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Subclavian steal syndrome

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https://www.readbyqxmd.com/read/29850269/treatment-of-an-unusual-occurrence-of-a-complex-left-subclavian-artery-left-internal-mammary-artery-bifurcation-stenosis-in-the-setting-of-coronary-subclavian-steal-syndrome-and-ischemic-left-ventricular-systolic-dysfunction
#1
Michael J Martinelli, Michael B Martinelli
This case will illustrate the clinical and unique technical challenges, not previously reported, in a patient with a history of progressive left ventricular (LV) systolic dysfunction, congestive heart failure (CHF), myocardial infarction (MI), and a complex bifurcation lesion of the left subclavian artery (SA) involving the left internal mammary artery (LIMA) in the setting of coronary subclavian steal syndrome (CSSS). The approach to this lesion is complicated by significant LIMA involvement requiring intervention directed toward both the SA and the LIMA in the presence of severe LV systolic dysfunction...
2018: Case Reports in Cardiology
https://www.readbyqxmd.com/read/29681225/the-united-kingdom-and-ireland-experience-of-the-haemodialysis-reliable-outflow-graft-for-vascular-access
#2
James P Hunter, Simon R Knight, N Inston, D Ridway, A Tavakoli, S Suttie, D Kingsmore, T Brown, S Sultan, J Gilbert
OBJECTIVES: To describe the UK and Ireland experience of the Haemodialysis Reliable Outflow graft in complex vascular access. DESIGN: Observational, multi-centre case series. METHODS: Data from any patient undergoing Haemodialysis Reliable Outflow graft were collected from eight UK and one Irish centre. Any Haemodialysis Reliable Outflow procedure between July 2013 and May 2016 was included. Demographics, primary and secondary patency rates, and complications were analysed...
April 1, 2018: Journal of Vascular Access
https://www.readbyqxmd.com/read/29529969/subclavian-steal-syndrome-in-a-hemodialysis-patient-after-percutaneous-transluminal-angioplasty-of-arteriovenous-access
#3
Yoko Kaneko, Takamoto Yanagawa, Yoshinori Taru, Sonoko Hayashi, Hong Zhang, Tomoki Tsukahara, Tsuneaki Matsunaga, Takashi Ishizu
INTRODUCTION: We describe a hemodialysis patient who developed subclavian steal syndrome via an arteriovenous fistula after percutaneous transluminal angioplasty. CASE DESCRIPTION: A 55-year-old female with end-stage renal failure due to polycystic kidney disease had been treated with hemodialysis for 10 years. Because of an autologous arteriovenous fistula stenosis, percutaneous transluminal angioplasty was performed. After successful treatment with percutaneous transluminal angioplasty, the patient developed dizziness...
March 1, 2018: Journal of Vascular Access
https://www.readbyqxmd.com/read/29492942/coronary-subclavian-steal-syndrome-presenting-with-stable-angina
#4
Ihsen Zairi, Khadija Mzoughi, Zouhaier Jnifene, Marouene Boukhris, Kaies Mrabet, Sondos Kraiem
No abstract text is available yet for this article.
April 2017: La Tunisie Médicale
https://www.readbyqxmd.com/read/29466902/aberrant-left-subclavian-artery-occlusion-in-right-sided-aortic-artery-associated-with-left-cerebral-infarction-a-case-report
#5
Akira Tempaku, Terumasa Kuroiwa, Akimasa Nishio
Purpose Right-sided aortic arch is a rare vessel anomaly with an incidence of 0.1% worldwide. Supra-aortic branches form a mirror image of the left-sided aortic arch or an aberrant left subclavian artery associated with Kommerell diverticulum. Most patients are diagnosed by a difference in blood pressure in each upper extremity or by the presence of left subclavian steal syndrome in their younger age. The diagnosis of onset of ischemic stroke in middle age is rare. Methods We present the case of a female patient who presented with an ischemic stroke in the left posterior circulation area...
January 1, 2018: Interventional Neuroradiology
https://www.readbyqxmd.com/read/29421416/primary-stenting-of-right-sided-subclavian-artery-stenosis-presenting-as-subclavian-steal-syndrome-report-of-3-cases-and-literature-review
#6
Georgios Sahsamanis, Georgios Vourliotakis, Konstantinos Pirgakis, Anastasios Lekkas, Ioannis Kantounakis, Alexandra Terzoglou, Vasileios Tzilalis
BACKGROUND: Right-sided subclavian artery stenosis (SAS) is a rare cerebrovascular disease involving the upper extremities. Considering an endovascular approach for its management requires increased endovascular and catheterization skills when compared with the left side, due to the close approximation of the right subclavian artery origin, vertebral, and common carotid arteries. METHODS: Three patients suffering from proximal right-sided SAS were treated in our center through primary stenting...
April 2018: Annals of Vascular Surgery
https://www.readbyqxmd.com/read/29349399/subclavian-steal-syndrome-without-subclavian-stenosis
#7
Matt Cwinn, Sudhir Nagpal, Prasad Jetty
Subclavian steal syndrome (SSS) has been well described in the setting of subclavian stenosis. We describe an unusual case of SSS caused by a high-flow arteriovenous dialysis fistula in the absence of subclavian stenosis, provide a review of the literature, and propose that arteriovenous fistula-induced SSS is an underdiagnosed cause of syncope in this population of patients.
September 2017: Journal of Vascular Surgery Cases and Innovative Techniques
https://www.readbyqxmd.com/read/29328023/features-of-formation-of-collateral-circulation-in-patients-with-subclavian-steal-syndrome
#8
I Kopolovets, P Štefanič, V Rusyn, Š Tóth, V Mashura, P Berek
To date in patients with subclavian steal syndrome diagnosis is only grade of stenosis or localization of occlusion described. Authors recommend to take into account also type of a collateral compensation of cerebral circulation for selection of an optimal treatment The objective of the research was to study the features of formation of collateral circulation in patients with subclavian steal syndrome. The authors described changes in the direction of blood flow in the extracranial vessels of 42 patients with subclavian steal syndrome...
December 2017: Georgian Medical News
https://www.readbyqxmd.com/read/29275015/an-unusual-cause-of-ischemia-after-coronary-bypass-grafting
#9
Rania Hammami, Salma Charfeddine, Nizar Elleuch, Hela Fourati, Leila Abid, Samir Kammoun
Coronary subclavian steal syndrome is an uncommon cause of ischemia recurrence after coronary artery bypass grafting. Endovascular treatment of subclavian artery stenosis or occlusion is increasingly common and appears to offer a safe and effective alternative to surgical revascularization. We report a case of recurrent angina after coronary artery bypass grafting for critical subclavian artery stenosis. The anomalous origin of the vertebral artery from the aortic arch was an indication for endovascular treatment...
January 2018: Portuguese Journal of Cardiology: An Official Journal of the Portuguese Society of Cardiology
https://www.readbyqxmd.com/read/29167977/thoracic-epidural-haematoma-due-to-a-subclavian-steal-syndrome-and-secondary-formed-thoracic-collateral-circuits-coincidence-or-consequence-a-case-report
#10
Ravian K R W Wettstein, Bas F W van der Kallen, Wouter A Moojen, Rishi Nandoe Tewarie
Despite profound diagnostics, the aetiology of spinal epidural haematoma (SEH) often remains unknown. In this case, diagnostics revealed an SEH at the fifth and sixth thoracic levels due to a subclavian steal syndrome with a tortuous vascular loop between the sixth thoracic intercostal artery and the costocervical arteries deriving from the left subclavian artery with plump arteries in the epidural space. The patient underwent decompression surgery and a percutaneous transluminal angioplasty. The patient showed good recovery at follow-up...
January 2018: Acta Neurochirurgica
https://www.readbyqxmd.com/read/29117811/a-new-endovascular-technique-for-the-treatment-of-dialysis-associated-steal-syndrome
#11
Enrico Ascher, Jacob E Mandel, Natalie A Marks, Anil P Hingorani
Background Dialysis access-associated steal syndrome is a major complication of arteriovenous fistula creation whereby the low-resistance venous conduit shunts arterial inflow through the anastomosis, resulting in clinically significant distal artery insufficiency. Herein, we describe a case of severe steal phenomenon with gangrene of a digit following placement of an arteriovenous fistula that was treated with a novel, entirely endovascular technique. To our knowledge, this was the first totally endovascular approach to dialysis access-associated steal syndrome...
January 1, 2017: Vascular
https://www.readbyqxmd.com/read/29039155/successful-anesthetic-management-in-axillo-axillary-bypass-surgery
#12
Dilek Altun, Özlem Çınar, Emre Özker, Ayda Türköz
Axillo-axillary bypass grafting is considered the operation of choice for patients with subclavian steal syndrome. Anesthetic management of high-risk patients with coronary-subclavian steal syndrome presents safety and technical challenges. Presently described is case of chronic obstructive lung disease and coronary artery disease in a 52-year-old man who required axillo-axillary bypass surgery to treat stenosis at the origin of left subclavian artery. Successful anesthetic management was achieved for patient undergoing axillary-axillary bypass surgery using a cervical epidural technique...
July 2017: Aǧrı: Ağrı (Algoloji) Derneği'nin Yayın Organıdır, the Journal of the Turkish Society of Algology
https://www.readbyqxmd.com/read/28948802/-subclavian-steal-carotid-recovery-phenomenon-old-school-surgical-procedure
#13
D Janák, K Vik, V Rohn
Subclavian steal-carotid recovery phenomenon appears to be related to the occlusion of the truncus brachiocephalicus and can be a rare cause of neurological deficit. In this syndrome, the right common carotid artery and right subclavian artery are filled with retrograde flow from the ipsilateral vertebral artery. We present a patient with this type of steal syndrome managed by a classical surgical procedure for stent reocclusion in the truncus brachiocephalicus.Key words: steal phenomenon endarterectomy truncus brachiocephalicus...
2017: Rozhledy V Chirurgii: Měsíčník Československé Chirurgické Společnosti
https://www.readbyqxmd.com/read/28762925/-angina-recurrence-after-coronary-artery-bypass-grafting-caused-by-the-coronary-subclavian-steal-syndrome
#14
E R Carchyan, A B Stepanenko, A P Gens, V A Panfilov, Yu V Belov
We present two cases of surgical treatment of patients with coronary artery steal syndrom and multifocal atherosclerosis, who previously underwent coronary artery bypass grafting using left internal mammary artery. In both cases carotid-subclavian bypass was performed through supraclavicular access using synthetic prosthesis. This method allowed to restore blood flow in the left internal mammary artery, eliminate recurrent angina pectoris, and improve patients quality of life. The article also contains descriptions of possible methods of surgical correction of this pathology, their advantages and disadvantages...
May 2017: Kardiologiia
https://www.readbyqxmd.com/read/28703266/a-hybrid-treatment-of-kommerell-diverticulum-saccular-aneurysm-in-a-patient-with-subclavian-steal-syndrome
#15
Piotr K Kaszczewski, Tomasz Ostrowski, Zbigniew Gałązka
No abstract text is available yet for this article.
2017: Kardiologia Polska
https://www.readbyqxmd.com/read/28635874/-subclavian-steal-syndrome
#16
A V Zavaruev
Literature data on the etiology, clinical picture, diagnostic variants and treatment of subclavian steal syndrome are reviewed. Different clinical variants and neurological symptoms of the syndrome are described. Multispiral computed tomography, along with ultrasound examination, is important in the diagnosis of the syndrome and its causes. The use of other methods is necessary for more accurate diagnosis and prevention of perioperative complications. The character of damage of subclavian arteries and brachiocephalic stem should be taken into account in the choice of an optimal method of surgical treatment...
2017: Zhurnal Nevrologii i Psikhiatrii Imeni S.S. Korsakova
https://www.readbyqxmd.com/read/28565803/endovascular-treatment-and-morphology-typing-of-chronic-ostial-occlusion-of-the-subclavian-artery
#17
Jing-Liang Zhang, Wei Tong, Jian-Feng Lv, Lu-Xiang Chi
Chronic obstructive lesions of the subclavian artery (SCA) often result in subclavian steal syndrome, which leads to arm claudication, transient cerebral ischemia, and other serious complications. The lesions are classified as stenosis and occlusion, according to the degree of obstruction. Unlike totally occlusive lesions, including ostial occlusions, stenotic lesions have an excellent technical success rate. In the present study, ostial occlusions were classified into 4 types according to their angiographic appearance...
May 2017: Experimental and Therapeutic Medicine
https://www.readbyqxmd.com/read/28429699/quantitative-assessment-of-the-effect-of-subclavian-steal-syndrome-on-left-anterior-descending-artery-flow
#18
Hasan Arı, Selma Arı, Sencer Camcı, Alper Karakuş, Mehmet Melek
We presented a case of subclavian steal syndrome which has been evaluated and treated quantitatively by using fractional flow reserve technique. Treatment strategy to resolve symptoms of angina in patients with steal syndrome is controversial. Quantitative evaluation should direct choice of treatment strategy.
April 2017: Türk Kardiyoloji Derneği Arşivi: Türk Kardiyoloji Derneğinin Yayın Organıdır
https://www.readbyqxmd.com/read/28416323/review-of-coronary-subclavian-steal-syndrome
#19
REVIEW
Bennett Cua, Natasha Mamdani, David Halpin, Sunny Jhamnani, Sasanka Jayasuriya, Carlos Mena-Hurtado
The clinical benefits of using the left internal mammary artery (LIMA) to bypass the left anterior descending artery are well established making it the most frequently used conduit for coronary artery bypass surgery (CABG). Coronary subclavian steal syndrome (CSSS) occurs during left arm exertion when (1) the LIMA is used during bypass surgery and (2) there is a high grade (≥75%) left subclavian artery stenosis or occlusion proximal to the ostia of the LIMA resulting in "stealing" of the myocardial blood supply via retrograde flow up the LIMA graft to maintain left upper extremity perfusion...
November 2017: Journal of Cardiology
https://www.readbyqxmd.com/read/28401711/screening-for-subclinical-subclavian-artery-stenosis-before-coronary-artery-bypass-grafting-should-we-do-it
#20
REVIEW
Ali Abdul Jabbar, Justin Houston, Mark Burket, Zachary J Il'Giovine, Bal K Srivastava, Ajay Agarwal
Atherosclerotic subclavian artery disease is detected in about 5% of patients referred for coronary artery bypass (CABG) surgery. The internal mammary artery, a branch of the subclavian artery, is the most frequently utilized graft to restore coronary circulation because of its longevity. Stenosis or occlusion of the subclavian artery can cause retrograde blood flow in the ipsilateral internal mammary artery, known as "steal," compromising coronary circulation supplied by the graft. Steal may be asymptomatic or may result in symptoms of myocardial ischemia...
June 2017: Echocardiography
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