The main renal vein should be assessed in addition to the renal arteries during renal Doppler exams. Venous thrombosis may coexist with arterial abnormalities and can impact renal perfusion. Evaluation of both arterial inflow and venous outflow ensures a comprehensive assessment of renal vascular patency.
According to Zwiebel’s Introduction to Vascular Ultrasound:
“Renal vein assessment should be performed during renal artery Doppler studies to exclude venous thrombosis or outflow obstruction.”
[Reference:, Zwiebel WJ, Pellerito JS. Introduction to Vascular Ultrasound. 6th ed. Elsevier, 2019., AIUM Practice Parameter for Renal Artery Duplex Sonography, 2020., —]
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