Kathrine Arntzen, Karl B Alstadhaug
BACKGROUND: Room tilt illusion (RTI) is a rare symptom of higher vestibular dysfunction, consisting of a transient vertical rotation of the visual scene in the sagittal or coronal plane, most often 90o or 180o , without any alteration in shape, size and color of objects. CASE PRESENTATION: A 63-year-old woman with a history of hypertension and chronic obstructive pulmonary disease went through an uncomplicated aortobifemoral graft surgery due to aortoiliac occlusive disease...
October 8, 2020: BMC Neurology
Mostafa Vasigh, Fidel Martinez, Bashar Ibeche, Syed Huda, Hani Kozman
Coronary subclavian steal syndrome (CSSS) is one of the rare complications of coronary artery bypass graft surgery (CABG). This phenomenon is a potential complication after left internal mammary artery (LIMA) to left anterior descending artery (LAD) CABG. A proximal stenosis of the left subclavian artery (SA) could cause retrograde flow from LIMA to left SA, which characterizes the mechanism of CSSS. We describe a unique case of recurrent CSSS in a 64-year-old female who presented with one month of exertional dyspnea and acute onset chest pain...
August 17, 2020: Curēus
Philip Dueppers, Nikolaos Floros, Hubert Schelzig, Markus Wagenhäuser, Mansur Duran
OBJECTIVE: An aberrant right subclavian artery (ARSA) is in the majority of cases an asymptomatic aortic arch anomaly. However, dysphagia, aneurysm formation (ARSAA), associated Kommerell diverticulum (KD) or cerebellar/arm malperfusion may require invasive therapy. Large-scale clinical trials do not exist in current literature. We report our patient's outcome of a single-center experience and delineate indications for treatment and surgical techniques. METHODS: A single-center retrospective study was conducted between January 1, 2012 through March 1, 2018...
September 16, 2020: Annals of Vascular Surgery
Nan Ding, Jian Guo, Yongli Cao, Hanlu Yi, Xiaofeng Li
No abstract text is available yet for this article.
September 17, 2020: Journal of Paediatrics and Child Health
Daisuke Miyawaki, Tetsuya Nomura, Hiroshi Kubota, Naotoshi Wada, Natsuya Keira, Tetsuya Tatsumi
No abstract text is available yet for this article.
September 15, 2020: Cardiovascular Intervention and Therapeutics
Hassan M Lak, Rohan Shah, Beni Rai Verma, Eric Roselli, Francis Caputo, Bo Xu
Coronary subclavian steal syndrome (CSSS) is a rare cause of angina. It occurs in patients with prior coronary artery bypass grafting and, specifically, a left internal mammary artery (LIMA) to left anterior descending artery (LAD) graft and co-existent significant subclavian artery stenosis. In this context, there is retrograde blood flow through the LIMA to LAD graft to supply the subclavian artery beyond the significant stenosis. This potentially occurs at the cost of compromising coronary artery perfusion dependent on the LIMA graft...
July 10, 2020: Cardiology
Zhe Lou, Youhe Jin, Jun Yang, Li Tang, Chunyan Ma, Qiaobei Li, Xu Wang
No abstract text is available yet for this article.
June 23, 2020: Vascular Medicine
Mafalda Massara, Antonino Alberti, Pietro Volpe
We conducted an analysis to assess early and mid-term outcomes of patients after thoracic endovascular aortic repair (TEVAR) for type B thoracic aorta dissection, descending thoracic aneurysm, or traumatic aortic transection. From January 2016 through December 2018, twenty-seven patients (23 male, 4 female, mean age of 57 years) affected by type B dissection (n = 13 [48.2%]), thoracic aneurysm (n = 9 [33.3%]), and post-traumatic aortic isthmus rupture (n = 5 [18.5%]) were treated using TEVAR with and without left subclavian artery revascularization...
March 2020: Seminars in Vascular Surgery
Rebecca Zener, Jeff Jaskolka, Graham Roche-Nagle
The prevalence of subclavian artery (SA) stenosis is approximately 2%. The exact prevalence of extracranial vertebral artery (VA) stenosis is undetermined, with estimates ranging from 7% to 40%. Nearly 25% of ischaemic strokes involve the vertebrobasilar circulation, and arteriosclerotic disease and narrowing of the proximal VA may be the cause for up to one-fifth of these incidents. The bulk of SA stenoses occur proximally to the ostium of the VA. Vertebrobasilar ischaemia can be caused both by VA and SA stenosis...
May 18, 2020: BMJ Case Reports
Guochen Niu, Ziguang Yan, Bihui Zhang, Min Yang
Objectives and Background: To review technical details and long-term outcomes of endovascular treatment of chronic total occlusion (CTO) of the subclavian artery. Methods: From January 2010 to May 2017, 23 patients (17 male; median age, 65 years) underwent endovascular treatment for CTO of the subclavian artery. All lesions had been diagnosed by duplex scanning or computed tomography angiography before treatment. Sixteen (70.0%) patients had symptoms of vertebrobasilar insufficiency, 6 (26.1%) patients had symptoms of arm ischemia, and 2 (8...
2020: Frontiers in Neurology
Ali F AbuRahma, Andrew Lee, Elaine Davis, L Scott Dean
BACKGROUND: Concomitant carotid endarterectomy (CEA) (for severe internal carotid artery (ICA) stenosis) and carotid subclavian bypass (CSBP) grafting (for proximal common carotid artery (CCA) or subclavian artery occlusions) is rarely utilized with only few studies were reported. This report will analyze early and late clinical outcome of the largest study to date of the combined procedures in our institution. METHODS: Electronic medical records of patients who had concomitant CEA with CSBP over 3 decades were analyzed...
April 29, 2020: Journal of Vascular Surgery
Natsuki Onishi, Tomo Komaki, Masayuki Nakamura, Tadaaki Arimura, Joji Morii, Masahiro Ogawa, Shin-Ichiro Miura
An 81-year-old man presented with shortness of breath and was referred to our hospital with suspected acute pulmonary embolism. Enhanced computed tomography revealed a right aberrant subclavian artery with a thrombosed Kommerell diverticulum (KD), as well as deep vein thrombosis in the left leg and bilateral pulmonary artery thrombosis. Thrombosis in the KD disappeared after one month of anticoagulation treatment with rivaroxaban. Thrombosis of a KD is a rare condition that may cause distal emboli and subclavian steal syndrome, although this syndrome was not present in this case...
April 23, 2020: Internal Medicine
Adel Elkbuli, Saamia Shaikh, John D Ehrhardt, Mark McKenney, Dessy Boneva
BACKGROUND Thyrocervical trunk pseudoaneurysms are rare complications that have been documented after internal jugular or subclavian venous cannulation. Even less common, these pseudoaneurysms can arise after blunt or penetrating trauma. Clinical hallmarks include an expanding supraclavicular mass with local compressive symptoms such as paresthesias, arterial steal syndrome, and Horner's syndrome. Patients may be asymptomatic, however, or present with overlying ecchymosis or the presence of a new bruit or thrill...
March 8, 2020: American Journal of Case Reports
E Dinoto, F Pecoraro, D Mirabella, F Ferlito, A Farina, N Lo Biundo, P Conti, G Bajardi
The first line approach for subclavian steal syndrome is PTA-stenting of subclavian artery. When the ipsilateral vertebral artery origin is involved or in closed proximity of the atherosclerotic lesion in the subclavian artery PTA-stenting is at risk of ipsilateral vertebral artery coverage. Herein we report our experience with DEB to address lesions involving the subclavian artery and the origin of the ipsilateral vertebral artery. From January 2017 to February 2019, patients presenting subclavian artery lesion involving the origin of the ipsilateral vertebral artery and treated using primary DEB, were included...
January 2020: Translational Medicine @ UniSa
Quan Li, Hong Qu, Tianqi Liu, Min Li, Shanliang Chen, Peijie Li, Li Xu, Hengbao Wang
BACKGROUND: Patients with DeBakey type II aortic dissection or ascending aortic aneurysms involving the right innominate artery require hemiarch replacement and placement of a right innominate artery graft. Traditional aortic hemiarch replacement surgery must be performed under right axillary artery cannulation perfusion and moderate or deep hypothermia circulatory arrest. However, the axillary artery perfusion is always associated with left subclavian artery "steal blood", and it cannot guarantee blood supply to the left cerebral hemisphere in patients with an incomplete circle of Willis, and hypothermia and hypoperfusion cause damage to the brain and spinal cord; therefore, postoperative complications of the nervous system are common...
February 22, 2020: Journal of Cardiothoracic Surgery
Oana Bartos, Migdat Mustafi, Mateja Andic, Gerd Grözinger, Christoph Artzner, Christian Schlensak, Mario Lescan
BACKGROUND: We investigated the mid-term results of carotid-axillary bypass (CAB) in the setting of zone II thoracic endovascular aortic repair as an alternative method for the left subclavian artery (LSA) revascularization. METHODS: Our retrospective single cohort study included all 69 patients from March 2015 to December 2018 with zone II thoracic endovascular aortic repair and CAB for the revascularization of the LSA. Demographics and clinical data were collected...
February 5, 2020: Journal of Vascular Surgery
Sirin Gandhi, Claudio Cavallo, Justin R Mascitelli, Michael J Nanaszko, Xiaochun Zhao, Michael T Lawton
Extracranial vertebral artery (VA) atherosclerosis is responsible for 14% to 32% of posterior circulation infarctions.1 In the posterior circulation, narrowing of the VA > 30% is significantly associated with strokes. Subclavian artery (SCA) atherosclerosis can produce subclavian steal. Retrograde VA flow around an occluded SCA decreases blood flow to the posterior circulation and causes vertebrobasilar insufficiency (VBI). Flow augmentation to the posterior circulation can be achieved by VA endarterectomy, arterial stenting, VA-common carotid artery (CCA) transposition, or bypass using an interposition graft...
January 24, 2020: Operative Neurosurgery (Hagerstown, Md.)
Da-Wei Chen, Yu-Hai Gao, Jin Shi, Yan-Wei Yin, Wei-Qing Zhang
OBJECTIVE: Subclavian steal syndrome results from hemodynamic impairment due to stenosis or occlusion of subclavian artery. Therefore, it is important for subclavian steal syndrome patients to assess hemodynamic status during endovascular therapy. METHODS: Eleven subclavian steal syndrome patients undergoing endovascular therapy attended this study. Pressure wire was used to measure trans-stenosis pressure difference (ΔP). Digital subtraction angiography, Transcranial Doppler and Electronic sphygmomanometer were introduced to assess stenotic rate, steal grade and inter-arm systolic pressure difference, respectively...
January 22, 2020: Interventional Neuroradiology
Bingjie Zhao, Jingyao Liu, Teng Zhao, Lingling Sun, Jingjing Wang, Jiaojiao Guo, Shuo Zhang, Hui Zhu
We reported a case of carotid artery stenosis with stroke symptoms detected in a patient with lung cancer after radiotherapy. The patient was a 58-year-old male with a complaint of \"a single episode of temporary amaurosis in the right eye for 10 minutes". The clinical diagnosis at admission, after consideration of the patient's age, medical history, and auxiliary examination results, was as follows: lung cancer; right common carotid artery stenosis; left common carotid artery stenosis; left vertebral artery stenosis; and right subclavian artery occlusion with right subclavian steal syndrome (Grade 3)...
November 9, 2019: Neuro Endocrinology Letters
Federico Moccetti, Miriam Brinkert, Mathias Wolfrum, Stefan Toggweiler
No abstract text is available yet for this article.
April 1, 2020: European Heart Journal
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