Schenk W G
Department of Surgery, University of Virginia Health System, Charlottsville, VA, USA.
J Vasc Surg. 2001 Apr;33(4):883-5. doi: 10.1067/mva.2001.111994.
A 28-year-old dialysis-dependent man presented with episodic vertebrobasilar insufficiency. Noninvasive studies demonstrated an estimated 5.8 L/min flow through the arteriovenous fistula in his left arm and reversal of flow in the left vertebral artery. Surgical reduction of fistula flow resulted in the elimination of symptoms and the return of antegrade flow in the left vertebral artery. intraoperative invasive monitoring corroborated the pressure gradient responsible for his subclavian steal syndrome.
一名28岁依赖透析的男性出现发作性椎基底动脉供血不足。无创检查显示，其左臂动静脉瘘的血流量估计为5.8升/分钟，且左椎动脉血流方向逆转。手术减少瘘管血流量后，症状消失，左椎动脉恢复顺行血流。术中侵入性监测证实了导致其锁骨下窃血综合征的压力梯度。
