Dr. Varun Chaudhry
Radiodiagnosis
The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.
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Patient's Query
Hello doctor,
I went through my brain angiography report recently. It was mentioned in the report that multiple attempts were made to catheterize the innominate artery because of “severe tortuosity of the innominate artery.” What does this indicate? I am worried because my doctor never mentioned it to me.
Hello,
Welcome to icliniq.com.
The innominate artery is the right common trunk which gives rise to your right arm (subclavian artery) and neck vessels (common carotid artery). The report (attachment removed to protect the patient's identity) shows that this was difficult to cannulate because the path was tortuous or wavy. But they did manage to perform the angiogram eventually.
Patient's Query
Hello doctor,
Thank you for your suggestion.
Yes, they did manage it. But I read online that this could signify a future vascular problem because it has severe tortuosity of the innominate artery. I am sharing some concerns that worry me. Kindly share your opinion.
1. Could severe tortuosity indicate a future vascular problem?
2. Is this normal?
3. What does it indicate?
Hello,
Welcome back to icliniq.com.
Tortuosity can be age-related and does not always indicate that there is a vascular problem. There is a possibility that one vessel is tortuous, and everything else is fine. I would not go to the extent of saying that it is abnormal, but it can be age-related.
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Radiodiagnosis
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