The test is done in the ultrasound or radiology department.
To examine the veins: A water-soluble gel is placed on the transducer (a hand-held device that directs the high-frequency sound waves to the artery or vein being tested) and on the skin over the veins of the limb being tested. Blood flow on a Doppler examination creates a "swishing" sound. Both the superficial and deep veins are evaluated. Visual images are also obtained.
To examine the arteries: Blood pressure cuffs are placed around the thigh, calf, and ankle to examine the legs. To test the arms, the blood pressure cuffs are placed at different points along the arm. A conductive paste is applied to the skin over the arteries being examined. The cuff will be inflated above the normal systolic blood pressure for the extremity. The transducer is placed near the cuff and the pressure in the cuff is released slowly. When the "swishing" sound is detected, that is recorded as the blood pressure. This is repeated for each cuff. Visual images may also be obtained.
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