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common carotid arteries supply
head and neck
right CCA branches off
brachiocephalic artery
left CCA branches off
aortic arch
brachiocephalic artery also known as
innominant artery
CCA bifurcates into
ICA and ECA
ICA supplies blood to
brain and eyes
ECA supplies blood to
face and scalp
vertebral arteries arise off
subclavian artery
vertebral arteries join to form the basilar artery is called
vertebrobasilar circulation
verts are often asymmetrical where ___ vert is larger
left
subclavian arteries enter the skull through
foramen magnum
ICA and ECA bifurcate
mid cervical region
upper border of thyroid cartilage
T/F verts are largest in 1st branches of subclavian artery
true
right CCA is lateral to
medial thyroid lobe
CCA should have ___ waveform with __
more resistive, sharp upstroke
ECA is more medial to __ and more __
ICA, superficial
ECA originates in
upper border of thyroid cartilage
ECA supplies blood to
highly resistive vascular bed
ECA has no significance to cerebral circulation except
cerebral or vertebral occlusive diseases
blockages to cerebral/vertebral circulation → __ becomes source of collateral flow
ECA
branch that can be seen off of ECA to know you’re in the right spot
superior thyroid artery
ICA originates at
upper border of thyroid cartilage
ICA supplies blood to the
brain
ICA has a
low resistive vascular bed
ICA enters skull via
carotid canal → PETERIS SEGMENT
the cavernous segment is also known as the
carotid siphon
first major branch of ICA
ophthalmic
most distal segment of ICA
cerebral segment
another name for cerebral segment
supraclenoid segment
vertebral artery arise from __ and enter skull from __
proximal subclavian artery
foramen magnum
vertebral arteries supply blood to
posterior portion of the brain
verts run __ through transverse processes of
superiorly
cervical vertebrae
verts have what kind of flow?
low resistive forward flow
circle of vessels that lie at the base of the brain connecting the anterior/posterior circulations
circle of willis
circle of willis acts as what when disease is present?
collaterals
if disease is present anteriorly in the brain then which portion will provide blood to the area?
posterior
connected by anterior communicating arteries
anterior cerebral arteries
originate at terminal ICA on both sides
middle cerebral artery
terminal branches of basilar artery
2 posterior cerebral branches
connect posterior cerebral artery to middle cerebral artery
posterior communicating arteries
provides visualization of the middle, anterior, and posterior cerebral arteries
transtemporal window
transtemporal window is in the
area of temples
what kind of flow does the transtemporal window have?
low resistive in all of vessels
direction of flow in transtemporal window depends on
the segment of vessel being interrogated
flow of M1 goes
towards probe
flow of ACA goes
away from probe, towards eye
flow of M2
away from probe
PCA (top) flow
towards probe as it comes from back of brain
PCA (bottom) flow
opposite side of brain
provides visualization of vertebral and basilar arteries
transoccipital window
transoccipital window is found
at base of skull
transoccipital window flow is
away from the probe, low resistive
flow of transoccipital provides flow to
posterior part of brain
provides visualization of the ophthalmic artery
transorbital window
to prevent damage to the eye, output power must be
reduced
transorbital flow is
toward the probe and high resistive (b/c the eye is a small organ)
ophthalmic artery branches off
terminal ICA
provides visualization of the ICA coursing toward the carotid canal
submandibular window
submandibular window flow is
away from probe, low resistive
applications for carotid scans
stenosis, occlusion, plaque, vert flow direction
application for transcranial ultrasound
monitor blood flow during surgery
effects of sickle cell anemia
confirmation of brain death
basilar artery enclusion
carotid symptoms that are one sided occur on the (same/opposite) side of lesion
same
vertebral symptoms that are one sided occur on the (same/opposite) side of lesion
opposite
physician hears a disturbance in the neck
bruit
TIA of eye that produces transient monocular blindness on the same side of the carotid artery w/ the problem
amaurosis fugax
impaired coordination
ataxia
thickening of intermedial wall or PLAQUE
atherosclerosis
atherosclerosis is commonly seen at
bifurcation
aliasing on the vessel indicates
stenosis
hemodynamics of the vessel has changed
hemodynamically significant stenosis
for hss, the blood flow of the color on the screen is __ than what the scale is set at
higher
normal antegrade vertebral artery flow direction is
towards the head, low resistive
abnormal retrograde vertebral artery flow direction is
towards the neck, high resistive