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Peripheral Vascular Imaging

Also Known As: Vascular Ultrasound

Non-invasive imaging to assess blood flow and detect vascular conditions.

Kootenai Heart Clinics offers a full range of vascular ultrasound examinations to assess circulation in the arteries and veins. These studies help diagnose conditions such as peripheral arterial disease, carotid stenosis, aneurysms, and other vascular disorders—often without the need for invasive testing.

IAC Accredited Testing

Nationally recognized quality standards
Your test is performed with consistent quality and carefully reviewed for accurate results.

Non-Invasive Exams

Ultrasound-based testing
Most vascular imaging uses ultrasound or blood pressure measurements to check circulation without discomfort or recovery time.

Comprehensive Imaging

Head-to-toe vascular evaluation
From carotid arteries to lower extremities, imaging evaluates blood flow throughout the body to identify blockages, narrowing, clots, or aneurysms.

Heart & Vascular Diagnostics

Explore the full range of heart and vascular testing and how each test supports your evaluation.

Understanding Vascular Imaging Exams

When Is It Recommended?

Vascular imaging may be recommended if you have symptoms or risk factors related to circulation, including:

  • Leg pain with walking (claudication)
  • Swelling, varicose veins, or suspected blood clots
  • Symptoms of stroke or transient ischemic attack (TIA)
  • High blood pressure or kidney-related vascular concerns
  • Abdominal aneurysm
  • Dialysis access planning or evaluation
  • Non healing wounds

Your provider may also order testing to monitor known vascular conditions or guide treatment planning.

Types of Vascular Imaging Exams

Carotid Duplex – Assesses blood flow through the carotid arteries in the neck to evaluate stroke risk or other cardiovascular disease.

Venous Duplex – Evaluates blood flow in the veins of the legs or arms to assess for deep vein thrombosis (DVT), venous insufficiency, or varicose veins.

Arterial Duplex – Assesses blood flow in the arteries of the arms or legs to diagnose peripheral arterial disease, aneurysms, or blockages.

Renal Artery Duplex – Evaluates blood flow to the kidneys to diagnose renal artery stenosis or other vascular issues affecting kidney function.

Mesenteric Duplex – Assesses blood flow to the intestines to diagnose mesenteric ischemia or artery stenosis.

AAA Screening – Uses ultrasound to measure the abdominal aorta and assess risk of aneurysm rupture.

Dialysis Access Evaluation – Examines blood flow through dialysis access (AV fistula or graft) to ensure proper function.

Vascular Mapping – Maps veins and arteries before procedures.

ABI (Ankle-Brachial Index) – Compares blood pressure in the ankle and arm to diagnose peripheral artery disease.

ABI with Exercise – Evaluates severity of claudication and PAD using treadmill testing and blood pressure monitoring.

WBI (Wrist-Brachial Index) – Compares blood pressure in the wrist and arm to evaluate conditions like thoracic outlet syndrome.

What to Expect

Most exams are performed using ultrasound or blood pressure cuffs and are painless. Depending on the test, exams typically take 1 to 2 hours.

Some studies require no preparation, while others may include simple instructions such as fasting or wearing comfortable clothing. Your care team will provide specific guidance before your appointment.

Frequently Asked Questions

Do I need to prepare for my vascular exam?

Preparation depends on the exam. Many require no preparation, while some (such as abdominal imaging) may require fasting.

Are these tests painful?

No. Vascular imaging exams are non-invasive and typically involve ultrasound or blood pressure measurements.

How long does testing take?

Most exams take between 1 and 2 hours, depending on the type of study being performed.

Do I need to prepare for my vascular exam?

Preparation depends on the exam. Many require no preparation, while some (such as abdominal imaging) may require fasting.

How long does testing take?

Most exams take between 1 and 2 hours, depending on the type of study being performed.

Are these tests painful?

No. Vascular imaging exams are non-invasive and typically involve ultrasound or blood pressure measurements.

Take the next step.

Schedule Your Exam

To schedule a consultation or your next vascular exam, call our main Coeur d'Alene location.

Refer a Patient for Testing

Diagnostic testing can be ordered directly—no cardiology referral required.