Ultrasound Doppler Scan of the Brachiocephalic Arteries (BCA)

Recurrent headaches, dizziness, and decreased concentration often indicate problems with blood circulation in the vessels of the cervical spine and brain. To determine how freely blood flows and whether tissue nutrition is impaired, a doctor may refer the patient for an ultrasound scan of the brachiocephalic arteries (BCA) – an informative and safe ultrasound examination.

At the K+31 Clinic, this examination is performed by experienced specialists using high-precision, expert-class ultrasound equipment. Duplex scanning of the brachiocephalic vessels is safe, painless, and suitable for patients of any age.

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What is ultrasound dopplerography of the brachiocephalic arteries?

Ultrasound Dopplerography (UDG) is a functional diagnostic method that allows for the assessment of the speed and direction of blood flow in the large arteries supplying the brain. The term "brachiocephalic arteries" encompasses the carotid, subclavian, and vertebral vessels, which supply the majority of blood to the brain.

The study is based on the Doppler effect: ultrasound waves are reflected from red blood cells moving through the vessels, creating an image that allows the physician to assess the condition of the arterial and venous walls, detecting the presence of narrowing, blood clots, or atherosclerotic plaques.

Ultrasound Dopplerography of the brachiocephalic arteries is used not only for diagnosis but also for the prevention of vascular diseases. This method allows for the detection of circulatory disorders in the early stages, when clinical symptoms are not yet evident.

What is ultrasound dopplerography of the brachiocephalic arteries?

Indications for the procedure

A doctor prescribes an ultrasound of the brachiocephalic vessels if a patient complains of symptoms indicating impaired cerebral blood flow. The test is also recommended for people with chronic heart and vascular diseases, diabetes, high blood pressure, or a hereditary predisposition to stroke.

Headaches

Frequent or severe headaches are one of the main reasons for examining the vessels of the neck and head. Narrowing of the arteries leads to oxygen deprivation of the brain, which causes throbbing or pressing pain. The test helps determine the degree of impaired blood flow and select the appropriate treatment.

Dizziness

Dizziness, especially when turning the head, is often associated with impaired blood flow in the vertebral arteries. Ultrasound Doppler imaging of the brachiocephalic arteries (BCA) can detect vascular compression or changes in vascular patency and prevent the development of cerebral ischemia.

Fainting

Loss of consciousness can result from a short-term reduction in cerebral blood flow. Ultrasound Doppler imaging of the brachiocephalic arteries (BCA) helps the physician determine whether there are any problems with blood flow to the brain and whether the patient requires further examination.

Sleep Disorders

Chronic insomnia, difficulty falling asleep, and frequent nighttime awakenings often arise from vascular disorders. Duplex scanning of the brain's central arteries helps rule out circulatory disturbances affecting the sleep-wake centers.

Persistent or Transient Visual Disturbances

If a patient experiences episodes of temporary decreased vision or blurred vision, the doctor may recommend a duplex ultrasound of the brain's central arteries. This examination reveals disturbances in blood flow to the visual centers of the brain, which is important for the prevention of stroke and optic nerve hypoxia.

Flickering Spots, Blurred Vision

The appearance of spots and blurred vision is an early sign of impaired blood flow to the retina or cerebral vessels. Ultrasound examination of the arteries of the neck and head can help identify the cause and prevent complications.

Tinnitus, Ringing in the Head

Noise, ringing, or pressure in the ears may indicate a venous outflow obstruction or narrowing of the vertebral arteries. Ultrasound Doppler imaging of the neck vessels allows for assessment of venous blood flow and the exclusion of pathological changes affecting the inner ear and auditory nerve.

Contraindications

Ultrasound Doppler imaging of the brachiocephalic vessels is considered safe and has no absolute contraindications. The method does not involve radiation and has no harmful effects on the body. However, the examination may be postponed in the following cases:

  • Acute infectious diseases with fever
  • Cervical spine injuries
  • Severe skin inflammation in the neck
  • Patient inability to remain still

In other cases, the procedure is performed without restrictions and does not require recovery.

Advantages and disadvantages of ultrasound dopplerography

The procedure is noninvasive, painless, and requires no post-examination recovery. It allows the physician to monitor blood flow through the vessels of the neck and head in real time, assess their patency, and detect even minimal changes in blood flow.

The method has few drawbacks. The main one is that image quality depends on the physician's experience and the technical capabilities of the equipment. This is why it is important to conduct the examination in a specialized medical center with modern equipment and qualified specialists.

Ultrasound Doppler imaging of the brachiocephalic vessels has many advantages:

  • No punctures or contrast agents are required
  • It is completely safe and can be performed repeatedly
  • It provides accurate results during the procedure
  • It takes minimal time
  • It is suitable for all ages

General information

Preparation for Doppler Ultrasound

Preparation for Doppler Ultrasound of the Brachial Calves is minimal, but following the recommendations correctly improves the accuracy of the results. It is important for the patient to create conditions that allow for natural blood flow, free from external factors.

General Recommendations

The day before the examination, it is advisable to avoid strong tea, coffee, energy drinks, and alcohol, as they affect vascular tone. Smoking, physical exertion, and stress should also be avoided.

If the patient is taking medications that affect blood pressure or vascular tone, they should inform the doctor before the examination.

On the Day of the Examination

Before the clinic visit, it is not recommended to use ointments or creams on the neck area, as this may impair the probe's contact with the skin. It is advisable to refrain from smoking and drinking coffee 2-3 hours before the procedure.

The patient should arrive slightly early to allow their breathing and pulse to calm. The test is performed in a calm environment, and emotional state plays a significant role in the accuracy of the measurements.

Specific Instructions

Some patients, especially the elderly or those with hypertension, may be advised by their doctor to adjust their medications the day before the procedure. All prescriptions are made individually by the specialist, based on their health status and the purpose of the test.

Procedure

The procedure is performed in the diagnostic room. The patient lies on a couch, and the doctor applies a special gel to the skin of the neck and scalp to improve the conductivity of ultrasound waves. The specialist then moves the transducer along the major arteries – the carotid, vertebral, and subclavian.

In duplex scanning mode, the device displays the vessels on the screen in real time, showing the direction and velocity of blood flow. The doctor analyzes parameters such as wall thickness, lumen diameter, the presence of turbulence, and possible obstructions to blood flow.

The examination takes 20–30 minutes and causes no discomfort. After the procedure, the gel is removed with a napkin, and the patient can immediately return to normal activities.

What does a brachiocephalic artery ultrasound reveal?

A brachiocephalic artery ultrasound is a test that allows the doctor to visualize blood flow in the vessels of the neck and head. It evaluates:

  • Arterial diameter and patency
  • Vascular wall thickness
  • Presence of atherosclerotic plaques, thrombi, or stenosis
  • Venous outflow status
  • Blood velocity and direction

This examination helps identify disorders early on, when symptoms are still mild, and preventative measures can prevent serious complications. A brachiocephalic artery ultrasound can detect even minimal changes in blood flow that are undetectable with a standard ultrasound.

Interpretation of Results and Normal Values

After completing the duplex scan, the doctor issues a study report listing all the key parameters. Healthy brachiocephalic vessels are characterized by:

  • Smooth, elastic walls without thickenings
  • Symmetrical blood flow in the right and left arteries
  • Absence of turbulence
  • Uniform distribution of blood flow velocity

A functional diagnostics specialist interprets the results. They compare the obtained data with age-related norms and draw conclusions about the state of the cerebral blood supply. If necessary, the patient is referred to a neurologist or angiologist for a more precise diagnosis and treatment.

Abnormalities and Possible Diagnoses

If the ultrasound of the brainstem shows abnormalities, this may indicate various vascular pathologies. Among the most common:

  • Atherosclerosis – the formation of plaques that narrow the arteries and impair blood flow to the brain
  • Stenosis – a localized narrowing of an artery that can lead to ischemia
  • Thrombosis – the formation of blood clots within a vessel
  • Arterial tortuosity – a congenital or acquired deformity that causes obstruction of blood flow
  • Cerebral insufficiency – a chronic impairment of blood supply to the brain
  • Vertebrobasilar insufficiency – impaired blood flow in the vertebral arteries, manifested by dizziness and fainting

Early diagnosis of these conditions allows for timely treatment and the prevention of stroke or other complications.

Who orders the test?

The test can be ordered by a physician of various specialties:

  • Neurologist – for complaints of headaches, tinnitus, and memory loss
  • Cardiologist – for hypertension, arrhythmia, and angina
  • Physician or pediatrician – for prophylaxis in patients with chronic diseases
  • Angiologist or vascular surgeon – if vascular pathologies are suspected

Patients over 40 often undergo a BCA ultrasound as part of their annual checkup. This helps to identify abnormalities early and avoid serious consequences for brain health.

Prices for ultrasound dopplerography of the brainstem in Moscow

The cost of a brachiocephalic ultrasound in Moscow depends on the clinic's level, the equipment used, and the doctor's qualifications. On average, the price ranges from 2,500 to 5,000 rubles.

At the K+31 clinic, the cost includes:

  • Examination performed using expert-class equipment
  • Interpretation of results by a doctor
  • Specialist consultation if necessary
  • Issue of a protocol and recommendations

Patients can choose a convenient payment method – at the clinic, online, or through their personal account. All prices are transparent and listed on the official website.

Prices for ultrasound dopplerography of the brainstem in Moscow

Why is it better to have a BCA ultrasound at K+31?

The K+31 Clinic is one of Moscow's leading medical centers, offering a full range of ultrasound examinations. Here, ultrasound examinations of the brachiocephalic arteries are performed using expert-class equipment, ensuring high accuracy and image detail.

The clinic takes an individual approach to each patient: doctors explain the results, provide recommendations, and help determine the optimal treatment plan.

Examination of the brachiocephalic arteries using ultrasound is a reliable and non-invasive method for assessing cerebral circulation, helping to promptly detect vascular disorders and reduce the risk of developing serious pathologies. The procedure is painless, requires no preparation, and is suitable for regular preventive monitoring.

At the K+31 Medical Center in Moscow, examinations are performed in a comfortable environment, with personalized attention to each patient. Experienced doctors, modern equipment, and a personalized approach guarantee accurate results and confidence in the health of the blood vessels in the head and neck.

To schedule a BCA ultrasound, simply call the clinic or submit a request on the website. Specialists will find a convenient time, explain the procedure in detail, and help you take the first step toward preventing vascular and brain diseases.

Benefits of undergoing an examination at K+31:

  • Experienced specialists Functional diagnostics physicians undergo regular training and certification
  • Modern technologies We use high-frequency equipment, which allows us to visualize even the smallest vessels of the neck and head
  • Comfort and speed The procedure takes no more than 30 minutes, and results are provided immediately after the examination
  • A comprehensive approach If necessary, you can immediately consult with a neurologist, cardiologist, or vascular surgeon
  • Availability You can schedule an appointment by phone or online, choosing a convenient time

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Andreytseva Marina Igorevna
Experience 17 years
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Andreytseva
Marina Igorevna
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Seleznev Denis Evgenyevich
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Denis Evgenyevich
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Snetkov Victor yurevich
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Victor yurevich
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Alena Victorovna
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Malakhova Elena Nikolaevna
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Elena Nikolaevna
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Pavlikova Elena Yuryevna
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Belevskaya Anna Andreevna
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Pavel Nikolaevich
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Parinova Svetlana Vasilevna
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Svetlana Vasilevna
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Mikula Lada Nikolaevna
Experience 32 years
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Lada Nikolaevna
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Maso Michael Lvovich
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Michael Lvovich
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Tikhonov Anton Vladimirovich
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Anton Vladimirovich
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Mkrtchyan Hamlet Sarkisovich
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Gruzdev Ivan Sergeevich
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Ivan Sergeevich
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Dzhanmurzaeva Diana Salimovna
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Diana Salimovna
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Tatiana Vyacheslavovna
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Baranova (Vorfolomeeva) Oksana Vladimirovna
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Oksana Vladimirovna
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Kozlova Alla Valerievna
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Alla Valerievna
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Kulabukhova Elena Anatolievna
Experience 35 years
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Elena Anatolievna
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Karpova Maria Andreevna
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Maria Andreevna
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Baira Eduardovna
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Maya Otarovna
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Anastasia Yurievna
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Lapaev Igor Vladimirovich
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Igor Vladimirovich
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Melkonyan Lia Eduardovna
Experience 13 years
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Lia Eduardovna
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A competent, empathetic doctor. He explains everything before the procedure and gives detailed recommendations afterward. I advise everyone not to be afraid.
05.01.2026
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Snetkov Victor yurevich

The sweetest doctor! She did everything at the highest level, told and explained everything, very polite and kind.
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