Complete resolution of vertebrobasilar dissection and aneurysm following treatment of subclavian steal physiology.

Autor:	Massie P; Department of Surgery, University of New Mexico School of Medicine, University of New Mexico, Albuquerque, NM., Rehman M; University of New Mexico School of Medicine, 1 University of New Mexico, Albuquerque, NM., Hanif H; Department of Surgery, University of New Mexico School of Medicine, University of New Mexico, Albuquerque, NM., Osofsky R; Division of Vascular Surgery, Department of Surgery, Oregon Health and Science University School of Medicine, Portland, OR., Eliyas J; Department of Neurosurgery, Trinity Health of New England Medical Group, Hartford, CT., Rana MA; Division of Vascular Surgery, Department of Surgery, University of New Mexico School of Medicine, 1 University of New Mexico, Albuquerque, NM.
Jazyk:	angličtina
Zdroj:	Journal of vascular surgery cases and innovative techniques [J Vasc Surg Cases Innov Tech] 2024 Feb 28; Vol. 10 (3), pp. 101462. Date of Electronic Publication: 2024 Feb 28 (Print Publication: 2024).
DOI:	10.1016/j.jvscit.2024.101462
Abstrakt:	Subclavian steal syndrome results from subclavian artery stenosis that results in retrograde blood flow through the ipsilateral vertebral artery. Rarely, this retrograde flow can affect the vertebrobasilar junction and cause vertebrobasilar insufficiency, ischemia, and even aneurysm formation. We describe a unique presentation of a vertebrobasilar aneurysm presenting with subarachnoid hemorrhage in the setting of subclavian steal syndrome. The subclavian stenosis was endovascularly managed, with complete resolution of both retrograde flow and the dissection itself. Reestablishment of native flow mechanics in the subclavian artery may treat aneurysms at the vertebrobasilar junction, potentially eliminating the need for further interventions. Competing Interests: None. (© 2024 The Authors.)
Databáze:	MEDLINE
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