6533b7ddfe1ef96bd12748a4

RESEARCH PRODUCT

Optimal interventional treatment in a patient with occlusion of the brachiocephalic trunk and left subclavian artery with “double” steal syndrome

Marek KazibudzkiPiotr JanasMarian SimkaTomasz LudygaPaweł LataczTomasz Mrowiecki

subject

medicine.medical_specialtybusiness.industryVertebral arteryShort Communicationmedicine.diseaseAsymptomaticTrunkSurgerybody regionsStenosismedicine.arteryInternal medicineOcclusioncardiovascular systemmedicineCardiologycardiovascular diseasesmedicine.symptomVertebrobasilar insufficiencyCardiology and Cardiovascular MedicinebusinessSubclavian steal syndromeSubclavian artery

description

Subclavian steal syndrome, which comprises reversal of flow in the ipsilateral vertebral artery with stenosis or occlusion of the subclavian artery (SA) or brachiocephalic trunk (BCT), was first described by Contorni in 1960 [1]. This clinical syndrome manifests with the signs and symptoms of vertebrobasilar insufficiency, but can also be asymptomatic. This paper describes a step-by-step technique of complex endovascular treatment for a double steal syndrome caused by occlusions of the BCT and the left SA, associated with stenosis of the left internal carotid artery (ICA) and reversed flow in the left external carotid artery (ECA).

10.5114/pwki.2015.55609http://europepmc.org/articles/PMC4679806