Titre
Asymptomatic high flow subclavian steal in a patient with hemodialysis access.
Type
étude de cas
Institution
UNIL/CHUV/Unisanté + institutions partenaires
Périodique
Auteur(s)
Bron, C.
Auteure/Auteur
Hirt, L.
Auteure/Auteur
Halabi, G.
Auteure/Auteur
Saucy, F.
Auteure/Auteur
Qanadli, S.D.
Auteure/Auteur
Haesler, E.
Auteure/Auteur
Liens vers les personnes
ISSN
1129-7298
Statut éditorial
Publié
Date de publication
2010
Volume
11
Numéro
1
Première page
63
Dernière page/numéro d’article
65
Peer-reviewed
Oui
Langue
anglais
Notes
Publication types: Case Reports ; Journal Article
Publication Status: ppublish
Publication Status: ppublish
Résumé
Subclavian steal phenomenon due to proximal subclavian artery stenosis or occlusion is not un-common but often remains asymptomatic.
We describe the case of a 66-year-old man with end-stage renal disease hemodialysed through a brachio-brachial loop graft of the left forearm. Echo-Doppler precerebral examination showed a high reversed flow of 570 ml/min in the ipsilateral vertebral artery. After successful endovascular recanalization of the subclavian artery, access blood flow increased and vertebral flow decreased to 30 ml/min. Complete neurological examination was normal both before and after endovascular treatment.
This case demonstrates how high a subclavian steal can be without causing symptoms and how well precerbral and cerebral circulation can adapt to hemodynamic changes.
We describe the case of a 66-year-old man with end-stage renal disease hemodialysed through a brachio-brachial loop graft of the left forearm. Echo-Doppler precerebral examination showed a high reversed flow of 570 ml/min in the ipsilateral vertebral artery. After successful endovascular recanalization of the subclavian artery, access blood flow increased and vertebral flow decreased to 30 ml/min. Complete neurological examination was normal both before and after endovascular treatment.
This case demonstrates how high a subclavian steal can be without causing symptoms and how well precerbral and cerebral circulation can adapt to hemodynamic changes.
Sujets
PID Serval
serval:BIB_8D528697D302
PMID
Date de création
2010-06-23T11:55:02.445Z
Date de création dans IRIS
2025-05-21T04:52:29Z