Double steal phenomenon secondary to innominate artery occlusion

Esen K., Yilmaz C., Kaya Ö., Soker G., Gulek B., Sahin D. Y.

JOURNAL OF MEDICAL ULTRASONICS, vol.43, no.3, pp.435-438, 2016 (SCI-Expanded) identifier identifier identifier

  • Publication Type: Article / Article
  • Volume: 43 Issue: 3
  • Publication Date: 2016
  • Doi Number: 10.1007/s10396-016-0713-1
  • Journal Name: JOURNAL OF MEDICAL ULTRASONICS
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Page Numbers: pp.435-438
  • Çukurova University Affiliated: Yes

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.