Double steal phenomenon secondary to innominate artery occlusion.
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.
Department of Radiology, School of Medicine, Mersin University, Mersin, Turkey. kaanessen@yahoo.com.|Radyoloji Anabilim Dalı, Mersin Üniversitesi Tip Fakültesi Hastanesi, 34. Cadde Yenişehir, 33343, Mersin, Turkey. kaanessen@yahoo.com.
Kaan
K
Esen
Department of Radiology, Numune Training and Research Hospital, Adana, Turkey.
Cengiz
C
Yilmaz
Department of Radiology, Numune Training and Research Hospital, Adana, Turkey.
Omer
O
Kaya
Department of Radiology, Numune Training and Research Hospital, Adana, Turkey.
Gokhan
G
Soker
Department of Radiology, Numune Training and Research Hospital, Adana, Turkey.
Bozkurt
B
Gulek
Department of Cardiology, Numune Training and Research Hospital, Adana, Turkey.
Durmus Yildiray
DY
Sahin
D000792:Angiography; D001018:Aortic Diseases / Q000150:complications* / Q000000981:diagnostic imaging* / Q000503:physiopathology / Q000628:therapy; D016122:Brachiocephalic Trunk / Q000000981:diagnostic imaging* / Q000503:physiopathology; D002339:Carotid Arteries / Q000000981:diagnostic imaging / Q000503:physiopathology; D003937:Diagnosis, Differential; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D015607:Stents; D013349:Subclavian Steal Syndrome / Q000000981:diagnostic imaging* / Q000209:etiology* / Q000503:physiopathology / Q000628:therapy; D013575:Syncope / Q000000981:diagnostic imaging / Q000209:etiology / Q000503:physiopathology / Q000628:therapy; D018615:Ultrasonography, Doppler, Color; D014711:Vertebral Artery / Q000000981:diagnostic imaging / Q000503:physiopathology
Doppler; Innominate; Occlusion; Steal phenomenon