Apsatarov E A, Balmagambetov B R, Liubinskiĭ V L
Kardiologiia. 1988 Sep;28(9):74-7.
A study of 132 patients, aged 15 to 40 years, with bilateral scalenus syndrome, accompanied by vertebrobasilar insufficiency, is reported. The diagnostic value was assessed on the basis of 164 angiograms and 408 blood rheologic parameters. Selective arteriography, conducted simultaneously with the compression test and endovascular pressure gradient measurement, yields the most exhaustive and reliable data on the topical cause of the circulatory disturbance within the subclavian artery and its branches. The scalenus syndrome is an important etiologic factor of vertebrobasilar insufficiency. Intermittent flow through the vertebral artery results from ostium compression, spasm or increased flow in one of the vertebral arteries that may be due to an abnormal flexure, local pressure rise or high arcuation of the subclavian arterial segments I and II. Regional disorders of blood rheologic properties are also in evidence. Surgical treatment produces stable good results.
报告了一项对132例年龄在15至40岁之间、患有双侧斜角肌综合征并伴有椎基底动脉供血不足的患者的研究。基于164份血管造影照片和408项血液流变学参数评估了诊断价值。与压迫试验和血管内压力梯度测量同时进行的选择性动脉造影，能提供关于锁骨下动脉及其分支内循环障碍局部原因的最详尽、最可靠的数据。斜角肌综合征是椎基底动脉供血不足的一个重要病因。椎动脉间歇性血流是由于开口受压、痉挛或其中一条椎动脉血流增加所致，这可能是由于锁骨下动脉第一和第二段异常弯曲、局部压力升高或高度弓状化。血液流变学特性的局部紊乱也很明显。手术治疗产生稳定的良好效果。
