What is an Aorta Duplex scan?

Aorta Duplex ultrasound is a diagnostic test administered to assess blood circulation in the aorta, the main artery of the body, supplying oxygenated blood to the circulatory system. The scan combines the techniques of traditional ultrasound with those of Doppler ultrasound. Traditional ultrasound uses sound waves to create black-and-white images of the veins and arteries. Doppler technology, on the other hand, uses sound waves to track circulating blood, generating color images of blood as it flows through the body. Using this combination of techniques, duplex ultrasound helps to distinguish several important characteristics of the blood vessels, including speed and direction of blood flow and diameter of the vessels themselves. Duplex ultrasound can also detect the presence and extent of any obstruction in the blood vessels, such as cholesterol deposits or blood clots.

According to the American Vascular Association, more than 17,000 Americans die of ruptured abdominal aortic aneurysms each year. Abdominal Aortic Aneurysms are such a high health risk because people have little or no symptoms. The AAA ultrasound will quickly and accurately identify any abnormalities.

A duplex ultrasound can help diagnose the following conditions:

  • Abdominal aneurysm
  • Arterial occlusion
  • Blood clot
  • Carotid occlusive disease (See: Carotid duplex)
  • Renal vascular disease
  • Varicose veins
  • Venous insufficiency

Some preparation is needed. The study examines arteries deep in the abdomen. Gas in the intestinal tract can interfere with ultrasound evaluation. It is therefore best to have the examination performed after an overnight fast, and it is important to avoid tobacco and caffeine prior to the test. A complete study can take an hour or two. Scanning may be performed from the front or sides of the abdomen and can be facilitated by the patient lying on one side or the other.

Evaluation by a vascular surgeon will generally be recommended if there is a renal artery narrowing of 60 percent or more. Further evaluation or treatment may be recommended. Intervention may be appropriate if renal artery narrowing is thought to be contributing to blood-pressure problems, or if severe narrowing threatens the continued function of the kidney. Renal artery stenting is the most common intervention offered when treatment is needed, but some patients may need a surgical procedure to address complex renal artery disease.

For patients found to have only mild to moderate renal artery disease, a follow-up study in the Vascular Laboratory offers a safe, non-invasive and accurate means to assess for progression of renal artery disease over time.

Your patient's exam will be interpreted by a board certified radiologist, who dictates a report. You will then receive your results within 48 to 72 hours.

Read about ultrasound for the following specialties:

Ophthalmology

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Cardiac & Vascular

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Internal Medicine

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