Surgical treatment of kinked internal carotid arteries

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Abstract
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 intralunzinal inspection of the artery as, in 38·5 per cent of cases, a concomitant arteriosclerotic stenosis requires simultaneous correction.