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Síndrome del robo de la subclavia. Descripción de un caso, aproximación diagnóstica y tratamiento

dc.contributor.authorVargas Peréz, Oliveriospa
dc.contributor.authorSalcedo Hernández, Carlos Juliospa
dc.date.accessioned2020-10-27T14:21:32Z
dc.date.available2020-10-27T14:21:32Z
dc.date.issued2006-08-06
dc.identifier.issn2382-4603
dc.identifier.issn0123-7047
dc.identifier.urihttp://hdl.handle.net/20.500.12749/10395
dc.description.abstractEl síndrome de robo de la subclavia ocurre por una estenosis proxi-mal de la arteria subclavia, el cual va a producir un flujo retrógrado de la arteria vertebral ipsilateral que va a actuar como flujo colateral. La isquemia afecta el cerebro y el miembro superior del lado de la estenosis manifestándose con síntomas neurológicos, aunque el mayor porcentaje de estos pacientes son asintomáticos lo cual se debe a que el polígono de Willis aporta una circulación colateral adecuada. El primer paso después de la sospecha clínica de este síndrome, es solicitar una ecografía doppler de vasos de cuello el cual va a mostrar un flujo retrógrado de la arteria vertebral, esto se confirma con una angiografía la cual demuestra el flujo inverso de la arteria vertebral y la estenosis proximal de la subclavia. En ese momento el radiólogo intervencionista puede realizar una angioplastia con colocación de stent, la cual ha demostrado permeabilidad de hasta un 90% a tres años. Otras técnicas diagnósticas utilizadas son la tomografía computarizada con multidetectores y la resonancia nuclear magnética, ambas con reconstrucción tridimensional de imágenes. [Vargas O, Salcedo CJ. Síndrome del robo de la subclavia. Descripción de un caso, aproximación diagnóstica y tratamientospa
dc.format.mimetypeapplication/pdfspa
dc.language.isospaspa
dc.publisherUniversidad Autónoma de Bucaramanga UNAB
dc.relationhttps://revistas.unab.edu.co/index.php/medunab/article/view/161/146
dc.relation.urihttps://revistas.unab.edu.co/index.php/medunab/article/view/161
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/2.5/co/
dc.sourceMedUNAB; Vol. 9 Núm. 2 (2006): Imágenes Diagnósticas; 168-173
dc.subjectCiencias biomédicas
dc.subjectCiencias de la vida
dc.subjectInnovaciones en salud
dc.subjectInvestigaciones
dc.titleSíndrome del robo de la subclavia. Descripción de un caso, aproximación diagnóstica y tratamientospa
dc.title.translatedSubclavian steal syndrome. Description of a case, diagnostic approach and treatmenteng
dc.publisher.facultyFacultad Ciencias de la Saludspa
dc.publisher.programPregrado Medicinaspa
dc.type.driverinfo:eu-repo/semantics/article
dc.type.localArtículospa
dc.type.coarhttp://purl.org/coar/resource_type/c_6501
dc.subject.keywordsHealth Scienceseng
dc.subject.keywordsMedicineeng
dc.subject.keywordsMedical Scienceseng
dc.subject.keywordsBiomedical Scienceseng
dc.subject.keywordsLife Scienceseng
dc.subject.keywordsInnovations in healtheng
dc.subject.keywordsResearcheng
dc.subject.keywordsSubclavian arteryeng
dc.subject.keywordsVertebral arteryeng
dc.subject.keywordsCircle of Williseng
dc.subject.keywordsSubclavian artery steal syndromeeng
dc.identifier.instnameinstname:Universidad Autónoma de Bucaramanga UNABspa
dc.type.hasversionInfo:eu-repo/semantics/publishedVersion
dc.type.hasversioninfo:eu-repo/semantics/acceptedVersionspa
dc.rights.accessrightsinfo:eu-repo/semantics/openAccessspa
dc.relation.referencesParrot JD. The subclavian steal syndrome. Arch Surg 1969; 88:661-5spa
dc.relation.referencesMoran KT, Zide RS, Persson AV, Jewell ER. Natural history of subclavian steal syndrome. Am Surg 1988; 54:643-4spa
dc.relation.referencesBornstein NM, Norris JW. Subclavian steal: a harmless haemo-dynamic phenomenon? Lancet 1986; 2(8502):303-5spa
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dc.relation.referencesKliewer MA, Hertzberg BS, Kim DH, Bowie JD, Courneya DL, Carroll BA. Vertebral artery doppler waveform changes indicating subclavian steal physiology. Am J Roentgenol 2000; 174:815-9spa
dc.relation.referencesRohren EM, Kliewer MA, Carroll BA, Hertzberg BS. A spectrum of doppler waveforms in the carotid and vertebral arteries. Am J Roentgenol 2003; 181:1695-704spa
dc.relation.referencesTahmasebpour HR, Buckley AR, Cooperberg PL, Fix CH, So-nographic examination of the carotid arteries. RadioGraphics 2005; 25:1561-75spa
dc.relation.referencesTrattnig S, Hubsch P, Schuster H, Polzleitner D. Color-coded doppler imaging of normal vertebral arteries. Stroke 1990; 21:1222–5.spa
dc.relation.referencesColquhoun I, Oates CP, Martin K, Hall K, Whittingham TA. The assessment of carotid and vertebral arteries: a comparison of CFM duplex ultrasound with intravenous digital subtraction angiography. Br J Radiol 1992; 65:1069–74spa
dc.relation.referencesWu C, Zhang J, Ladner CJ, Babb JS, Lamparello PJ, Krinsky GA. Subclavian steal syndrome: diagnosis with perfusion metrics from contrast enhanced MR angiographic bolus-timing examina-tion — Initial experience. Radiology 2005; 235:927–33.spa
dc.subject.lembCiencias médicasspa
dc.subject.lembCiencias de la saludspa
dc.subject.lembMedicinaspa
dc.identifier.repourlrepourl:https://repository.unab.edu.co
dc.description.abstractenglishSubclavian steal syndrome occurs due to a proximal stenosis of the subclavian artery, which will produce a retrograde flow of the ipsilateral vertebral artery that will act as collateral flow. The ischemia affects the brain and the upper limb on the side of the stenosis, manifesting with neurological symptoms, although the highest percentage of these patients are asymptomatic, which is due to the fact that the circle of Willis provides adequate collateral circulation. The first step after the clinical suspicion of this syndrome is to request a Doppler ultrasound of the neck vessels which will show a retrograde flow of the vertebral artery, this is confirmed with an angiography which demonstrates the reverse flow of the vertebral artery. and proximal subclavian stenosis. At that time the interventional radiologist can perform an angioplasty with stenting, which has demonstrated patency of up to 90% at three years. Other diagnostic techniques used are multidetector computed tomography and magnetic resonance imaging, both with three-dimensional image reconstruction. [Vargas O, Salcedo CJ. Subclavian steal syndrome. Description of a case, diagnostic approach and treatmenteng
dc.subject.proposalArteria subclaviaspa
dc.subject.proposalArteria vertebralspa
dc.subject.proposalPolígono de Willisspa
dc.subject.proposalSíndrome de robo de la subclaviaspa
dc.type.redcolhttp://purl.org/redcol/resource_type/ART


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