Double Steal Phenomenon: Emergency Department Management of Recurrent Transient Ischemic Attack

Double steal phenomenon is a rare condition where occlusion of the innominate (brachiocephalic) artery leads to hemodynamic changes in which blood flow is shunted from the intracranial circulation down the right vertebral artery and subsequently up the right carotid and subclavian circulation. This...

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Bibliographic Details
Published inClinical practice and cases in emergency medicine Vol. 3; no. 2; pp. 144 - 148
Main Authors Rawal, Amit R, Bufano, Collin, Saeed, Omar, Khan, Asif A
Format Journal Article
LanguageEnglish
Published United States University of California Digital Library - eScholarship 01.05.2019
University of California Irvine, Department of Emergency Medicine publishing Western Journal of Emergency Medicine
eScholarship Publishing, University of California
Subjects
Ataxia
Blood pressure
Carotid arteries
Case Report
Clinical medicine
Emergency medical care
Hypertension
Medical imaging
Medicine
Patients
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Summary:Double steal phenomenon is a rare condition where occlusion of the innominate (brachiocephalic) artery leads to hemodynamic changes in which blood flow is shunted from the intracranial circulation down the right vertebral artery and subsequently up the right carotid and subclavian circulation. This is a case of a 67-year-old female presenting emergently with recurrent transient ischemic attacks due to double steal phenomenon. Emergency department recognition of the double steal phenomenon and large vessel occlusion by computed tomography angiogram of the head and neck allowed for early treatment, which was critical in avoiding irreversible cerebral infarction.
ISSN:2474-252X
2474-252X
DOI:10.5811/cpcem.2019.1.40960