Double steal phenomenon secondary to innominate artery occlusion

J Med Ultrason (2001). 2016 Jul;43(3):435-8. doi: 10.1007/s10396-016-0713-1. Epub 2016 Apr 23.

Abstract

Innominate artery steno-occlusive disease is a relatively rare clinical entity and may cause cerebrovascular symptoms. Herein, we report a 50-year-old male patient who presented with recurrent syncopal episodes and cerebrovascular ischemia. Color Doppler sonography revealed a distinctive flow pattern with partial and total flow reversal in the right internal carotid artery and vertebral artery, respectively. Further angiographic evaluation revealed complete occlusion of the innominate artery. Endovascular stenting was successful and enabled normal antegrade flow in the right common carotid and vertebral artery.

Keywords: Doppler; Innominate; Occlusion; Steal phenomenon.

Publication types

  • Case Reports

MeSH terms

  • Angiography
  • Aortic Diseases / complications*
  • Aortic Diseases / diagnostic imaging*
  • Aortic Diseases / physiopathology
  • Aortic Diseases / therapy
  • Brachiocephalic Trunk / diagnostic imaging*
  • Brachiocephalic Trunk / physiopathology
  • Carotid Arteries / diagnostic imaging
  • Carotid Arteries / physiopathology
  • Diagnosis, Differential
  • Follow-Up Studies
  • Humans
  • Male
  • Middle Aged
  • Stents
  • Subclavian Steal Syndrome / diagnostic imaging*
  • Subclavian Steal Syndrome / etiology*
  • Subclavian Steal Syndrome / physiopathology
  • Subclavian Steal Syndrome / therapy
  • Syncope / diagnostic imaging
  • Syncope / etiology
  • Syncope / physiopathology
  • Syncope / therapy
  • Ultrasonography, Doppler, Color*
  • Vertebral Artery / diagnostic imaging
  • Vertebral Artery / physiopathology