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Iatrogenic Subclavian Steal Syndrome.

Authors :
Gao Wang Z
Hua Wang S
Yu J
Ming Zhang X
Dong Wu J
Xin Li G
Source :
The International journal of angiology : official publication of the International College of Angiology, Inc [Int J Angiol] 2001 Jan; Vol. 10 (1), pp. 24-26.
Publication Year :
2001

Abstract

New complications are resulting from percutaneous transluminal angioplasty (PTA) and stent deployment. A 43-year-old female, admitted with weakness in the right arm, was diagnosed with right subclavian stenosis. Following PTA and a Palmaz stent deployment, her condition worsened, and symptoms spread. A corrective surgical procedure found the Palmaz stent to be almost completely compressed. The stent and plaques were carefully extracted. The etiology of compressed stent was probably due to an insufficient radial force or Hoop strength of stent. If an occlusion of the subclavian artery occurs at the segment proximal to the orifices of vertebral artery and internal mammary artery, a vertebral-subclavian steal syndrome may occur. This can be diagnosed in patients manifesting symptoms that include vertebral-basilar arterial insufficiency and a difference in brachial systolic blood pressure of at least 30 mm Hg between the two arms, with a bruit at the base of the neck or in the supraclavicular area. </hea

Details

Language :
English
ISSN :
1061-1711
Volume :
10
Issue :
1
Database :
MEDLINE
Journal :
The International journal of angiology : official publication of the International College of Angiology, Inc
Publication Type :
Academic Journal
Accession number :
11178782
Full Text :
https://doi.org/10.1007/BF01616339