| The carotid-artery bifurcation, like most arterial bifurcations, is
a common site of atherosclerotic disease. The common carotid artery divides
in the neck into the external and internal carotid arteries. The external
carotid supplies the face, scalp, neck and throat tissues with freshly oxygenated
blood from the heart, and the internal carotid supplies the anterior portion
of the brain. Immediately above the bifurcation, there is a sinus , or swelling
in the internal carotid that plays an important role in its hemodynamics.
In the color Doppler ultrasound closeup (center) and magnetic-resonance
image (right) of a normal carotid in the area of the bifurcation,
the area denoted by the blue color and small arrow, respectively, is an
area of low-velocity blood flow. The Doppler image was created by ultrasonic
waves reflected from the blood; the apparent change in frequency of theses
waves can be used to derive the velocity of the fluid from which they were
reflected. (From Wolf et al. 1992) |