Desai B, Toole J F
Stroke. 1975 Nov-Dec;6(6):649-53. doi: 10.1161/01.str.6.6.649.
Kinking and coiling of the internal carotid artery (ICA) sometimes may result in symptomatic cerebrovascular disease, but indisputable evidence linking the two conditions is lacking. However, there is enough evidence to warrant careful consideration of surgical correction in patients who have features of the carotid artery syndrome and kinking of the ICA as shown on angiography. Kinking or buckling of the artery is due to atherosclerosis and is to be distinguished from coiling, which is ascribed to embryological causes. Definite recommendations regarding the advisability of surgery for infants who are discovered to have coils cannot be made, but coiling is generally asymptomatic. Adults with kinks in their carotid arteries who have recurrent transient ischemic attacks (TIAs) benefit most from surgical correction, particularly if symptoms are aggravated on head rotation, which may cause the kink to obstruct.
颈内动脉（ICA）的扭结和盘绕有时可能导致有症状的脑血管疾病，但缺乏将这两种情况联系起来的确凿证据。然而，有足够的证据表明，对于具有颈动脉综合征特征且血管造影显示ICA扭结的患者，有必要仔细考虑手术矫正。动脉的扭结或弯曲是由动脉粥样硬化引起的，应与盘绕相区分，盘绕归因于胚胎学原因。对于被发现有盘绕的婴儿，无法就手术的可取性给出明确建议，但盘绕通常无症状。患有颈动脉扭结且反复出现短暂性脑缺血发作（TIA）的成年人从手术矫正中获益最大，特别是当症状在头部旋转时加重，这可能导致扭结阻塞。
