Upper-limb arterial Doppler report template
A structured upper-limb arterial doppler report template used for upper-limb arterial doppler. It covers 18 sections and 116 fields.
Demonstration content. Review and approve this template with your clinical lead before clinical use. Reference values shown in SonoTez are notes only and are never applied automatically.
Technique
Grey-scale, colour and angle-corrected spectral Doppler (angle ≤ 60°) ultrasound of the upper-limb arteries from the subclavian artery to the palmar arch.
What to include: sections and measurements
Right upper limb
- Brachial systolic pressure (mmHg)
Right subclavian artery
- PSV (cm/s)
- Waveform: triphasic · biphasic · monophasic · monophasic, dampened (tardus-parvus) · no flow
- Patency: patent, no stenosis · focal stenosis · occluded
- PSV upstream of stenosis (cm/s)
- PSV ratio calculated
- Occlusion length (cm)
- Reconstitution / collaterals
- Wall: no plaque · plaque · calcified plaque limiting assessment
Right axillary artery
- PSV (cm/s)
- Waveform: triphasic · biphasic · monophasic · monophasic, dampened (tardus-parvus) · no flow
- Patency: patent, no stenosis · focal stenosis · occluded
- PSV upstream of stenosis (cm/s)
- PSV ratio calculated
- Occlusion length (cm)
- Reconstitution / collaterals
- Wall: no plaque · plaque · calcified plaque limiting assessment
Right brachial artery - proximal
- PSV (cm/s)
- Waveform: triphasic · biphasic · monophasic · monophasic, dampened (tardus-parvus) · no flow
- Patency: patent, no stenosis · focal stenosis · occluded
- PSV upstream of stenosis (cm/s)
- PSV ratio calculated
- Occlusion length (cm)
- Reconstitution / collaterals
- Wall: no plaque · plaque · calcified plaque limiting assessment
Right brachial artery - distal
- PSV (cm/s)
- Waveform: triphasic · biphasic · monophasic · monophasic, dampened (tardus-parvus) · no flow
- Patency: patent, no stenosis · focal stenosis · occluded
- PSV upstream of stenosis (cm/s)
- PSV ratio calculated
- Occlusion length (cm)
- Reconstitution / collaterals
- Wall: no plaque · plaque · calcified plaque limiting assessment
Right radial artery
- PSV (cm/s)
- Waveform: triphasic · biphasic · monophasic · monophasic, dampened (tardus-parvus) · no flow
- Patency: patent, no stenosis · focal stenosis · occluded
- PSV upstream of stenosis (cm/s)
- PSV ratio calculated
- Occlusion length (cm)
- Reconstitution / collaterals
- Wall: no plaque · plaque · calcified plaque limiting assessment
Right ulnar artery
- PSV (cm/s)
- Waveform: triphasic · biphasic · monophasic · monophasic, dampened (tardus-parvus) · no flow
- Patency: patent, no stenosis · focal stenosis · occluded
- PSV upstream of stenosis (cm/s)
- PSV ratio calculated
- Occlusion length (cm)
- Reconstitution / collaterals
- Wall: no plaque · plaque · calcified plaque limiting assessment
Right palmar arch
- PSV (cm/s)
- Waveform: triphasic · biphasic · monophasic · monophasic, dampened (tardus-parvus) · no flow
- Patency: patent, no stenosis · focal stenosis · occluded
- PSV upstream of stenosis (cm/s)
- PSV ratio calculated
- Occlusion length (cm)
- Reconstitution / collaterals
- Wall: no plaque · plaque · calcified plaque limiting assessment
Left upper limb
- Brachial systolic pressure (mmHg)
Left subclavian artery
- PSV (cm/s)
- Waveform: triphasic · biphasic · monophasic · monophasic, dampened (tardus-parvus) · no flow
- Patency: patent, no stenosis · focal stenosis · occluded
- PSV upstream of stenosis (cm/s)
- PSV ratio calculated
- Occlusion length (cm)
- Reconstitution / collaterals
- Wall: no plaque · plaque · calcified plaque limiting assessment
Left axillary artery
- PSV (cm/s)
- Waveform: triphasic · biphasic · monophasic · monophasic, dampened (tardus-parvus) · no flow
- Patency: patent, no stenosis · focal stenosis · occluded
- PSV upstream of stenosis (cm/s)
- PSV ratio calculated
- Occlusion length (cm)
- Reconstitution / collaterals
- Wall: no plaque · plaque · calcified plaque limiting assessment
Left brachial artery - proximal
- PSV (cm/s)
- Waveform: triphasic · biphasic · monophasic · monophasic, dampened (tardus-parvus) · no flow
- Patency: patent, no stenosis · focal stenosis · occluded
- PSV upstream of stenosis (cm/s)
- PSV ratio calculated
- Occlusion length (cm)
- Reconstitution / collaterals
- Wall: no plaque · plaque · calcified plaque limiting assessment
Left brachial artery - distal
- PSV (cm/s)
- Waveform: triphasic · biphasic · monophasic · monophasic, dampened (tardus-parvus) · no flow
- Patency: patent, no stenosis · focal stenosis · occluded
- PSV upstream of stenosis (cm/s)
- PSV ratio calculated
- Occlusion length (cm)
- Reconstitution / collaterals
- Wall: no plaque · plaque · calcified plaque limiting assessment
Left radial artery
- PSV (cm/s)
- Waveform: triphasic · biphasic · monophasic · monophasic, dampened (tardus-parvus) · no flow
- Patency: patent, no stenosis · focal stenosis · occluded
- PSV upstream of stenosis (cm/s)
- PSV ratio calculated
- Occlusion length (cm)
- Reconstitution / collaterals
- Wall: no plaque · plaque · calcified plaque limiting assessment
Left ulnar artery
- PSV (cm/s)
- Waveform: triphasic · biphasic · monophasic · monophasic, dampened (tardus-parvus) · no flow
- Patency: patent, no stenosis · focal stenosis · occluded
- PSV upstream of stenosis (cm/s)
- PSV ratio calculated
- Occlusion length (cm)
- Reconstitution / collaterals
- Wall: no plaque · plaque · calcified plaque limiting assessment
Left palmar arch
- PSV (cm/s)
- Waveform: triphasic · biphasic · monophasic · monophasic, dampened (tardus-parvus) · no flow
- Patency: patent, no stenosis · focal stenosis · occluded
- PSV upstream of stenosis (cm/s)
- PSV ratio calculated
- Occlusion length (cm)
- Reconstitution / collaterals
- Wall: no plaque · plaque · calcified plaque limiting assessment
Study notes
- Technical notes / provocative manoeuvres
Other findings
- Other findings
Writing the impression
Answer the clinical question first, list the remaining findings in order of importance, and keep anything new out of the impression. If a structure was not fully seen, say so and give the reason. See how to write an ultrasound report for wording and certainty terms.