Resolution of ischemic symptoms after percutaneous angioplasty for a symptomatic subclavian artery stenosis

Wrotniak, Leszek; Kabłak‐Ziembicka, Anna; Rosławiecka, Agnieszka; Musiałek, Piotr; Bogacki, Paweł; Trystuła, Mariusz; Żmudka, Krzysztof; Przewłocki, Tadeusz

doi:10.1016/j.jvs.2016.04.031

Cited by 9 publications

(11 citation statements)

References 26 publications

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“…Together, the imaging finding of retrograde vertebral artery blood flow with symptoms of vertebrabasilar insufficiency and presyncope are sometimes resolved by revascularization. 10 In patients with severe subclavian stenosis—as was initially suspected after the discovery of marked discrepancy in bilateral blood pressures—increased blood flow to the ipsilateral arm with exertion can decrease and sometimes reverse blood flow in the vertebral artery immediately distal to the stenotic lesion. These symptoms should prompt the treating clinician to request arterial duplex imaging to interrogate the subclavian and carotid arteries.…”

Section: Discussionmentioning

confidence: 99%

Lights Out: An Unusual Case of Amaurosis Fugax

Parsons¹,

Stoner

Doyle

et al. 2018

The American Journal of Medicine

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Section: Discussionmentioning

confidence: 99%

Lights Out: An Unusual Case of Amaurosis Fugax

Parsons¹,

Stoner

Doyle

et al. 2018

The American Journal of Medicine

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“…The prevalence of brachiocephalic or subclavian artery stenosis is about 0.8%–1.9% in the general population and up to 8.5% in patients with coronary artery disease. 2 Atherosclerotic disease of the supra-aortic trunk vessels, including the innominate artery, subclavian artery, and the common carotid artery, tends to present either as a low-flow state distal to the lesion or as embolic events. 3 A typical brachial blood pressure difference of >20 mm Hg between the upper extremities raises initial suspicion of subclavian stenosis.…”

Section: Discussionmentioning

confidence: 99%

The Use of Transthoracic Echocardiography in Diagnosing Brachiocephalic-Subclavian Artery Stenosis

Anwar

Bullock-Palmer

2018

CASE

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“…4 As stenosis progresses, end-organ ischaemia (upper-extremity ischaemia, posterior fossa ischaemia) may develop, and patients may experience pain or weakness in the arm, pulse defi cit, signifi cant blood pressure diff erences between the two arms, vertigo with arm exercises, fainting, and visual impairment. 5 Th rombocytes play a role in atherosclerosis and arterial thrombosis development. 6 When they are bigger, or when they are heterogeneous in terms of size and density, thrombocytes have more pro-thrombotic activity in terms of enzymatic status and metabolism.…”

Section: Introductionmentioning

confidence: 99%

Subklavyen Arter Darlığı olan Hastalarda Ortalama Trombosit Hacmi

Can¹,

Şahinkuş²,

Kocayiğit³

et al. 2021

Sakarya Medical Journal

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Objective Thrombocytes and mean platelet volume (MPV) are related to atherosclerosis. The purpose of the present study was to investigate the relationship between MPV and subclavian artery stenosis (SAS). Materials and MethodsPatients who were diagnosed with SAS by an angiography performed in the catheter laboratory between September 2010 and September 2015 were included in this study. A control group with similar clinical and demographic characteristics as the patients with SAS in angiographic terms was formed. The MPV and other hemogram values for SAS patients (35 patients) and the patients in the control group (38 patients) were determined retrospectively from the registry system and then compared. ResultsThe two groups were similar to each other in terms of demographic and clinical characteristics. When the hemogram parameters were compared between the groups, the MPV was detected as being significantly higher in patients with SAS (8.07 ± 1.41 vs 7.19 ± 0.52; p = 0.001). ConclusionIn conclusion, this study was the first to find a higher MPV in patients with SAS. Considering both the effect of platelets on atherosclerosis and their close association with other risk factors, MPV level may be an important factor in pathogenesis of SAS.Keywords Atherosclerosis; subclavian arterial stenosis; mean platelet volume ÖzAmaç Trombositler ve ortalama trombosit hacmi ateroskleroz ile ilişkilidir. Bu çalışmanın amacı, ortalama trombosit hacmi ile subklavyen arter darlığı arasındaki ilişkiyi araştırmaktır. Gereç ve YöntemlerSakarya Üniversitesi Eğitim ve Araştırma Hastanesi kateter laboratuvarında Eylül 2010 -Eylül 2015 tarihleri arasında yapılan anjiyografi ile subklavyen arter darlığı tanısı alan hastalar retrospektif olarak çalışmaya dahil edildi. Subklavyen arter darlığı olan hastalar ile anjiyografik açıdan benzer klinik ve demografik özelliklere sahip bir kontrol grubu oluşturuldu. Subklavyen arter darlığı olan hastalar (35 hasta) ve kontrol grubundaki hastalar (38 hasta) için ortalama trombosit hacmi ve diğer hemogram değerleri kayıt sisteminden geriye dönük olarak belirlenmiş ve karşılaştırılmıştır.Bulgular İki grup yaş, cinsiyet, ateroskleroz risk faktörleri, koroner arter hastalığı öyküsü ve ilaç kullanımı açısından birbirine benzerdi. Gruplar arasında hemogram parametreleri karşılaştırıldığında, ortalama trombosit hacmi subklavyen arteriyel darlığı olan hastalarda kontrol grubuna göre anlamlı olarak yüksek saptandı (

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Resolution of ischemic symptoms after percutaneous angioplasty for a symptomatic subclavian artery stenosis

Abstract: Angioplasty of SAS leads to symptom resolution in most patients. UEEI, dizziness, and angina recurrence are predictors of RS or SAS progression; high-sensitivity C-reactive protein, smaller stent diameter, and number of implanted stents predict RS.

Cited by 9 publications

References 26 publications

Lights Out: An Unusual Case of Amaurosis Fugax

Lights Out: An Unusual Case of Amaurosis Fugax

The Use of Transthoracic Echocardiography in Diagnosing Brachiocephalic-Subclavian Artery Stenosis

Subklavyen Arter Darlığı olan Hastalarda Ortalama Trombosit Hacmi

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