Percutaneous Transluminal Laser Guidewire Recanalization of Chronic Subclavian Artery Occlusion in Symptomatic Coronary–Subclavian Steal Syndrome (CSSS)

2004 ◽  
pp. 179-186
Author(s):  
Dietrich Baumgart ◽  
Holger Eggebrecht ◽  
Christoph Naber ◽  
Olaf Oldenburg ◽  
Joerg Herrmann ◽  
...  
Keyword(s):  
Subclavian Artery ◽  
Artery Occlusion ◽  
Subclavian Steal Syndrome ◽  
Subclavian Steal ◽  
Subclavian Artery Occlusion ◽  
Coronary Subclavian Steal Syndrome ◽  
Percutaneous Transluminal ◽  
Steal Syndrome

Axillo-axillary bypass with polytetrafluoroethylene graft for coronary subclavian steal syndrome

Vascular ◽  
2012 ◽  
Vol 20 (4) ◽  
pp. 188-192 ◽  
Author(s):  
Li Po Song ◽  
Jian Zhang
Keyword(s):  
Subclavian Artery ◽  
Artery Occlusion ◽  
Subclavian Steal Syndrome ◽  
Cardiac Complications ◽  
Ptfe Graft ◽  
Subclavian Steal ◽  
Subclavian Artery Occlusion ◽  
Coronary Subclavian Steal Syndrome ◽  
Steal Syndrome

The purpose of this study is to report the results of axillo-axillary bypass (AAB) for coronary subclavian steal syndrome due to proximal subclavian artery occlusion. From 2003 to 2010, AAB using a polytetrafluoroethylene (PTFE) graft was performed in 11 patients with coronary subclavian steal syndrome. There was no perioperative mortality, stroke or cardiac complications. Over a mean follow-up of 36 months (range: 6–81 months), all bypass grafts have remained patent. No patient developed recurrent symptoms of myocardial ischemia. One patient died from hemorrhagic stroke at 31 months. Our results showed that AAB using a PTFE graft provides an effective and durable treatment option for coronary subclavian steal syndrome when attempted endovascular therapy of the occluded proximal subclavian artery is unsuccessful.

scholarly journals Carotid-subclavian Bypass for Subclavian Artery Occlusion associated with Subclavian Steal Syndrome

2008 ◽  
Vol 17 (8) ◽  
pp. 627-632
Author(s):  
Kohei Chida ◽  
Kuniaki Ogasawara ◽  
Masakazu Kobayashi ◽  
Yasunori Suga ◽  
Kenji Yoshida ◽  
...  
Keyword(s):  
Subclavian Artery ◽  
Artery Occlusion ◽  
Subclavian Steal Syndrome ◽  
Subclavian Steal ◽  
Subclavian Artery Occlusion ◽  
Steal Syndrome

scholarly journals Coronary-Subclavian Steal Syndrome: Percutaneous Approach

2013 ◽  
Vol 2013 ◽  
pp. 1-4 ◽  
Author(s):  
Carina Machado ◽  
Luís Raposo ◽  
Sílvio Leal ◽  
Pedro Araújo Gonçalves ◽  
Henrique Mesquita Gabriel ◽  
...  
Keyword(s):  
Subclavian Artery ◽  
Previous History ◽  
Myocardial Revascularization ◽  
Coronary Bypass ◽  
Subclavian Steal Syndrome ◽  
Subclavian Steal ◽  
Artery Graft ◽  
Internal Mammary ◽  
Coronary Subclavian Steal Syndrome ◽  
Steal Syndrome

Coronary subclavian steal syndrome is a rare ischemic cause in patients after myocardial revascularization surgery. Subclavian artery stenosis or compression proximal to the internal mammary artery graft is the underlying cause. The authors present a clinical case of a patient with previous history of non-ST elevation myocardial infarction, triple coronary bypass, and effort angina since the surgery, with a positive ischemic test. Coronary angiography revealed a significant stenosis of the left subclavian artery, proximal to the internal mammary graft.

scholarly journals Ruptured vertebrobasilar junction aneurysm unmasking subclavian steal syndrome

2020 ◽  
Vol 11 ◽  
pp. 419
Author(s):  
Vivek Murumkar ◽  
Shumyla Jabeen ◽  
Sameer Peer ◽  
Aravinda Hanumanthapura Ramalingaiah ◽  
Jitender Saini
Keyword(s):  
Vertebral Artery ◽  
Subclavian Artery ◽  
Subclavian Steal Syndrome ◽  
Left Vertebral Artery ◽  
Vertebrobasilar Insufficiency ◽  
Subclavian Steal ◽  
Subclavian Artery Occlusion ◽  
Retrograde Filling ◽  
Vertebrobasilar Junction ◽  
Steal Syndrome

Background: Subclavian steal occurs due to stenosis or occlusion of the subclavian artery or innominate artery proximal to the origin of the vertebral artery. Often asymptomatic, the condition may be unmasked due to symptoms of vertebrobasilar insufficiency triggered by strenuous physical exercise involving the affected upper limb. The association of vertebrobasilar junction (VBJ) aneurysms with subclavian steal syndrome has been rarely reported. Hereby, we present a case of VBJ aneurysm associated with subclavian steal treated successfully with endovascular coiling. Case Description: A 65-year-old female presented in the emergency department with acute severe headache and vomiting with no focal neurological deficits. Non-contrast computed tomography of the brain showed modified Fischer Grade 3 subarachnoid hemorrhage. Subsequent digital subtraction angiogram (DSA) showed VBJ aneurysm directed inferiorly with the left subclavian artery occlusion. There was retrograde filling of the left vertebral artery on right vertebral injection, confirming the diagnosis of subclavian steal. Balloon assisted coiling of the VBJ aneurysm was performed while gaining access through the stenotic left vertebral artery ostium which provided a more favorable hemodynamic stability to the coil mass. Conclusion: Subclavian steal exerting undue hemodynamic stress on vertebrobasilar circulation can be an etiological factor for the development of the flow-related aneurysms. Access to the VBJ aneurysms may be feasible through the stenosed vertebral artery if angioplasty is performed before the coiling of the aneurysm.

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