The tortuous or kinked carotid artery: Pathogenesis and clinical considerations. A historical review
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Cited by (78)
Common carotid artery kinking associated with bovine arch: a case report and review of literature
2021, Brazilian Journal of OtorhinolaryngologyCitation Excerpt :Kinking is a sharp angle formation, while coiling is elongation in a narrow space resulting in a circular shape.1 Brown and Rowntree were the first to illustrate the link between hypertension and the development of tortuosity.2 Other studies started to point to other risk factors as female gender, atherosclerosis, aging, and Takayasu arteritis.3
Internal Carotid Artery Tortuosity as a Rare Cause of Dysphagia: Case Report and Literature Review
2018, Annals of Vascular SurgeryCitation Excerpt :However, there is still no consensus regarding the origin of these variations. The significance of the elongation of the carotid artery is also controversial and the natural history of ICA kinking has not yet been fully elucidated,9 in particular their relationship with cerebrovascular disease. In 2005, Ballotta et al.10 published the first prospective clinical study regarding neurological symptomatic patients with isolated carotid elongation and the authors defend that, although the thromboembolic mechanism due to endothelial lesions related to flow alterations at the site of the bending has been considered responsible for the occurrence of the ischemic symptoms in these patients, the hemodynamic mechanism may also play an important role.
Management Issues in a Case of Congenital Craniovertebral Junction Anomaly with Aberrant Retropharyngeal Midline Course of Bilateral Cervical Internal Carotid Arteries at C1–C2
2018, World NeurosurgeryCitation Excerpt :Rarely they present with an oropharyngeal pulsatile sensation, dysphagia, respiratory distress, and hoarseness of the voice.6-15 Focal atherosclerotic formation and increased chances of dissection resulting from tortuosity of ICAs associated with an aberrant midline course make these patients more prone to stroke.11,16-18 In oropharyngeal surgeries such as TOO, adenoidectomy, and tonsillectomy, this unrecognized aberrant retropharyngeal course of ICAs can result in devastating complications (e.g., massive life-threatening hemorrhage and stroke secondary to inadvertent injury of ICAs, arterial puncture during injection of local anesthesia, intra-arterial injection of local anesthetics).6-15
Three-dimensional computed tomographic analysis of variations of the carotid artery
2016, Journal of Cranio-Maxillofacial SurgeryCitation Excerpt :Morphological anomalies of the internal carotid arteries of the neck are a known phenomenon. Previous studies have reported that the prevalence of morphological variations ranges from 4% to 66% (Metz et al., 1961; Leipzig and Dohrmann, 1986; Macchi et al., 1997; Pancera et al., 2000; Paulsen et al., 2000). These estimates are based on the results of arteriographic, ultrasound, contrast-enhanced CT, MRI, and cadaver studies.
Posterior transverse plication of the internal carotid artery to correct for kinking
2014, Journal of Vascular Surgery