Difficulties in examination of the origin of the vertebral artery by duplex and colour-coded Doppler sonography: anatomical considerations.

Abstract:

:Despite progress in ultrasonographic techniques visualisation of the origin of the vertebral arteries, particularly the left, by duplex and colour Doppler imaging, still poses a problem in a significant number of patients. In anatomical and radiological studies we demonstrated an anomalous origin in 6%, the left vertebral artery originating directly from the aorta in most cases. The origin from the subclavian artery was found to be posterior in 44% and inferior in 6%. The V1 segment of the vertebral artery (from its origin to the entry into the foramen transversarium) was tortuous in 47% of cases. These anatomical variants and variations in the course of the vessel contribute to the nonvisualisation of the origin of the vertebral artery by duplex and colour Doppler imaging. With respect to tortuosities technical modifications for better visualisation are suggested and possible implications for surgery are discussed.

journal_name

Neuroradiology

journal_title

Neuroradiology

authors

Trattnig S,Matula C,Karnel F,Daha K,Tschabitscher M,Schwaighofer B

doi

10.1007/BF00602620

subject

Has Abstract

pub_date

1993-01-01 00:00:00

pages

296-9

issue

4

eissn

0028-3940

issn

1432-1920

journal_volume

35

pub_type

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