Daniel Brown
Last active: 4/26/2016

Endovascular treatment of vertebral artery steal syndrome from an arteriovenous fistula between the internal mammary artery and superior vena cava.

Huang JS, Picus D, Brown DB
J Vasc Interv Radiol. 2006 17 (2 Pt 1): 359-62

PMID: 16517783 · DOI:10.1097/01.RVI.0000195322.96173.62

Vertebrobasilar insufficiency resulting from subclavian steal syndrome and high flow through hemodialysis fistulas has been described. The present report describes a case of vertebral artery steal syndrome from an arteriovenous (AV) fistula between the right internal mammary artery and superior vena cava with the unusual pattern of antegrade flow through the vertebral artery in the setting of classic symptoms of steal. The AV fistula likely developed during earlier cardiac catheterizations. The patient presented with progressively worsening gait and limb ataxia. Angiography demonstrated the AV fistula and antegrade flow through the vertebral artery. Coil embolization of this high-flow fistula resulted in complete resolution of symptoms.

MeSH Terms (12)

Adolescent Aortography Arteriovenous Fistula Catheter Ablation Embolization, Therapeutic Humans Male Mammary Arteries Subclavian Steal Syndrome Vena Cava, Superior Vertebrobasilar Insufficiency Wolff-Parkinson-White Syndrome

Connections (1)

This publication is referenced by other Labnodes entities:

Links