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- Title
Dialysis Arteriovenous Fistula Causing Subclavian Steal Syndrome in the Absence of Subclavian Artery Stenosis.
- Authors
Maiodna, Eesha; Ambekar, Sudheer; Johnson, Jeremiah N.; Elhammady, Mohamed Samy
- Abstract
We present a rare cause of subclavian steal syndrome secondary to a dialysis arteriovenous fistula (AVF). A 69-year-old female with end-stage renal disease presented with ataxia and recurrent fainting spells. Angiography revealed normal subclavian arteries bilaterally, a right VA origin occlusion, and an apparent left VA origin occlusion. However, carotid artery angiography demonstrated flow through the posterior communicating artery with retrograde filling of the basilar artery and left VA to its subclavian origin. Repeat left subclavian arteriography during external compression of the AVF demonstrated normal antegrade left VA flow. The AVF was subsequently ligated resulting in complete symptom resolution.
- Subjects
ARTERIOVENOUS fistula; SUBCLAVIAN steal syndrome; KIDNEY diseases; STENOSIS; CAROTID artery; ANGIOGRAPHY; DIAGNOSIS
- Publication
Case Reports in Vascular Medicine, 2015, Vol 2015, p1
- ISSN
2090-6986
- Publication type
Article
- DOI
10.1155/2015/720684