Subclavian-steal-Syndrom

Heidrich, H

doi:10.1007/bf02119477

Cited by 9 publications

(2 citation statements)

References 99 publications

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“…In Abhängigkeit von Verschlußmorphologie und Verlauf präexistenter Kollateralbahnen läßt sich fallweise ein hämodynamisch interessanter Steal-Mechanismus mit Änderung der Blutverteilung zu Lasten der Hirnversorgung antreffen (5,11,14,27,28,39). Während solchen supraaortischen Schlagaderverschlüssen in der überwiegenden Mehrzahl der Fälle die Arteriosklerose zugrunde liegt und entzündliche Prozesse nur im fernöstlichen Raum numerisch eine Rolle spielen, sind kongenitale Ursachen ausgesprochen selten.…”

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Kongenitales, inkomplettes Aortenbogensyndrom als ungewöhnliche Ursache einer Hirndurchblutungsstörung mit Steal-Symptomatik

Müller-Wiefel¹,

Haage²

1976

Thorac cardiovasc Surg

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A subclavian-steal-syndrome of a congenital origin is a rare observation. The authors report on a 27 years old female patient with characteristic symptoms. The vascular deformity consisted of a right-sided aortic arch, a right descending aorta, separate origins of the anonymous and the right carotid arteries, and an aplasia of the proximal parts of the left carotid and the left subclavian arteries. A combined dacron-venous-bypass was placed from the ascending aorta to the left arm-neck arteries and thus cerebral circulation was improved and the patient got free from symptoms. Special problems of morphology and hemodynamics are discussed on the hand of arteriograms.

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Kongenitales, inkomplettes Aortenbogensyndrom als ungewöhnliche Ursache einer Hirndurchblutungsstörung mit Steal-Symptomatik

Müller-Wiefel¹,

Haage²

1976

Thorac cardiovasc Surg

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“…3 Up to now, the German literature has published some 27 compositions on subclavian steal syndrome and reported on 97 cases (table 1). Up to now we have noticed some 203 publications and 386 cases described in the Anglo-American as well as German and French literature, of which information was given lately in a comprehensive summary.…”

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Symptomatology of the Subclavian Steal Syndrome

Heidrich¹,

Bayer

1969

Angiology

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The subclavian steal syndrome, at first angiographically observed by Co-torni7 in 160, and according to clinical experiments determined by Reivich et a1.2 in 1961, has expectedly gained practical importance in the past years. Up to now we have noticed some 203 publications and 386 cases described in the Anglo-American as well as German and French literature, of which information was given lately in a comprehensive summary.3 Up to now, the German literature has published some 27 compositions on subclavian steal syndrome and reported on 97 cases (table 1). In the Anglo-American literature, comparable summary reports were submitted by Patel and Toole, 29 Killen et al.,3° Santschi et a1.31 and Solnitzky.32 Recently, Labauge et al.33 also published results of an important case analysis.A subclavian steal syndrome is to be understood as an occlusion or a stenosis of the initial part of a subclavian artery situated before the origin of the vertebral artery or of the a. innominata (tr. brachiocephalicus) in connection with a retrograde blood circulation of the reciprocal vertebral artery ( fig. 1). The return of the vertebral circulation is induced by a poststenotic fall of blood pressure in the peripheral subclavian artery and leads to a decrease of the cerebral circulation power, the so-called &dquo;steal&dquo; or &dquo;syphoning&dquo; effect. The size of this steal volume is variable with physical rest as well as under burden, and subject to the extent of the pre-to postvertebral incline of pressure, of luminary space of the vertebral artery and finally of the presence of further closes or stenosis on other intra-and extracerebral vessels.The most frequent cause of a subclavian steal syndrome is arterial sclerotic variabilities, while least of all congenital aplasia or atresia, traumatic stenosis, operative steal syndromes according to Blalock-Taussig and Claget operations and embolisms are taken as a basis.According to our analysis,3 there are observed about two to three times more men than women out of 207 cases with the subclavian steal syndrome. The climax of frequency of this illness lies between the 50th and 55th years of age at either sex (men: 52.3 years of age; women: 49.0 years of age) corresponding to the most arteriosclerotic genesis of the state of disease. The left subclavian artery is about 2 to 2.5 times more often attacked than the right one combined with innominata ( fig. 1). Bilateral subclavian steal syndromes occur by about 1 to 2 per cent. Out of 89 cases, 77 per cent suffered from a total stop and 23 per cent from a stenosis, and out of 97 cases, 53 per cent suffered from

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Verlaufsbeobachtungen bei chronischen Verschlüssen der Aortenbogengefäße

Held

Jipp

1972

Verhandlungen Der Deutschen Gesellschaft Für Innere Medizin

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Subclavian-steal-Syndrom

Cited by 9 publications

References 99 publications

Kongenitales, inkomplettes Aortenbogensyndrom als ungewöhnliche Ursache einer Hirndurchblutungsstörung mit Steal-Symptomatik

Kongenitales, inkomplettes Aortenbogensyndrom als ungewöhnliche Ursache einer Hirndurchblutungsstörung mit Steal-Symptomatik

Symptomatology of the Subclavian Steal Syndrome

Verlaufsbeobachtungen bei chronischen Verschlüssen der Aortenbogengefäße

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