1. Double steal phenomenon secondary to innominate artery occlusion.
- Author
-
Esen K, Yilmaz C, Kaya O, Soker G, Gulek B, and Sahin DY
- Subjects
- Angiography, Aortic Diseases physiopathology, Aortic Diseases therapy, Brachiocephalic Trunk physiopathology, Carotid Arteries diagnostic imaging, Carotid Arteries physiopathology, Diagnosis, Differential, Follow-Up Studies, Humans, Male, Middle Aged, Stents, Subclavian Steal Syndrome physiopathology, Subclavian Steal Syndrome therapy, Syncope diagnostic imaging, Syncope etiology, Syncope physiopathology, Syncope therapy, Vertebral Artery diagnostic imaging, Vertebral Artery physiopathology, Aortic Diseases complications, Aortic Diseases diagnostic imaging, Brachiocephalic Trunk diagnostic imaging, Subclavian Steal Syndrome diagnostic imaging, Subclavian Steal Syndrome etiology, Ultrasonography, Doppler, Color
- Abstract
Innominate artery steno-occlusive disease is a relatively rare clinical entity and may cause cerebrovascular symptoms. Herein, we report a 50-year-old male patient who presented with recurrent syncopal episodes and cerebrovascular ischemia. Color Doppler sonography revealed a distinctive flow pattern with partial and total flow reversal in the right internal carotid artery and vertebral artery, respectively. Further angiographic evaluation revealed complete occlusion of the innominate artery. Endovascular stenting was successful and enabled normal antegrade flow in the right common carotid and vertebral artery.
- Published
- 2016
- Full Text
- View/download PDF