The test is done in the ultrasound or radiology department or in a peripheral vascular lab.
To examine the veins:
A water-soluble gel is placed on the transducer (a handheld device that directs the high-frequency sound waves to the artery or vein being tested) and the skin over the veins of the extremity being tested.
There is a "swishing" sound on the Doppler if the venous system is normal. Both the superficial and deep venous systems are evaluated.
To examine the arteries:
Blood pressure cuffs will be put around the thigh, calf, and ankle to examine the legs. In 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" is detected, it is recorded as the blood pressure. This is repeated for each cuff.
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