled appointments after the vascular ultrasound.

Are there any risks or side effects?

There are no harmful side effects of this test. In addition, noninvasive vascular testing does not use radiation, as X-ray tests do.

How will I receive the results of the test?

After a vascular medicine physician reviews the test results, a final report will be generated. Your physician will provide the test results to you.

Learn more about Vascular Lab Services and find a location near you.
Reviewed: 04/13

This information is about testing and procedures and may include instructions specific to Cleveland Clinic. Please consult your physician for information pertaining to your testing.

Talk to a Nurse: Mon. - Fri., 8:30 a.m. - 4 p.m. (ET)

Call a Heart & Vascular Nurse locally 216.445.9288 or toll-free 866.289.6911.

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This information is provided by Cleveland Clinic and is not intended to replace the medical advice of your doctor or health care provider. Please consult your health care provider for advice about a specific medical condition.

© Copyright 2014 Cleveland Clinic. All rights reserved.

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