Velocity-Encoded Phase-Contrast Magnetic Resonance Imaging for Diagnosing Severe Bilateral Subclavian Steal Syndrome with Complete Vertebral Reversal

被引:0
作者
Yen, Yuan-Hung [1 ,2 ,3 ]
Tsou, Teng-Fu [2 ,4 ]
Chang, Kai-Wei [1 ,2 ]
Tsai, Chin-Feng [1 ,2 ]
Su, Chun-Hung [1 ,2 ]
机构
[1] Chung Shan Med Univ Hosp, Dept Internal Med, Div Cardiol, Taichung 402, Taiwan
[2] Chung Shan Med Univ, Sch Med, Inst Med, Taichung, Taiwan
[3] Minist Hlth & Welf, Nantou Hosp, Dept Internal Med, Div Cardiol, Nantou, Taiwan
[4] Chung Shan Med Univ Hosp, Dept Med Imaging, Taichung 402, Taiwan
关键词
Angioplasty; Phase-contrast magnetic resonance imaging; Subclavian steal syndrome;
D O I
暂无
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Subclavian steal syndrome (SSS) involves changes in hennodynamics secondary to proximal subclavian artery stenosis and/or occlusion where the subclavian artery "drains" the blood from the vertebral artery. It sometimes induces neuromuscular symptoms, especially in cases with bilateral involvement. We report the case of a 65-year-old symptomatic male with severe bilateral SSS with complete vertebral reversal. Doppler ultrasonography yielded inconclusive results because of a scar in the left lower neck region leading to poor acoustic windows. Subsequent magnetic resonance imaging with contrast-enhanced magnetic resonance angiography and velocity-encoded phase-contrast magnetic resonance imaging provided the vascular morphology and blood flow pattern which allowed subsequent interventions to be successfully performed.
引用
收藏
页码:337 / 340
页数:4
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