Fregni Felipe, Castelo-Branco Luiz Eduardo Coutinho, Conforto Adriana Bastos, Yamamoto Fabio Iuji, Campos Cynthia Resende, Puglia Paulo, Caldas José Guilherme Mendes Pereira, Scaff Milberto
Neurology Division, Hospital das Clínicas, São Paulo University, São Paulo, SP, Brazil.
Arq Neuropsiquiatr. 2003 Mar;61(1):95-9. doi: 10.1590/s0004-282x2003000100018. Epub 2003 Apr 16.
Subclavian steal syndrome refers to the association of neurological symptoms related to vertebrobasilar insufficiency and the phenomenon of subclavian steal. We report the case of a 63 year-old male patient that presented subclavian steal syndrome and severe proximal (80%) stenosis of the left subclavian artery. The patient was submitted to percutaneous transluminal angioplasty and stenting on the left SA. The procedure was well tolerated and immediately afterwards, there was complete remission of the symptoms and of the phenomenon of subclavian steal evaluated by angiography and transcranial doppler. We propose that percutaneous transluminal angioplasty with stenting placement is a good therapeutic option for subclavian steal syndrome.
锁骨下动脉盗血综合征是指与椎基底动脉供血不足相关的神经症状与锁骨下动脉盗血现象的关联。我们报告一例63岁男性患者，其患有锁骨下动脉盗血综合征及左锁骨下动脉严重近端（80%）狭窄。该患者接受了经皮腔内血管成形术及左锁骨下动脉支架置入术。手术耐受性良好，术后即刻，经血管造影和经颅多普勒评估，症状及锁骨下动脉盗血现象完全缓解。我们认为经皮腔内血管成形术联合支架置入是治疗锁骨下动脉盗血综合征的良好选择。
