A vascular imaging apparatus and a vascular imaging method are disclosed. The vascular imaging apparatus includes: a light source device, an image acquisition device, a projection device and an image processor. The light source device is configured to emit visible light and infrared light to a body portion to be tested in a time-sharing manner; the image acquisition device is configured to receive the visible light and the infrared light reflected by the body portion to be tested to acquire a visible image and an infrared image respectively; the image processor is configured to perform image processing on the infrared image and the visible image, to acquire a vascular enhancement image of the body portion to be tested; the projection device is configured to project the vascular enhancement image onto the body portion to be tested.