Berni A, Tromba L, Cavaiola S, Tombesi T, Castellani L
Chair of Surgical Clinical Methodology, University of Rome, La Sapienza, Italy.
J Cardiovasc Surg (Torino). 1997 Apr;38(2):141-5.
Ultrasound has provided a highlight of the different types of subclavian steal. The authors report epidemiological and clinical data concerning 40,000 ultrasound examinations performed on epiaortic arteries and particularly the last 12,000 in which Doppler c.w., duplex scanner and transcranial Doppler were used. Various types of steal are described; five types of subclavian steal have been classified and patients stratified as being symptomatic and asymptomatic. The neurological symptoms are divided as follows: generalized cerebral ischemia, vertebro-basilar ischemia and hemispheric ischemia. Based on this clinical and haemodynamic outline, surgical therapy is indicated and type of surgery suggested.
超声已突显了不同类型的锁骨下动脉盗血现象。作者报告了有关对主动脉弓动脉进行的40000次超声检查的流行病学和临床数据，特别是最近12000次使用连续波多普勒、双功扫描仪和经颅多普勒的检查。文中描述了各种类型的盗血；已对五种类型的锁骨下动脉盗血进行了分类，并将患者分为有症状和无症状两类。神经症状分为以下几种：全身性脑缺血、椎基底动脉缺血和半球缺血。基于这一临床和血流动力学概述，指明了手术治疗方法并提出了手术类型。
