ABI & Vascular Ultrasound
Ankle-brachial index testing and duplex ultrasound to evaluate arterial and venous blood flow — non-invasive, painless and performed in-office.
What Are ABI & Vascular Ultrasound?
ABI (Ankle-Brachial Index) and vascular ultrasound are the two most important non-invasive tests used to evaluate blood flow in the arteries and veins of the legs. Together they allow Dr. Merwin Richard to accurately diagnose Peripheral Artery Disease, venous insufficiency and other circulation problems — quickly and painlessly, right in our office.
The ABI test compares blood pressure in the ankle to the arm to detect reduced arterial flow, while duplex ultrasound produces real-time images of the blood vessels to pinpoint narrowing, blockages or faulty vein valves. No needles, no radiation and no downtime.
Key Facts
How the Testing Works
ABI Measurement
Blood pressure cuffs are placed on the arms and ankles. The readings are compared to calculate the ankle-brachial index — quick and painless.
Duplex Ultrasound
A handheld probe glides over the skin, producing real-time images and sound of blood flowing through the arteries and veins.
Mapping Blood Flow
The ultrasound maps areas of narrowing, blockage or venous reflux to guide diagnosis and treatment.
Same-Day Review
Dr. Richard reviews the results with you the same visit and recommends the next steps if treatment is needed.
What These Tests Detect
Peripheral Artery Disease
A low ABI reading and ultrasound imaging detect narrowed or blocked leg arteries — often before serious symptoms appear.
Venous Insufficiency
Duplex ultrasound identifies faulty vein valves and venous reflux — the cause of varicose veins, swelling and CVI.
Blood Clots & Blockages
Ultrasound can detect blood clots (DVT) and pinpoint the exact location and severity of arterial blockages.
What to Expect at Our Vascular Procedure Center
Quick Check-In
No special preparation is needed for most vascular testing. The appointment is comfortable and relaxed.
ABI & Ultrasound
Painless ABI measurement followed by duplex ultrasound imaging of the arteries and veins.
Same-Day Results
Dr. Richard reviews the findings with you the same visit.
Next Steps
If a problem is found, a personalized treatment plan is discussed — often treatable in-office.
Frequently Asked Questions
No. Both tests are completely non-invasive and painless. There are no needles and no radiation. ABI uses blood pressure cuffs; ultrasound uses a handheld probe on the skin.
A full assessment usually takes 30–45 minutes. Results are reviewed with you the same visit.
For most vascular testing no special preparation is required. Our team will advise you if anything specific is needed for your appointment.
They detect Peripheral Artery Disease, arterial narrowing and blockages, venous insufficiency, faulty vein valves and blood clots.
Yes — vascular testing is covered by Medicare and most major commercial plans when medically indicated. Our team verifies coverage before your visit.
Ready to take the next step?
Schedule a consultation at our North Bergen Vascular Procedure Center. Same-day appointments available.