In 1959 Contorni described the "sindrome da emoderivazione cefalo-brachlale", characterized by vertebral flow inversion omolaterally to a proximal subclavian artery's occlusion; the definition "subclavian steal syndrome" was done by Reivich in 1961. The vascular steal happens consequently of a pre-vertebral subclavian stenosis-occlusion: more often the nature of lesion is atherosclerotic, but is possible an inflammatory, displastic or iatrogenic etiology. The prevalence in general population is 1,9%: lesions determining a steal represent the 1,5-3% of all arteriopaties. Risk factors associated are smoke, hypertension, diabetes, cerebrovascular and coronary disease, and peripheral arterial disease. Especially in conditions of increased metabolic request of upper limb may happens a blood distrainment of other districts, typically cerebral one through the inversion of vertebral flow, with neurological symptomatology. Moreover is possible a compensation to upper limb from other collateral circles: clinical importance of a steal such as the mammary-subclavian one is interesting in case of coronary bypass realized with internal mammary artery, because happens a coronary steal with ischemic symptomatology. Very frequently steal is asymptomatic. Besides classical vertebral-subclavian steal (permanent, intermittent, latent) is described the carotid-subclavian steal and the rarest coronary-subclavian steal. Is also described an aortic arch syndrome characterized by contemporary compromission of all supra-aortic trunks. It seems more correct talking about "syndromes" of subclavian steal. Angiography represented the diagnostic gold standard in prevision of operation; echo-color-Doppler, sensitized by compression test and reactive hyperemia test, can supply important anatomic and functional informations, but, at the moment, best informations are supplied by angio-TC and angio-RM.

Pieragalli, D., Setacci, C., Di Perri, T., De Franco, V., Panti, S., Renzi, N., et al. (2007). Subclavian steal "syndromes" [Le »sindromi« da furto della succlavia]. GAZZETTA MEDICA ITALIANA. ARCHIVIO PER LE SCIENZE MEDICHE, 166(4), 135-150.

Subclavian steal "syndromes" [Le »sindromi« da furto della succlavia]

Pieragalli D.;Setacci C.;De Franco V.;Renzi N.;Auteri A.;
2007-01-01

Abstract

In 1959 Contorni described the "sindrome da emoderivazione cefalo-brachlale", characterized by vertebral flow inversion omolaterally to a proximal subclavian artery's occlusion; the definition "subclavian steal syndrome" was done by Reivich in 1961. The vascular steal happens consequently of a pre-vertebral subclavian stenosis-occlusion: more often the nature of lesion is atherosclerotic, but is possible an inflammatory, displastic or iatrogenic etiology. The prevalence in general population is 1,9%: lesions determining a steal represent the 1,5-3% of all arteriopaties. Risk factors associated are smoke, hypertension, diabetes, cerebrovascular and coronary disease, and peripheral arterial disease. Especially in conditions of increased metabolic request of upper limb may happens a blood distrainment of other districts, typically cerebral one through the inversion of vertebral flow, with neurological symptomatology. Moreover is possible a compensation to upper limb from other collateral circles: clinical importance of a steal such as the mammary-subclavian one is interesting in case of coronary bypass realized with internal mammary artery, because happens a coronary steal with ischemic symptomatology. Very frequently steal is asymptomatic. Besides classical vertebral-subclavian steal (permanent, intermittent, latent) is described the carotid-subclavian steal and the rarest coronary-subclavian steal. Is also described an aortic arch syndrome characterized by contemporary compromission of all supra-aortic trunks. It seems more correct talking about "syndromes" of subclavian steal. Angiography represented the diagnostic gold standard in prevision of operation; echo-color-Doppler, sensitized by compression test and reactive hyperemia test, can supply important anatomic and functional informations, but, at the moment, best informations are supplied by angio-TC and angio-RM.
2007
Pieragalli, D., Setacci, C., Di Perri, T., De Franco, V., Panti, S., Renzi, N., et al. (2007). Subclavian steal "syndromes" [Le »sindromi« da furto della succlavia]. GAZZETTA MEDICA ITALIANA. ARCHIVIO PER LE SCIENZE MEDICHE, 166(4), 135-150.
File in questo prodotto:
File Dimensione Formato  
Subclavian steal syndromes.pdf

non disponibili

Tipologia: Post-print
Licenza: NON PUBBLICO - Accesso privato/ristretto
Dimensione 2.26 MB
Formato Adobe PDF
2.26 MB Adobe PDF   Visualizza/Apri   Richiedi una copia

I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.

Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11365/11187
 Attenzione

Attenzione! I dati visualizzati non sono stati sottoposti a validazione da parte dell'ateneo