Treatment of subclavian artery stenosis: A case series

Salman, Reem; Hornsby, Jane; Wright, L.; Elsaid, Tarek; Timmons, Grace; Mudawi, Ahmed; Bhattacharya, Vish

doi:10.1016/j.ijscr.2015.12.011

Cited by 18 publications

(19 citation statements)

References 22 publications

(21 reference statements)

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“…51 Carotid-axillary bypass is less frequently performed, and is preferred in cases with extensive subclavian artery lesions or damage from previous endovascular interventions, in an attempt to avoid the stenotic segment. 52 In conclusion, SSS due to artery stenosis or occlusion is rarely associated with significant symptoms from the posterior circulation. However, in the rare occasion of subclavian artery steal form, the posterior circulation attributed to a dialysis AVF, surgical management is warranted in order to reduce symptoms and prevent permanent neurological sequelae from brain infarcts.…”

Section: Discussionmentioning

confidence: 89%

“…There were no perioperative strokes or deaths, whereas all patients experienced immediate symptom alleviation after surgery . Carotid‐axillary bypass is less frequently performed, and is preferred in cases with extensive subclavian artery lesions or damage from previous endovascular interventions, in an attempt to avoid the stenotic segment …”

Section: Discussionmentioning

confidence: 99%

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Subclavian Steal Syndrome with or without Arterial Stenosis: A Review

Kargiotis¹,

Siahos²,

Safouris

et al. 2016

Journal of Neuroimaging

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The subclavian-vertebral artery steal syndrome (SSS) is the hemodynamic phenomenon of blood flow reversal in the vertebral artery due to significant stenosis or occlusion of the proximal subclavian artery or the innominate artery. Occasionally, SSS is diagnosed in patients not harboring arterial stenosis. With the exception of arterial congenital malformations, the limited case reports of SSS with intact subclavian artery are attributed to dialysis arteriovenous fistulas (AVFs). Interestingly, these cases are more frequently symptomatic than those with the classical atherosclerotic SSS forms. On the other hand, the disclosure of SSS due to subclavian/innominate artery atherosclerotic stenosis, even in the absence of accompanying symptoms, should prompt a thorough cardiovascular work-up for the early detection of coexisting coronary, carotid, or peripheral artery disease. Herein, we review the incidence, clinical presentation, sonographic findings, and therapeutic interventions related to SSS with and without subclavian/innominate artery stenosis. We also review the currently available data in the literature regarding the association of SSS and dialysis AVF. In addition, we present a patient with bilateral symptomatic SSS as the result of an arteriovenous graft (AVG) that was introduced after the preexisting AVF in the contralateral arm became nonfunctional. SSS due to subclavian or innominate artery stenosis/occlusion is rarely symptomatic warranting interventional treatment. In contrast, when it is attributed to AVF, surgical correction is frequently necessary.

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Section: Discussionmentioning

confidence: 89%

Section: Discussionmentioning

confidence: 99%

Subclavian Steal Syndrome with or without Arterial Stenosis: A Review

Kargiotis¹,

Siahos²,

Safouris

et al. 2016

Journal of Neuroimaging

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“…Percutaneous intervention with or without the placement of a stent and surgical approaches are treatment modalities for subclavian steal syndrome (3). The results of the largest series suggested stenting as the treatment of choice in selected patients (4).…”

Section: Discussionmentioning

confidence: 99%

“…In some patients, subclavian steal syndrome can present with symptoms of arterial insufficiency afflicting the brain, typically manifesting as transient brain ischemia (2). Percutaneous interventions have evolved as an effective and safe treatment modality for occlusive lesions of the subclavian and innominate arteries (3). Current guidelines recommend the endovascular-first strategy in patients with atherosclerotic lesions of the upper extremities (1).…”

Section: Introductionmentioning

confidence: 99%

Successful treatment of total occluded innominate artery in a patient with subclavian steal syndrome

et al. 2016

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“…Salman et al have described a case series of SAS and different modalities of intervention [6]. Swaminathan et al have described a case of SAS causing low flow state in brachiocephalic AVF that was treated with percutaneous intervention [7].…”

Section: Discussionmentioning

confidence: 99%

Kink of Subclavian Artery Mimicking Stenosis

Kemal

Günsel

Kocaoğlu

et al. 2016

Case Reports in Cardiology

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The treatment for subclavian artery stenosis includes the more common endovascular therapy rather than surgical intervention in symptomatic patients. We present a case of a 79-year-old man with coronary artery bypass graft where subclavian artery stenosis was found incidentally. In this asymptomatic case, we have merged clinical and multiple imaging modalities to secure the diagnosis and treatment plan.

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Treatment of subclavian artery stenosis: A case series

Cited by 18 publications

References 22 publications

Subclavian Steal Syndrome with or without Arterial Stenosis: A Review

Subclavian Steal Syndrome with or without Arterial Stenosis: A Review

Successful treatment of total occluded innominate artery in a patient with subclavian steal syndrome

Kink of Subclavian Artery Mimicking Stenosis

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