Subclavian steal syndrome

Lum, Cindy F.; Ilsen, Pauline F.; Kawasaki, B. S.

doi:10.1016/s1529-1839(04)70034-2

Cited by 17 publications

(13 citation statements)

References 34 publications

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“…Our patient presented with a severe headache, although mentioned in the literature as possible presentation in SCSS [11], we did not find any reported similar case mentioning the headache as the only sign post-TEVAR and reflecting the coverage of left SCA. The headache is reported to be a sign of meningeal hemorrhage following cerebro-spinal fluid (CSF) drainage during TEVAR [12].…”

Section: Discussioncontrasting

confidence: 58%

Postendovascular thoracic aortic repair subclavian steal syndrome revealed by severe headache

Mhamdi

Nakhli

Chelly

et al. 2015

Egyptian Journal of Anaesthesia

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Subclavian steal syndrome (SCSS) has been known since 1960 in the medical literature. Its principal cause is atherosclerosis responsible of occlusion of the subclavian artery (SCA). It is the pathological process in which blood flows in reverse direction from the vertebral artery (VA) to the SCA. Usually asymptomatic, but a variety of symptoms may develop involving the vertebro-basilar and/or the carotid territories and may be precipitated by exercise of the upper extremity. In some circumstances it can be iatrogenic complicating the course of a thoracic endovascular aortic repair (TEVAR) when the left SCA is covered by the endoprosthesis, which is a necessity many times giving the frequent proximity of the acute thoracic pathologies to the origin of this vessel. We present a case of severe headache occurring after a TEVAR with intentional coverage of the origin of the left SCA. This headache was the only symptom from which the patient complained, and which disappeared immediately after carotid-SCA bypass. Other devastating complications can happen, which gave as a concern about the management of SCA when decision to practice a TEVAR is taken.ª 2015 Production and hosting by Elsevier B.V. on behalf of Egyptian Society of Anesthesiologists.

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Section: Discussioncontrasting

confidence: 58%

Postendovascular thoracic aortic repair subclavian steal syndrome revealed by severe headache

Mhamdi

Nakhli

Chelly

et al. 2015

Egyptian Journal of Anaesthesia

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“…It has been noted that patients with reversed vertebral fl ow are often asymptomatic [2,3], and it has been suggested that vertebral reversal fl ow is benign [4]. On the other hand, there have been several reports on CBF reduction and OEF elevation induced by arm exercise in patients with signifi cant stenosis of the extra-and intra-cranial vessels [5,6].…”

Section: Discussionmentioning

confidence: 99%

“…It is recognized that the majority of patients are asymptomatic [2,3], and reversed vertebral fl ow is thought to be benign [4]. However, this phenomenon can also cause symptoms of vertebro-basilar insuffi ciency (VBI) such as vertigo by stealing blood from the basilar artery and/or contralateral VA [1,2] .…”

Section: Introductionmentioning

confidence: 99%

SPECT evaluation of cerebral blood flow during arm exercise in patients with subclavian steal

et al. 2007

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“…The decreased blood flow to the posterior circulation and upper extremity on the affected side results in a range of symptoms of VBI and arm ischemia. 53,54 Rotational vertebral artery syndrome presents with recurrent attacks of vertigo, nystagmus, ataxia, and tinnitus, which are elicited by head rotation-induced compression of the dominant vertebral artery, which leads to hemodynamic ischemia in the vertebrobasilar circulation. 55…”

Section: Karatasmentioning

confidence: 99%