Carotid artery stenosis a physician detects a carotid bruit, or murmur, over the carotid artery by listening through a stethoscope during a physical exam. For people with symptoms, the American Heart Association recommends initial screening using ultrasound (see diagnosis below). Carotid artery stenosis is usually diagnosed by color flow duplex ultrasound scan of the carotid arteries in the neck. This involves no radiation, no needles and no contrast agents that may cause allergic reactions. This test has good sensitivity and specificity. Typically duplex ultrasound scan is the only investigation required for decision making in carotid stenosis as it is widely available and rapidly
Internal carotid artery of the posterior communicating artery to the bifurcation of the internal carotid artery. The named branches of the communicating segment are: The internal carotid then divides to form the anterior cerebral artery and middle cerebral artery. The internal carotid artery can receive blood flow via an important collateral pathway supplying the brain, the cerebral arterial circle, which is more commonly known as the Circle of Willis. The following are the branches of the internal carotid artery, listed by segment: The sympathetic trunk forms a plexus of nerves around the artery known as the carotid plexus. The internal carotid nerve arises