"Subclavian Steal Syndrome" with Reversal of Blood Flow in the Right Carotid Artery

1966 ◽  
Vol 64 (1) ◽  
pp. 142 ◽  
Author(s):  
CARLOS M. RAMIREZ-BOETTNER
Keyword(s):  
Blood Flow ◽  
Carotid Artery ◽  
Subclavian Steal Syndrome ◽  
Subclavian Steal ◽  
The Right ◽  
Steal Syndrome

Subclavian steal syndrome

1979 ◽  
Vol 51 (5) ◽  
pp. 628-640 ◽  
Author(s):  
George L. Bohmfalk ◽  
Jim L. Story ◽  
Willis E. Brown ◽  
Arthur E. Marlin
Keyword(s):  
Blood Flow ◽  
Carotid Artery ◽  
Vertebral Artery ◽  
Upper Extremity ◽  
Common Carotid Artery ◽  
Subclavian Steal Syndrome ◽  
Artery Ligation ◽  
Subclavian Steal ◽  
The Brain ◽  
Steal Syndrome

✓ Three patients with central nervous system symptoms due to subclavian steal syndrome were treated with proximal vertebral to common carotid artery transposition. Neurological symptoms were relieved or improved in all three, with no decrease in blood pressure or pulse in the ipsilateral upper extremity. The colorful history of this syndrome is reviewed, and the various surgical approaches to its treatment are discussed. Although the literature suggests that the commonly used carotid to subclavian artery bypass graft and other similar extrathoracic procedures are generally safe and effective for relief of symptoms of the steal, there is also evidence that these bypasses may fail to restore antegrade flow in the vertebral artery, and, in fact, may steal from the carotid artery. Thus, the blood flow provided to the brain by these procedures may be hardly more than that provided by vertebral artery ligation, whereas the principal effect is to restore blood flow into the upper extremity. Vertebral artery ligation alone has been used in 20 patients, with neurological improvement in all cases and production of persistent intermittent brachial claudication in only one. These considerations and our patient experience suggest that a relatively simple operation, proximal vertebral to common carotid artery transposition, which emphasizes restoration of flow to the brain rather than to the upper extremity, may be preferable for most patients with neurological symptoms of subclavian steal syndrome.

Subclavian steal syndrome without Stenosis: A Case Report and Review of the Literature

2020 ◽  
Author(s):  
Zhe Lou ◽  
Youhe Jin ◽  
Jun Yang ◽  
Chunyan Ma ◽  
Qiaobei Li ◽  
...  
Keyword(s):  
Blood Flow ◽  
Vertebral Artery ◽  
Subclavian Artery ◽  
Artery Aneurysm ◽  
Artery Stenosis ◽  
Subclavian Steal Syndrome ◽  
Subclavian Artery Stenosis ◽  
Subclavian Steal ◽  
The Right ◽  
Steal Syndrome

Abstract Background："Stealing" of the subclavian artery is a phenomenon where proximal subclavian artery stenosis or occlusion causes retrograde blood flow in the ipsilateral vertebral artery. This, combined with ischemic symptoms of vertebrobasilar arteries or ipsilateral upper limb artery, is called subclavian steal syndrome. Sometimes, subclavian steal syndrome can occur in patients without subclavian artery stenosis, such as in patients with high-flow arteriovenous dialysis fistulas or subclavian artery aneurysms. Interestingly, compared with classic atherosclerotic subclavian steal syndrome, the former patient is more prone to symptoms like paroxysmal vertigo, drop attacks, diplopia, and arm claudication. Case Presentation ： In our case, we present a 35-year-old male who suffered from paroxysmal vertigo. Clinical physical examination did not reveal any substantial evidence of proximal subclavian artery stenosis. Transcranial Doppler and ultrasonography revealed an abnormal blood flow pattern in the right vertebral artery, consistent with partial subclavian steal syndrome. Ultrasonography and computed tomography angiography showed no stenosis in the right subclavian artery and three aneurysms in the proximal segment. The hypoplastic vertebral artery originated from the third aneurysm. Conclusions ： There are few reports of subclavian steal syndrome caused by subclavian aneurysms in the literature; our case is the first to report partial subclavian steal syndrome caused by multiple aneurysms. Following a literature review, combined with our analysis of this case, we suggest that subclavian artery aneurysm which induced subclavian steal syndrome is an often unnoticed cause of vertigo.

scholarly journals A case of subclavian steal syndrome with a specific form of obstruction of the right proximal subclavian artery.

1988 ◽  
Vol 52 (10) ◽  
pp. 1216-1220 ◽  
Author(s):  
TETSUO ISHIKAWA ◽  
YASUHIKO FUKUDA ◽  
TOSHIMASA ASAHARA ◽  
KIYOHIKO DOHI ◽  
MICHIMASA YUBA
Keyword(s):  
Subclavian Artery ◽  
Specific Form ◽  
Subclavian Steal Syndrome ◽  
Subclavian Steal ◽  
The Right ◽  
Steal Syndrome

The effect of arm exercise on regional cerebral blood flow in the subclavian steal syndrome

1994 ◽  
Vol 168 (2) ◽  
pp. 91-93 ◽  
Author(s):  
Marshall W. Webster ◽  
Levi Downs ◽  
Howard Yonas ◽  
Michel S. Makaroun ◽  
David L. Steed
Keyword(s):  
Blood Flow ◽  
Cerebral Blood Flow ◽  
Regional Cerebral Blood Flow ◽  
Subclavian Steal Syndrome ◽  
Regional Cerebral Blood ◽  
Arm Exercise ◽  
Subclavian Steal ◽  
Steal Syndrome

Subclavian steal syndrome

1979 ◽  
Vol 51 (5) ◽  
pp. 641-643 ◽  
Author(s):  
George L. Bohmfalk ◽  
Jim L. Story ◽  
Willis E. Brown ◽  
Arthur E. Marlin
Keyword(s):  
Carotid Artery ◽  
Vertebral Artery ◽  
Common Carotid Artery ◽  
Subclavian Steal Syndrome ◽  
Flow Rates ◽  
Content Type ◽  
Subclavian Steal ◽  
Before And After ◽  
Antegrade Flow ◽  
Steal Syndrome

✓ Intraoperative vertebral artery blood flow was measured in two patients with symptomatic subclavian steal syndrome, before and after proximal end-to-side vertebral to common carotid artery transposition. This confirmed retrograde flow in the vertebral artery before transposition, and antegrade flow after transposition. The measured flow rates were compared to values in other series involving different operative procedures for correction of symptomatic subclavian steal. The greatest mean antegrade flow rates in the vertebral artery were restored by proximal end-to-side vertebral to common carotid artery transposition.

On the Subclavian Steal Syndrome In Vitro Studies

1992 ◽  
Vol 114 (4) ◽  
pp. 527-532 ◽  
Author(s):  
C. M. Rodkiewicz ◽  
J. Centkowski ◽  
S. Zajac
Keyword(s):  
Blood Flow ◽  
Flow Direction ◽  
Circle Of Willis ◽  
Arterial System ◽  
Subclavian Steal Syndrome ◽  
Prosthetic Heart Valves ◽  
Elastic Model ◽  
The Right ◽  
Steal Syndrome

An elastic model of the arterial system has been used in which a specially designed pumping unit simulated the heart action. Physiological pressures and normal geometry, size, and flow distribution together with the normal cardiac output and use of prosthetic heart valves are the features of the system. Atherosclerosis was simulated by introducing blockages of known cross-section at specific sites of predilection. It has been shown that, for some specific occlusion magnitude in the left or right subclavian, or in the brachycephalic arteries, the stagnant no blood flow condition will appear in the left vertebral, or the right vertebral, or right common carotid, or the right internal carotid arteries. For larger occlusions the blood flow in these arteries reverses its direction, i.e., the “steal syndrome” appears. It is shown that besides the known single steal syndrome there exists also a double steal syndrome, i.e., blood reverses its flow direction simultaneously in two arteries, both on the right side of the arterial system. This blood is taken from the circle of Willis, which at the same time is significantly supplemented by the increased blood flow through the other arteries leading into the circle of Willis.

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