Vollmar J, Nadjafi A S, Stalker C G
Br J Surg. 1976 Nov;63(11):847-50. doi: 10.1002/bjs.1800631103.
Carotid artery insufficiency is caused by an abnormal kinked or coiled internal carotid artery in 15-20 per cent of symptomatic patients. Surgical correction should be considered if other causes for the neurological signs are excluded, a pronounced kinked or coiled area is demonstrated and if there is not a severe neurological deficit. As well as eliminating the elongation, surgical correction should include intraluminal inspection of the artery as, in 38-5 per cent of cases, a concomitant arteriosclerotic stenosis requires simultaneous correction.
在15%至20%有症状的患者中，颈动脉供血不足是由颈内动脉异常扭结或盘绕引起的。如果排除了神经体征的其他病因，证实存在明显的扭结或盘绕区域，且不存在严重的神经功能缺损，则应考虑手术矫正。除了消除血管延长外，手术矫正还应包括对动脉进行腔内检查，因为在38%至5%的病例中，并存的动脉硬化性狭窄需要同时矫正。
