Subclavian Steal Syndrome Treated by Axilloaxillary Bypass Surgery : The Role of Duplex Sonography

J Korean Neurol Assoc > Volume 27(3); 2009 > Article

Journal of the Korean Neurological Association 2009;27(3): 260-263.

겨드랑동맥간우회술로 치료한 빗장밑혈류빼앗김증후군에서 이중초음파검사의 유용성

김범준, 조용필a 손호연 이은재 박세미 강동화 김종성 권순억

울산대학교 의과대학 서울아산병원 신경과학교실, 혈관외과학교실a

Subclavian Steal Syndrome Treated by Axilloaxillary Bypass Surgery : The Role of Duplex Sonography

Bum Joon Kim

Departments of Neurology and Vascular surgerya, University of Ulsan Colledge of Medicine, Asan Medical Center, Seoul, Korea

Abstract

We report herein a case of subclavian steal syndrome due to occlusive disease in multiple branches of the aortic arch, which was successfully treated by axilloaxillary bypass and subclavian stent insertion. The hemodynamic changes were evaluated using duplex sonography and transcranial Doppler before and after each procedure. The waveform and parameters of blood flow revealed an objective improvement in cerebral perfusion. These findings correlated well with clinical outcome. Neurosonologic evaluation can provide objective evidence for improved hemodynamic status after treatment. Key Words: Subclavian steal syndrome, Axilloaxillary bypass, Duplex ultrasonography