Bilateral subclavian steal syndrome: Treatment with percutaneous transluminal angioplasty and stent placement

1994 ◽  
Vol 17 (6) ◽  
Author(s):  
HorstJ. Jaeger ◽  
KlausD. Mathias ◽  
Udo Kempkes
Keyword(s):  
Stent Placement ◽  
Percutaneous Transluminal Angioplasty ◽  
Transluminal Angioplasty ◽  
Subclavian Steal Syndrome ◽  
Subclavian Steal ◽  
Percutaneous Transluminal ◽  
Steal Syndrome

scholarly journals Treatment of subclavian steal syndrome with percutaneous transluminal angioplasty and stenting: case report

2003 ◽  
Vol 61 (1) ◽  
pp. 95-99 ◽  
Author(s):  
Felipe Fregni ◽  
Luiz Eduardo Coutinho Castelo-Branco ◽  
Adriana Bastos Conforto ◽  
Fabio Iuji Yamamoto ◽  
Cynthia Resende Campos ◽  
...  
Keyword(s):  
Percutaneous Transluminal Angioplasty ◽  
Left Subclavian Artery ◽  
Therapeutic Option ◽  
Transluminal Angioplasty ◽  
Subclavian Steal Syndrome ◽  
Vertebrobasilar Insufficiency ◽  
Subclavian Steal ◽  
Angioplasty And Stenting ◽  
Percutaneous Transluminal ◽  
Steal Syndrome

Subclavian steal syndrome refers to the association of neurological symptoms related to vertebrobasilar insufficiency and the phenomenon of subclavian steal. We report the case of a 63 year-old male patient that presented subclavian steal syndrome and severe proximal (80%) stenosis of the left subclavian artery. The patient was submitted to percutaneous transluminal angioplasty and stenting on the left SA. The procedure was well tolerated and immediately afterwards, there was complete remission of the symptoms and of the phenomenon of subclavian steal evaluated by angiography and transcranial doppler. We propose that percutaneous transluminal angioplasty with stenting placement is a good therapeutic option for subclavian steal syndrome.

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.

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