Journals / İstanbul Medical Journal / 2017 / Cilt: 18 - Sayı: 3

A Rare Case of a Patient With Numbness in the Right Arm: Subclavian Steal Syndrome

Sağ Kolda Uyuşma ile Gelen Nadir Bir Olgu: Subklavyen Çalma Sendromu

Pages
87–89
Publication Date
2022-10-19
DOI
—
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

We describe the Doppler ultrasound and conventional angiography findings of the right subclavian artery flow by retrograde flow from the ipsilateral vertebral artery due to right subclavian artery occlusion.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:In subclavian steal syndrome, there is reversal of flow in the ipsilateral vertebral artery with stenosis or occlusion of the subclavian artery or brachiocephalic trunk.
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Key Findings & Data:This clinical syndrome manifests with the signs and symptoms of vertebrobasilar ischemia but can be asymptomatic.
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Conclusion & Impact:We describe the Doppler ultrasound and conventional angiography findings of the right subclavian artery flow by retrograde flow from the ipsilateral vertebral artery due to right subclavian artery occlusion.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

In subclavian steal syndrome, there is reversal of flow in the ipsilateral vertebral artery with stenosis or occlusion of the subclavian artery or brachiocephalic trunk. This clinical syndrome manifests with the signs and symptoms of vertebrobasilar ischemia but can be asymptomatic. Although angiography has been traditionally used to confirm the diag- nosis of subclavian steal syndrome and plan reconstructive surgery in symptomatic patients, Doppler ultrasonography now allowsthe rapid diagnosis and also permits the examination of other extracranial ves- sels. We describe the Doppler ultrasound and conventional angiography findings of the right subclavian artery flow by retrograde flow from the ipsilateral vertebral artery due to right subclavian artery occlusion.

Özet

Subklavyen çalma sendromu, brakiosefalik arter ya da subklavyen arterdedarlık olması durumunda, aynı taraftaki vertebral arterdeki kanakımının tersine dönmesi sonucu oluşan bir durumdur. Bu sendromdahastalar, vertebrobaziler iskemi semptomları ile başvurabilmekle beraberasemptomatik de olabilirler. Konvansiyonel anjiografi, semptomatikhastalarda tanının doğrulanması ve cerrahi düzeltmenin planlanmasıiçin uygulansa da, Doopler ultrasonografi sıklıkla hızlı tanıve diğer extrakranial damarların değerlendirilmesinde kullanılır. BizDoopler ultrasonografi ve konvansiyonel anjiografi yöntemleri ile, aynıtaraflı vertebral arterden retrograd akımla dolan sağ subklavyen arterstenozu saptadığımız hastayı sunmak istedik.

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Cite This Article

TAŞÇANOV, M. B., USALP, S. (2022). A Rare Case of a Patient With Numbness in the Right Arm: Subclavian Steal Syndrome. İstanbul Medical Journal, Cilt: 18 - Sayı: 3, 87–89. https://ajindex.com/articles/552085

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References (7)

  1. Memis A. Akut iskemik inmede radyoloji ve endovasküler sagaltım yöntemleri. Kumral E, Altunhalka A, Aydogdu I, editors. Akut iskemik inme. Istanbul: ARGOS İletisim Hizmetleri Reklamcılık ve Ticaret A.Ş; 2000.p.227-8
  2. Contorni L. The vertebro-vertebral collateral circulation in obliteration of the subclavian artery at its origin. Minerva Chir 1960; 15: 268- 71
  3. Bornstein NM, Norris JW. Subclavian steal: a harmless haemodynamic phenomenon? Lancet 1986; 9;2: 303-5. [CrossRef] 4. Bakar M, Ogul E. Tıkayıcı tip serebrovasküler hastalıklar. Balkan S, Afsar N, Aktan S, editors. Serebrovasküler hastalıklar. Ankara: Günes Kitabevi; 2002.p.82-3
  4. Bradley GW, Daroff BR, Fenichel MG, Marsden CD. Neurology in clinical practice: principles of diagnosis and management. 3rd Ed. Oxford: Butterworth-Heineman; 2000.p.1015-6
  5. Grosset DG, Patterson J, Bone I. Intracranial haemodynamics in Takayasu's arteritis. Acta Neurochirurgica 1992: 119: 161-5. [CrossRef] 7. DeWitt LD, Wechsler LR. Transcranial Doppler. Stroke 1988; 19: 915- 21. [CrossRef] 8. Rabbia C. Doppler sonography of vertebral-subclavian system. Rays 1995; 20: 426-53
  6. Aboyans V, Kamineni A, Allison MA, McDermott MM, Crouse JR, Ni H, et al. The epidemiology of subclavian stenosis and its association with markers of subclinical atherosclerosis: the Multi Ethnic Study of Atherosclerosis (MESA). Atherosclerosis 2010; 211: 266-270. [CrossRef] 10. Burke DR, Gordon RL, Mishkin JD, McLean GK, Meranze SG. Percutaneous transluminal angioplasty of subclavian arteries. Radiology 1987; 164: 699-704. [CrossRef] 11. DeBakey ME, Morris GC, Jordan GL, Cooley DA. Segmental thromboobliterative disease of branches of aortic arch; successful surgical treatment. J Am Med Assoc 1958; 166: 988-1003
  7. Wang KQ, Wang ZG, Yang BZ, Yuan C, Zhang WD, Yuan B, et al. Longterm results of endovascular therapy for proximal subclavian arterial obstructive lesions. Chin Med J (Engl) 2010; 123: 45-50.