Hybrid one-stage reconstruction of the right subclavian artery occlusion and critical stenosis of the brachiocephalic trunk

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Abstract

The aim of this study was to introduce a clinical example of a one-time hybrid reconstruction of symptomatic occlusion of the right subclavian artery with subclavian steal syndrome and critical stenosis of the brachiocephalic trunk in a patient after an aorto-femoral bifurcation bypass surgery and multiple reconstructions of distal anastomoses.

About the authors

P. Yu. Orekhov

Federal Research Clinical Center of Specialized Medical Care and Medical Technologies of the FMBA of Russia

Author for correspondence.
Email: orekhovp@mail.ru

к.м.н., врач сосудистый хирург

Russian Federation, Moscow

A. V. Chupin

Federal Research Clinical Center of Specialized Medical Care and Medical Technologies of the FMBA of Russia

Email: achupin@rambler.ru

д.м.н. , профессор, заведующий отделением сосудистой хирургии

Russian Federation, Moscow

S. V. Deryabin

Federal Research Clinical Center of Specialized Medical Care and Medical Technologies of the FMBA of Russia

Email: deryabin@mail.ru

врач сосудистый хирург

Russian Federation, Moscow

D. P. Lebedev

Federal Research Clinical Center of Specialized Medical Care and Medical Technologies of the FMBA of Russia

Email: lebedevdp@gmail.com

врач рентгенэндоваскулярный хирург

Russian Federation, Moscow

A. S. Titovich

Federal Research Clinical Center of Specialized Medical Care and Medical Technologies of the FMBA of Russia

Email: aleksei_titovich@mail.ru

врач сосудистый хирург

Russian Federation, Moscow

D. M. Maksimenko

Federal Research Clinical Center of Specialized Medical Care and Medical Technologies of the FMBA of Russia

Email: dm.maximenko@gmail.com

врач сосудистый хирург

Russian Federation, Moscow

References

  1. Contorni L. Il circelo colletrale vertebro-vertebrale nella obliterazione dell’arteria subclavian alla sua origine // Minerva Chir. 1960. Vol. 15. P. 268.
  2. Kapa S., Adams J. Subclavian steal and rest pain in a case of brachiocephalic artery occlusion // Int J Angiol. 2008. Vol. 17. P. 166–167.
  3. Willoughby A.D., Kellicut D.C., Ching B.H. et al. Double steal syndrome: Two case presentations // J Vasc Med Surg. 2014. No. 2. P. 3.
  4. Filis K., Toufektzian L., Sigala F. et al. Right subclavian double steal syndrome: A case report // J Med Case Rep. 2008. No. 2. P. 392.
  5. Maier S., Bajko Z., Motataianu A. et al. Subclavian double steal syndrome presenting with cognitive impairment and dizziness // Rom J Neurol. 2014. Vol. 13. P. 144–149.
  6. Samuels D.A., Faitelson L. ‘Double steal’ syndrome // J Interv Cardiol. 1989. No. 2. P. 49–53.

Supplementary files

Supplementary Files
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2. Fig. 1. CT with contrast enhancement: critical stenosis of the brachiocephalic trunk

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3. Fig. 2. CT scan with contrast enhancement: occlusion of the right subclavian artery in the first segment

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4. Fig. 3. Intraoperative: clamping the distal end of the carotid-subclavian prosthesis, puncture setting of the 8F introducer in the prosthesis

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5. Fig. 4. CT scan with contrast enhancement 6 months after surgery: 3D – reconstruction, normal permeability of the sleep-subclavian shunt and the implanted stent of the brachiocephalic trunk

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6. Fig. 5. CT scan with contrast enhancement 6 months after surgery: normal permeability of the dormant-subclavian shunt and the implanted stent of the brachiocephalic trunk

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Copyright (c) 2018 Orekhov P.Y., Chupin A.V., Deryabin S.V., Lebedev D.P., Titovich A.S., Maksimenko D.M.

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This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.

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