Clinical implications of internal carotid artery tortuosity, kinking and coiling: a systematic review

M. Zenteno, F. Viñuela, L.R. Moscote-Salazar, H. Alvis-Miranda, R. Zavaleta, A. Flores, A. Rojas, A. Lee
2014 Romanian Neurosurgery  
Anatomical variations of the internal carotid artery are diverse. Abnormalities in their geometry and paths are commonly identified by ultrasonography and angiography. The surgical correction of symptomatic CAs is better in preventing stroke compared with best medical therapy, as well as it completely eliminates the symptoms in patients with nonhemispheric symptoms. The ICA anomalies may be dangerous and represent a risk factor for massive bleeding. Suture ligatures can penetrate and occlude
more » ... rate and occlude torn vessels, scalpels or biting instruments can lacerate vessels, and indirectly conducted electric cauterization can burn the soft of bony tissues
doi:10.2478/romneu-2014-0005 fatcat:lzd56mxhd5bhrhmtten5nltmhq