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Vascular sonography
Carotid part 1- Cerebrovascular Anatomy
Question | Answer |
---|---|
Arteries carry blood away from or toward the heart? | Away from |
What are the three layers of the artery wall? | Tunica Intima, Tunica Media, Tunica Adventitia |
Tunica Intima facts? | Innermost layer, Consists of endothelial cell lining with connective tissue beneath |
Tunica Media facts? | Middle layer, Thickest component, Composed mainly of smooth muscle, and Varying amounts of elastic fibers and collagen |
Tunica Adventitia facts? | Outermost Layer, Composed of connective tissue, nerve fibers, and small vessel capillaries, In contact with surrounding tissue, and Contain Vasa Vasorum |
What are the branches off of the aortic arch? | Brachiocephalic, Left common carotid, and Left subclavian |
Where does the Left Common Carotid Artery arise from? | Directly from the Aorta |
Where does the Right Common Carotid Artery originate from? | Originates from the brachiocephalic artery |
Where do the Common Carotid Arteries ascend? | Ascend the neck laterally |
Where do the Common Carotid Arteries Bifurcate? | Bifurcate at the upper border of the thyroid cartilage into internal and external carotid arteries |
Where does the Internal Carotid Arteries (ICA) originate from? | ICAs originates from the CCA |
Where is the ICA in position to the external carotid artery (ECA)? | Posterior/lateral to ECA (tip toward the back of the head) |
Does the ICA has extracranial branches? | No |
The ICA gives rise to what? | To the Ophthalmic artery in the skull |
What is the carotid siphon? | Distal curve of the ICA |
Where do the ICA provide blood to? | To the anterior brain, eyes and nose |
What kind of waveform does the ICA have? | Low resistance waveform |
Where does the External Carotid Artery (ECA) originate? | Originates from the CCA |
Where is the ECA in position to the ICA? | Anterior/Medial to ICA (tip toward face when scanning) |
Does the ECA have extracranial branches? | Yes several |
Does the ECA normally supply blood to the brain? | No, usuallt supplies to the face |
What type of waveform does the ECA have? | High/Moderate resistance |
What are the 8 branches of the ECA? | Superior thyroid, Ascending pharyngeal, Lingual, Facial, Occipital, Posterior Auricular, Maxillary, Superficial temporal |
How many Vertebral arteries are there? | 2 |
Where do the Vertebral arteries originate from? | The subclavian artery |
Where do the Vertebral arteries ascend? | Ascend the neck through the transverse process of the cervical vertebrae |
Where do the Vertebral arteries enter the skull? | Through the Foramen Magnum |
Do the Vertebral arteries join intracranially to form a singular basilar artery? | Yes |
What do the Vertebral arteries provide blood to? | Provides blood to the posterior brain |
Branches of the ICA and Vertebral arteries form the what? | Circle of Willis |
The ICA terminates into 4 branches, what are they? | Anterior Cerebral, Middle Cerebral, Posterior communicating, Anterior Choroidal |
The Anterior cerebral arteries are connected through what? | Connected through anterior communicating artery |
Posterior Cerebral arteries (branches of the basilar artery) are connected through the what? | Connected to the anterior circulation through the posterior communicating arteries |
What is the Circle of Willis? | An important collateral pathway for circulation in the brain |
The Supraorbital artery connects what? | Connects Ophthalmic artery (ICA) to Superficial temporal artery (ECA) |
The Frontal artery connects what? | Connects Ophthalmic artery (ICA) to various ECA branches |
The Nasal artery connects what? | Connects frontal to facial artery (ECA) |
What are some collateral pathways? | Circle of Willis, Periorbital circulation, ECA branches crossing midline to meet, ECA- Vertebral connections through branches |