Is There A Subgroup of Kinking

Vertebral and carotid artery kinking which are categorized inside dolicoarteriopathies, linked to various cerebrovasculardysfunctions. Moderate and severe kinking reduced blood flow, contributing to hemodynamic instability and cerebrovascularinsufficiency. While most symptomatic cases undergo endovascular or surgical correction, some patients with severe kinkingremain asymptomatic, questioning current understanding. In over 120 cases of carotid or vertebral artery kinking, we observedstenosis in symptomatic patients, differing from the expected arterial enlargement seen in dolicoarteriopathies. This suggests two potential kinking types: stenotic and enlarged.