RSS-Feed abonnieren

DOI: 10.1055/s-0042-1757951
Dolichoarteriopathy of Common Carotid Artery: An Unusual Entity
Funding None.
Abstract
Dolichoarterial disease of the carotid arteries refers to elongated arteries with tortuous, coiling, and kinking anatomy. This morphology is usually met in the elderly and not associated with atherosclerotic risk factors. Current practice reserves surgical correction only in symptomatic patients. Significant tortuosity index may be associated with stroke and poses extra difficulties to the endovascular passage of guidewires and catheters for the treatment of extra- and intracranial vascular lesions. This article presents a typical case of bilateral dolichoarteriopathy of the common carotid artery and stresses the need for further categorization of the particular morphology based on modern angiography techniques and three-dimensional reconstruction software.
Keywords
common carotid artery - dolichoarteriopathy - tortuosity - congenital anomalies - kinking - coiling - elongationPublikationsverlauf
Eingereicht: 13. Februar 2022
Angenommen: 06. Juli 2022
Artikel online veröffentlicht:
20. Dezember 2022
© 2022. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)
Thieme Medical Publishers, Inc.
333 Seventh Avenue, 18th Floor, New York, NY 10001, USA
-
References
- 1 Yu J, Qu L, Xu B. et al. Current understanding of dolichoarteriopathies of the internal carotid artery: a review. Int J Med Sci 2017; 14 (08) 772-784
- 2 Naylor AR, Ricco JB, de Borst GJ. et al; Esvs Guidelines Committee; Esvs Guideline Reviewers. Editor's choice—management of atherosclerotic carotid and vertebral artery disease: 2017 Clinical Practice Guidelines of the European Society for Vascular Surgery (ESVS). Eur J Vasc Endovasc Surg 2018; 55 (01) 3-81
- 3 Beigelman R, Izaguirre AM, Robles M, Grana DR, Ambrosio G, Milei J. Are kinking and coiling of carotid artery congenital or acquired?. Angiology 2010; 61 (01) 107-112
- 4 Choudhry FA, Grantham JT, Rai AT, Hogg JP. Vascular geometry of the extracranial carotid arteries: an analysis of length, diameter, and tortuosity. J Neurointerv Surg 2016; 8 (05) 536-540