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Double steal phenomenon secondary to innominate artery occlusion

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Abstract

Innominate artery steno-occlusive disease is a relatively rare clinical entity and may cause cerebrovascular symptoms. Herein, we report a 50-year-old male patient who presented with recurrent syncopal episodes and cerebrovascular ischemia. Color Doppler sonography revealed a distinctive flow pattern with partial and total flow reversal in the right internal carotid artery and vertebral artery, respectively. Further angiographic evaluation revealed complete occlusion of the innominate artery. Endovascular stenting was successful and enabled normal antegrade flow in the right common carotid and vertebral artery.

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Author notes

  1. Kaan Esen

    Present address: Radyoloji Anabilim Dalı, Mersin Üniversitesi Tip Fakültesi Hastanesi, 34. Cadde Yenişehir, 33343, Mersin, Turkey

Authors and Affiliations

  1. Department of Radiology, School of Medicine, Mersin University, Mersin, Turkey

    Kaan Esen

  2. Department of Radiology, Numune Training and Research Hospital, Adana, Turkey

    Cengiz Yilmaz, Omer Kaya, Gokhan Soker & Bozkurt Gulek

  3. Department of Cardiology, Numune Training and Research Hospital, Adana, Turkey

    Durmus Yildiray Sahin

Authors
  1. Kaan Esen
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  2. Cengiz Yilmaz
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  3. Omer Kaya
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  4. Gokhan Soker
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  5. Bozkurt Gulek
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  6. Durmus Yildiray Sahin
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Corresponding author

Correspondence to Kaan Esen.

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Conflict of interest

Kaan Esen, Cengiz Yilmaz, Omer Kaya, Gokhan Soker, Bozkurt Gulek, and Durmus Yildiray Sahin declare that there is no conflict of interest.

Ethical statement

All procedures followed were in accordance with the ethical standards of the responsible committee on human experimentation (institutional and national) and with the Helsinki Declaration of 1975, as revised in 2008. Informed consent was obtained from patients for being included in the study.

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Esen, K., Yilmaz, C., Kaya, O. et al. Double steal phenomenon secondary to innominate artery occlusion. J Med Ultrasonics 43, 435–438 (2016). https://doi.org/10.1007/s10396-016-0713-1

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  • DOI: https://doi.org/10.1007/s10396-016-0713-1

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