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

Autor: Pierce Massie, MD, Mueez Rehman, BS, Hamza Hanif, MD, Robin Osofsky, MD, Javed Eliyas, MD, FRCSC, FACS, FAANS, Muhammad Ali Rana, MD, FACS, FSVS
Jazyk: angličtina
Rok vydání: 2024
Předmět:
Zdroj: Journal of Vascular Surgery Cases and Innovative Techniques, Vol 10, Iss 3, Pp 101462- (2024)
Druh dokumentu: article
ISSN: 2468-4287
DOI: 10.1016/j.jvscit.2024.101462
Popis: 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.
Databáze: Directory of Open Access Journals