Subclavian Steal Syndrome Treated by Axilloaxillary Bypass Surgery : The Role of Duplex Sonography.
- Author:
Bum Joon KIM
1
;
Yong Pil CHO
;
Ho Yon SOHN
;
Eun Jae LEE
;
Sea Mi PARK
;
Dong Wha KANG
;
Jong S KIM
;
Sun U KWON
Author Information
1. Department of Neurology, University of Ulsan Colledge of Medicine, Asan Medical Center, Seoul, Korea. sukwon@amc.seoul.kr
- Publication Type:Case Report
- Keywords:
Subclavian steal syndrome;
Axilloaxillary bypass;
Duplex ultrasonography
- MeSH:
Aorta, Thoracic;
Hemodynamics;
Perfusion;
Stents;
Subclavian Steal Syndrome
- From:Journal of the Korean Neurological Association
2009;27(3):260-263
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
We report herein a case of subclavian steal syndrome due to occlusive disease in multiple branches of the aortic arch, which was successfully treated by axilloaxillary bypass and subclavian stent insertion. The hemodynamic changes were evaluated using duplex sonography and transcranial Doppler before and after each procedure. The waveform and parameters of blood flow revealed an objective improvement in cerebral perfusion. These findings correlated well with clinical outcome. Neurosonologic evaluation can provide objective evidence for improved hemodynamic status after treatment.