Percutaneous Transluminal Angioplasty Using a Kissing Balloon Technique for Stenosis at the Bifurcation of the Left Vertebral Artery and the Suhclavian Artery

1993 ◽  
Vol 2 (4) ◽  
pp. 337-340
Author(s):  
Takahisa Mori ◽  
Masahiko Arisawa ◽  
Masaaki Fukuoka ◽  
Shinya Honda ◽  
Koreaki Mori ◽  
...  
Keyword(s):  
Vertebral Artery ◽  
Percutaneous Transluminal Angioplasty ◽  
Transluminal Angioplasty ◽  
Left Vertebral Artery ◽  
Kissing Balloon Technique ◽  
Balloon Technique ◽  
Percutaneous Transluminal

Subclavian steal syndrome in a hemodialysis patient after percutaneous transluminal angioplasty of arteriovenous access

2018 ◽  
Vol 19 (4) ◽  
pp. 404-408 ◽  
Author(s):  
Yoko Kaneko ◽  
Takamoto Yanagawa ◽  
Yoshinori Taru ◽  
Sonoko Hayashi ◽  
Hong Zhang ◽  
...  
Keyword(s):  
Vertebral Artery ◽  
Arteriovenous Fistula ◽  
Percutaneous Transluminal Angioplasty ◽  
Transluminal Angioplasty ◽  
High Flow ◽  
Subclavian Steal Syndrome ◽  
Left Vertebral Artery ◽  
Subclavian Steal ◽  
Percutaneous Transluminal ◽  
Steal Syndrome

Introduction: We describe a hemodialysis patient who developed subclavian steal syndrome via an arteriovenous fistula after percutaneous transluminal angioplasty. Case description: A 55-year-old female with end-stage renal failure due to polycystic kidney disease had been treated with hemodialysis for 10 years. Because of an autologous arteriovenous fistula stenosis, percutaneous transluminal angioplasty was performed. After successful treatment with percutaneous transluminal angioplasty, the patient developed dizziness. Magnetic resonance imaging with angiography of the brain and neck revealed normal bilateral subclavian and carotid arteries. However, flow in the left vertebral artery was not detected in time-of-flight magnetic resonance angiography. The left vertebral artery showed completely reversed blood flow as detected by color duplex ultrasound. We also confirmed anterograde flow in the left vertebral artery by color duplex ultrasound with arteriovenous fistula compression. Arteriovenous flows before the arteriovenous fistula stenosis and post-percutaneous transluminal angioplasty were 1146 and 2239 mL/min, respectively. These findings suggested high-flow arteriovenous fistula led to the subclavian steal syndrome. The patient was subsequently treated by a flow reduction in the high-flow arteriovenous access using a modified graft inclusion technique. We decreased the arteriovenous fistula flow to 851 mL/min, which remained under 850 mL/min, 1 year later. The brain natriuretic peptide level and right-ventricular pressure also decreased after treatment. A modified graft inclusion technique was successful in decreasing the high flow of the arteriovenous fistula, and improved subclavian steal syndrome symptom and cardiac overload. Conclusion: This case shows that percutaneous transluminal angioplasty for an arteriovenous fistula may induce subclavian steal syndrome, and a modified graft inclusion technique was useful in improving the high flow of an arteriovenous fistula.

scholarly journals Percutaneous transluminal angioplasty for suspected vertebral artery stump syndrome

2020 ◽  
Vol 33 (6) ◽  
pp. 520-524
Author(s):  
Kazunori Oda ◽  
Masayuki Noda ◽  
Toshihiro Ishibashi ◽  
Minoru Kogiku ◽  
Katsutoshi Abe ◽  
...  
Keyword(s):  
Vertebral Artery ◽  
Rare Disease ◽  
Percutaneous Transluminal Angioplasty ◽  
Transluminal Angioplasty ◽  
Acute Onset ◽  
Posterior Circulation ◽  
Left Vertebral Artery ◽  
Collateral Flow ◽  
Disturbance Of Consciousness ◽  
Percutaneous Transluminal

Vertebral artery stump syndrome is a rare disease associated with a posterior circulation stroke after vertebral artery origin occlusion. However, few reports have addressed its management. We herein present a case involving a patient with vertebral artery stump syndrome who underwent successful intravascular intervention. We also present a literature review of previous cases of this rare disease. The present case involved a 91-year-old man with acute onset of vertigo and disturbance of consciousness. Diffusion-weighted imaging showed an acute ischaemic stroke in the bilateral cerebellar hemispheres. Magnetic resonance angiography revealed left vertebral artery origin occlusion. Angiography detected a nearly occluded left vertebral artery site, with distal antegrade collateral flow via the deep cervical artery at the C6 level. We observed intravascular stasis at the proximal end of the left vertebral artery via the collateral flow. We performed percutaneous transluminal angioplasty towards the occluded left vertebral artery site. The flow from the left vertebral artery was significantly improved. This is the first report of percutaneous transluminal angioplasty performed for vertebral artery stump syndrome. Although vertebral artery stump syndrome has a high risk of recurrence and a poor prognosis, endovascular intervention showed a better outcome than pharmacotherapy in our patient. However, such cases are rare and further investigations are needed.

scholarly journals The Detection of Debris Caused by Percutaneous Transluminal Angioplasty of Vertebral Artery Origin Stenosis

2006 ◽  
Vol 34 (4) ◽  
pp. 299-303
Author(s):  
Yuko NONAKA ◽  
Kenichi MURAO ◽  
Takayuki KIKUCHI ◽  
Junichi AYABE ◽  
Masafumi MORIMOTO ◽  
...  
Keyword(s):  
Vertebral Artery ◽  
Percutaneous Transluminal Angioplasty ◽  
Transluminal Angioplasty ◽  
Percutaneous Transluminal

scholarly journals Evaluation of Percutaneous Transluminal Angioplasty for Symptomatic Intracranial Vertebral Artery Stenosis

2009 ◽  
Vol 37 (3) ◽  
pp. 179-183
Author(s):  
Koichi HARAGUCHI ◽  
Kentaro TOYAMA ◽  
Takaaki KATO ◽  
Hiroshi MANABE ◽  
Yasuo SAKAMOTO ◽  
...  
Keyword(s):  
Vertebral Artery ◽  
Percutaneous Transluminal Angioplasty ◽  
Transluminal Angioplasty ◽  
Artery Stenosis ◽  
Vertebral Artery Stenosis ◽  
Percutaneous Transluminal
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