Leipzig T J, Dohrmann G J
Surg Neurol. 1986 May;25(5):478-86. doi: 10.1016/0090-3019(86)90087-x.
The significance and management of cervical carotid artery tortuosity are controversial. One hundred eighteen cases of angulation of the common carotid artery and over 800 cases of elongation of the internal carotid artery have been reported. The etiology, presentation, diagnosis, and treatment of each entity are reviewed. Angulation of the common carotid artery is often managed conservatively. For clarity, elongations of the internal carotid artery should be classified as either tortuosities or kinks. Some patients with kinks of the internal carotid artery will have episodes of cerebrovascular insufficiency related to the position of their heads. Such patients merit thorough diagnostic evaluation. When other etiologic factors have been eliminated, patients in this group may benefit from a surgical procedure directed at the vascular abnormality. Applicable surgical techniques are discussed.
颈总动脉迂曲的意义及处理存在争议。已有118例颈总动脉成角及800多例颈内动脉延长的病例报道。本文对每种情况的病因、表现、诊断及治疗进行了综述。颈总动脉成角常采用保守治疗。为清晰起见，颈内动脉延长应分为迂曲或扭结。部分颈内动脉扭结患者会因头部位置而出现脑血管供血不足发作。这类患者值得进行全面的诊断评估。当排除其他病因后，该组患者可能受益于针对血管异常的手术。文中讨论了适用的手术技术。
