Asymptomatic high flow subclavian steal in a patient with hemodialysis access.

Détails

ID Serval
serval:BIB_8D528697D302
Type
Article: article d'un périodique ou d'un magazine.
Sous-type
Etude de cas (case report): rapporte une observation et la commente brièvement.
Collection
Publications
Titre
Asymptomatic high flow subclavian steal in a patient with hemodialysis access.
Périodique
The journal of vascular access
Auteur(s)
Bron C., Hirt L., Halabi G., Saucy F., Qanadli S.D., Haesler E.
ISSN
1129-7298 (Print)
ISSN-L
1129-7298
Statut éditorial
Publié
Date de publication
2010
Peer-reviewed
Oui
Volume
11
Numéro
1
Pages
63-65
Langue
anglais
Notes
Publication types: Case Reports ; Journal Article
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.

Mots-clé
Adaptation, Physiological, Aged, Angioplasty, Balloon, Arteriovenous Shunt, Surgical/adverse effects, Cerebrovascular Circulation, Hemodynamics, Humans, Kidney Failure, Chronic/physiopathology, Kidney Failure, Chronic/therapy, Male, Regional Blood Flow, Renal Dialysis, Subclavian Steal Syndrome/diagnosis, Subclavian Steal Syndrome/etiology, Subclavian Steal Syndrome/physiopathology, Subclavian Steal Syndrome/therapy, Treatment Outcome, Ultrasonography, Doppler, Upper Extremity/blood supply
Pubmed
Web of science
Création de la notice
23/06/2010 12:55
Dernière modification de la notice
20/08/2019 14:51
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