Definition

A venous duplex ultrasound is a test using high frequency sound waves (ultrasound) that evaluates the flow of blood through the veins in the arms or legs.

Parts of the Body Involved

This ultrasound is typically focused on the arms or legs.

Reasons for Procedure

The test may be used for the following reasons:

  • To investigate the cause of the following symptoms in an arm or leg:
    • Pain
    • Swelling
    • Increased warmth
    • Bulging veins
  • To diagnose the following:

Deep Vein Thrombosis

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Risk Factors for Complications During the Procedure

There are no known risk factors that would predispose you to complications from this test.

What to Expect

Prior to Procedure

No special preparation is needed for this test. Tell your doctor what medications you are taking, especially if you are taking blood pressure or blood thinning medications. You may be asked to change into a hospital gown.

During Procedure

You will be asked to lie on a table. Gel will be placed on the skin of your arm or leg, over the veins being tested.

Anesthesia

Anesthesia is not needed.

Description of the Procedure

A hand-held ultrasound probe (transducer) will be placed over the veins in your arms or legs. Sound waves are transmitted from the probe into your body. As the sound waves bounce off structures in body, images are produced and recorded. The technologist may apply varying degrees of pressure to the probe against your skin in order to better visualize the vein and see if it can collapse under pressure.

After Procedure

You can get dressed and go home. Follow your doctor’s recommendations.

How Long Will It Take?

The length of the test varies, depending on your particular situation. However, in most cases, it will take between 15 to 45 minutes.

Will It Hurt?

In general, this test is not painful. However, if you are having pain, you may feel some mild discomfort as pressure is applied to your arm or leg.

Possible Complications

This test poses no known risks.

Average Hospital Stay

The test is usually conducted on an outpatient basis.

Postoperative Care

There is no post care associated with the ultrasound.

Outcome

A radiologist will evaluate the readings. The test results will be sent to your doctor. Your doctor will notify you of the results and provide you with recommendations based on the findings of the test.

Call Your Doctor If Any of the Following Occurs

  • Your symptoms continue or worsen
  • You develop any new symptoms