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Asymptomatic carotid kinking.

Nicola Mumoli1, Marco Cei

  • 1Section of Emergency Medicine and Cardiology, Department of Internal Medicine, Livorno Hospital, viale Alfieri 36, 57100 Livorno, Italy. nimumoli@tiscali.it

Circulation Journal : Official Journal of the Japanese Circulation Society
|March 26, 2008
PubMed
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Power Doppler sonography effectively detects carotid artery disease. A case study highlights incidental diagnosis of double Z-shaped internal carotid artery kinking in an asymptomatic patient.

Area of Science:

  • Vascular Imaging
  • Neurology
  • Radiology

Background:

  • Doppler sonography is a recognized noninvasive tool for diagnosing carotid artery disease.
  • Power Doppler sonography enhances visualization of blood vessels.

Observation:

  • Dolichoarterial disease, characterized by internal carotid artery elongation, affects 10-25% of the population.
  • This elongation can lead to tortuosity, coiling, and kinking, a common anomaly.
  • Kinking involves sharp angulation, including single and double Z-shaped configurations.

Findings:

  • A patient was incidentally diagnosed with a double Z-shaped angulation (kinking) of the left internal carotid artery.
  • The diagnosis was made in an asymptomatic individual.
  • The incidental finding resulted from the widespread use of noninvasive imaging investigations.

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Implications:

  • This case underscores the utility of Doppler sonography in identifying vascular anomalies.
  • Asymptomatic detection of carotid artery kinking may prompt further investigation or monitoring.
  • Broad application of noninvasive imaging aids in discovering infrequent vascular conditions.