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  • Title: [Surgical correction of cerebral blood flow steal syndrome by aortic branches stenosis].
    Author: Galkin PV, Antonov GI, Mitroshin GE, Terekhin SA, Bobkov IuA.
    Journal: Khirurgiia (Mosk); 2009; (7):15-21. PubMed ID: 19668143.
    Abstract:
    Results of surgical treatment of 119 patients with cerebral/coronary blood flow steal syndrome were analyzed. Vertebro-subclavian steal syndrome was registered in 91.5%. 80 patients were treated with the use of endovascular methods, open procedure was performed in 62 cases. Physiological blood flow was successfully reconstructed in 95.8%. Postoperative lethality was 5,1% after open operations, there were no deaths among patients, treated endoscopically. Bypass thrombosis was registered in 3.4% of patients treated by traditional method; restenosis or occlusion occurred after 34.3% of endovascular operations. Endovascular operations should be a method of choice in treatment of patients with severe occlusion of branches of aorta and cerebro-vascular insufficiency. By impossibility of subclavian artery or brachiocephal trunk recanalization with the use of endovascular techniques, open procedure should be performed.
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