TITLE:
A case of acquired right-sided subclavian steal syndrome successfully treated with stenting using brachial approach
AUTHORS:
Dragan Dragičević, Maja Škorić, Krešimir Kolić, Marina Titlić
KEYWORDS:
Subclavian Steal Syndrome; Right-Sided; Stenting; Brachial Approach
JOURNAL NAME:
Case Reports in Clinical Medicine,
Vol.3 No.2,
February
8,
2014
ABSTRACT:
Subclavian steal
syndrome (SSS) is defined as a group of symptoms that arise from reversed blood
flow in the ipsilateral vertebral artery. It is the consequence of proximal occlusion or high-grade stenosis of the
subclavian artery. The subclavian obstructive lesions are mostly located
in the proximal segment of the subclavian artery and predominantly on the left
side. In contrast, there are only a small number of patients that present
with right-sided symptoms and even fewer with bilateral symptoms. Endovascular
therapy of occlusions and high-grade stenosis of subclavian artery proximal to
the origin of the vertebral artery becomes an established therapy in last two
decades. We report a case of successful endovascular treatment of right-sided subclavian steal and high-grade (80%)
right subclavian artery stenosis due to atherosclerotic occlusive disease with
balloon-expandable stent using brachial approach.