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...

Full description

Saved in:
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
Online AccessGet full text

Cover

Abstract 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.
AbstractList 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.
Author Rawal, Amit R
Saeed, Omar
Khan, Asif A
Bufano, Collin
AuthorAffiliation University of Tennessee Health Science Center, Department of Internal Medicine, Memphis, Tennessee
North Florida Regional Medical Center, Department of Vascular and Interventional Neurology, Gainesville, Florida
North Florida Regional Medical Center, Department of Emergency Medicine, Gainesville, Florida
AuthorAffiliation_xml – name: University of Tennessee Health Science Center, Department of Internal Medicine, Memphis, Tennessee
– name: North Florida Regional Medical Center, Department of Vascular and Interventional Neurology, Gainesville, Florida
– name: North Florida Regional Medical Center, Department of Emergency Medicine, Gainesville, Florida
Author_xml – sequence: 1
  givenname: Amit R
  surname: Rawal
  fullname: Rawal, Amit R
  organization: North Florida Regional Medical Center, Department of Emergency Medicine, Gainesville, Florida
– sequence: 2
  givenname: Collin
  surname: Bufano
  fullname: Bufano, Collin
  organization: North Florida Regional Medical Center, Department of Emergency Medicine, Gainesville, Florida
– sequence: 3
  givenname: Omar
  surname: Saeed
  fullname: Saeed, Omar
  organization: University of Tennessee Health Science Center, Department of Internal Medicine, Memphis, Tennessee
– sequence: 4
  givenname: Asif A
  surname: Khan
  fullname: Khan, Asif A
  organization: North Florida Regional Medical Center, Department of Vascular and Interventional Neurology, Gainesville, Florida
BackLink https://www.ncbi.nlm.nih.gov/pubmed/31061972$$D View this record in MEDLINE/PubMed
BookMark eNpVUcFu1DAQtVARLaU_wAFF4ryLx7EdmwNS1ZayUhEIisTNGjuT3SybeHESpP59vbulag-W3zzPvPHTe82O-tgTY2-Bz5UB-BC2gbq54GDnMJfcav6CnQhZyZlQ4vfRE3zMzoZhzTkHY6DS5hU7LoFrsJU4Ye4yTn5Dxc-RcFN8X1Efu3z6j8VVR2lJfbgrLmmLacz0WHzFHpe0h7EpflCYUtoVtwn7od2hxRBW1LWhOB9HDH_esJcNbgY6e7hP2a_PV7cXX2Y3364XF-c3s1Byw2eqUVB54r6UVFnpPQQpjYKmFha1grrMrNWK66bxRnsqa41eoBWAYIQsT9nioFtHXLttajtMdy5i6_ZETEuXPbRhQ45MRVI2tubopcG8q0SFmldeNRC0yVqfDlrbyXdUh2wr4eaZ6POXvl25ZfzntLQVWJEF3j8IpPh3omF06zilPvt3QuT0SqW4yl3i0BVSHIZEzeMG4G6Xsdtn7HYZO3D7jPPQu6d_exz5n2h5D-3HpgU
CitedBy_id crossref_primary_10_1590_1677_5449_190124
crossref_primary_10_1080_08164622_2021_1999771
Cites_doi 10.5114/pwki.2015.55609
10.1161/01.str.19.8.958
10.2214/ajr.04.1000
10.1177/1941874411418523
10.1007/s10396-016-0713-1
10.1186/1752-1947-2-392
ContentType Journal Article
Copyright 2019. Notwithstanding the ProQuest Terms and conditions, you may use this content in accordance with the associated terms available at https://creativecommons.org/licenses/by/4.0
Copyright: © 2019 Rawal et al. 2019
Copyright_xml – notice: 2019. Notwithstanding the ProQuest Terms and conditions, you may use this content in accordance with the associated terms available at https://creativecommons.org/licenses/by/4.0
– notice: Copyright: © 2019 Rawal et al. 2019
DBID NPM
AAYXX
CITATION
3V.
7X7
7XB
8FI
8FJ
8FK
ABUWG
AFKRA
AZQEC
BENPR
CCPQU
DWQXO
FYUFA
GHDGH
K9.
M0S
PIMPY
PQEST
PQQKQ
PQUKI
PRINS
5PM
DOA
DOI 10.5811/cpcem.2019.1.40960
DatabaseName PubMed
CrossRef
ProQuest Central (Corporate)
Health & Medical Collection (ProQuest Medical & Health Databases)
ProQuest Central (purchase pre-March 2016)
Hospital Premium Collection
Hospital Premium Collection (Alumni Edition)
ProQuest Central (Alumni) (purchase pre-March 2016)
ProQuest Central (Alumni)
ProQuest Central
ProQuest Central Essentials
AUTh Library subscriptions: ProQuest Central
ProQuest One Community College
ProQuest Central Korea
Health Research Premium Collection
Health Research Premium Collection (Alumni)
ProQuest Health & Medical Complete (Alumni)
Health & Medical Collection (Alumni Edition)
Publicly Available Content Database
ProQuest One Academic Eastern Edition (DO NOT USE)
ProQuest One Academic
ProQuest One Academic UKI Edition
ProQuest Central China
PubMed Central (Full Participant titles)
DOAJ Directory of Open Access Journals
DatabaseTitle PubMed
CrossRef
Publicly Available Content Database
ProQuest Central Essentials
ProQuest One Academic Eastern Edition
ProQuest Health & Medical Complete (Alumni)
ProQuest Central (Alumni Edition)
ProQuest One Community College
ProQuest Hospital Collection
Health Research Premium Collection (Alumni)
ProQuest Central China
ProQuest Hospital Collection (Alumni)
ProQuest Central
ProQuest Health & Medical Complete
Health Research Premium Collection
ProQuest One Academic UKI Edition
Health and Medicine Complete (Alumni Edition)
ProQuest Central Korea
ProQuest One Academic
ProQuest Central (Alumni)
DatabaseTitleList PubMed


Publicly Available Content Database
Database_xml – sequence: 1
  dbid: DOA
  name: Open Access: DOAJ - Directory of Open Access Journals
  url: https://www.doaj.org/
  sourceTypes: Open Website
– sequence: 2
  dbid: NPM
  name: PubMed
  url: https://proxy.k.utb.cz/login?url=http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed
  sourceTypes: Index Database
– sequence: 3
  dbid: 7X7
  name: Health Medical collection
  url: https://search.proquest.com/healthcomplete
  sourceTypes: Aggregation Database
DeliveryMethod fulltext_linktorsrc
Discipline Public Health
Medicine
EISSN 2474-252X
EndPage 148
ExternalDocumentID oai_doaj_org_article_e87e44f9d0ab48abb13a5a607b5f1c68
10_5811_cpcem_2019_1_40960
31061972
Genre Case Reports
GroupedDBID 7X7
8FI
8FJ
ABUWG
ADBBV
AFKRA
ALMA_UNASSIGNED_HOLDINGS
AOIJS
AUK
BCNDV
BENPR
CCPQU
FYUFA
GROUPED_DOAJ
HMCUK
HYE
M~E
NPM
OK1
PGMZT
PIMPY
PQQKQ
PROAC
RPM
UKHRP
AAYXX
CITATION
3V.
7XB
8FK
AZQEC
DWQXO
K9.
PQEST
PQUKI
PRINS
5PM
ID FETCH-LOGICAL-c3080-5f517be0b34e794bb1c44851fd29a651d379496506ffb86be3d6ab2a921a18243
IEDL.DBID RPM
ISSN 2474-252X
IngestDate Tue Oct 22 15:13:20 EDT 2024
Tue Sep 17 21:10:37 EDT 2024
Thu Oct 10 18:36:47 EDT 2024
Fri Aug 23 01:48:17 EDT 2024
Sat Sep 28 08:35:24 EDT 2024
IsDoiOpenAccess true
IsOpenAccess true
IsPeerReviewed true
IsScholarly true
Issue 2
Language English
License This is an open access article distributed in accordance with the terms of the Creative Commons Attribution (CC BY 4.0) License. See: http://creativecommons.org/licenses/by/4.0
LinkModel DirectLink
MergedId FETCHMERGED-LOGICAL-c3080-5f517be0b34e794bb1c44851fd29a651d379496506ffb86be3d6ab2a921a18243
OpenAccessLink https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6497192/
PMID 31061972
PQID 2258135505
PQPubID 4397044
PageCount 5
ParticipantIDs doaj_primary_oai_doaj_org_article_e87e44f9d0ab48abb13a5a607b5f1c68
pubmedcentral_primary_oai_pubmedcentral_nih_gov_6497192
proquest_journals_2258135505
crossref_primary_10_5811_cpcem_2019_1_40960
pubmed_primary_31061972
PublicationCentury 2000
PublicationDate 2019-May
PublicationDateYYYYMMDD 2019-05-01
PublicationDate_xml – month: 05
  year: 2019
  text: 2019-May
PublicationDecade 2010
PublicationPlace United States
PublicationPlace_xml – name: United States
– name: Irvine
PublicationTitle Clinical practice and cases in emergency medicine
PublicationTitleAlternate Clin Pract Cases Emerg Med
PublicationYear 2019
Publisher University of California Digital Library - eScholarship
University of California Irvine, Department of Emergency Medicine publishing Western Journal of Emergency Medicine
eScholarship Publishing, University of California
Publisher_xml – name: University of California Digital Library - eScholarship
– name: University of California Irvine, Department of Emergency Medicine publishing Western Journal of Emergency Medicine
– name: eScholarship Publishing, University of California
References ref0
ref2
ref1
ref4
ref3
ref5
References_xml – ident: ref5
  doi: 10.5114/pwki.2015.55609
– ident: ref4
  doi: 10.1161/01.str.19.8.958
– ident: ref0
  doi: 10.2214/ajr.04.1000
– ident: ref2
  doi: 10.1177/1941874411418523
– ident: ref1
  doi: 10.1007/s10396-016-0713-1
– ident: ref3
  doi: 10.1186/1752-1947-2-392
SSID ssj0001881768
Score 2.1208413
Snippet Double steal phenomenon is a rare condition where occlusion of the innominate (brachiocephalic) artery leads to hemodynamic changes in which blood flow is...
SourceID doaj
pubmedcentral
proquest
crossref
pubmed
SourceType Open Website
Open Access Repository
Aggregation Database
Index Database
StartPage 144
SubjectTerms Ataxia
Blood pressure
Carotid arteries
Case Report
Clinical medicine
Emergency medical care
Hypertension
Medical imaging
Medicine
Patients
SummonAdditionalLinks – databaseName: DOAJ Directory of Open Access Journals
  dbid: DOA
  link: http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwrV1NSyQxEA3iaUEWXd3d9oscvEnrpPPtTXcVFRSRFeYWkk6CizKKjv_fqmRGZ5YFL176kG7o4qXS9V66qkLIjmEqZYhrrdABLkym1sQo24E0EXwm9opjofDFpTq9EedDOZw56gtzwmp74ArcfjI6CZFtHPggjA-BcS-9GuggM-tVLfNlckZMld0VY5gudXCd0KLtZDesFTPSMLbfP_YJq9CZ3WN7Akn8XFQqzfv_xzj_TZyciUQny-TrhELSw2r6CllIo29kqe6_0VpWtEocMONwnyjm697Tq9s0wlYLD6MDejwtuKS_IRQ9lSxz-p4FQx8yvcZNeGzbREsow5JJegYyGBPp6eF47Pu7NXJzcvzn12k7OUyh7TmwwlZmyXRIg8BFgjUIOPagzCTLsbNeSRY5jFrgayrnYFRIPCofOm875kGDCP6dLIKV6SehOSbJQQgKo6zgEPN59qCwVcS_jlaHhuxOwXSPtWeGA62B0LsCvUPoHXMF-oYcId5vT2K_6zIAXuAmXuA-8oKGbE5ny00W4bODT5VhHCVYQ37UiXt7C0cpbHXXED03pXNmzN8Z_b0t7beVsBp48fpn2L1BviAWNYNykyyOn17SFrCccdguDv0KH1z44A
  priority: 102
  providerName: Directory of Open Access Journals
– databaseName: AUTh Library subscriptions: ProQuest Central
  dbid: BENPR
  link: http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwfV1baxQxFD5oCyKIaL2NrZIH32TazeQyiS-l1S1VaCnFQt9CMkmsWHa32-3_95yZbNcV8WUeMsNMJl-S851rAD4YrlNGuVbLNuCFq1SbGFU9UibinImdFpQofHKqjy_kt0t1WQxutyWscrkn9ht1nHZkI9_DeWe4ID69P7up6dQo8q6WIzQewmbDJblpNw_Hp2fnKyuLMRwJ9ZAtgy_ge92sS5SBzu0u35VE4NckUl-4_19s8--gyT-k0NEzeFroIzsY8H4OD9JkCx6dFAf5FjwZzHBsyC56AQ4JcrhOjMJ2r9nZVZpQxYXp5BMbL_Mu2ReUSPM-2JytgmHYNLNzssVT9SbWSzTKnGRfURumeHp2sFj47tdLuDgaf_98XJczFepOIDmsVVa8DWkUhEy4FEPgHSpoiufYWK8VjwJbLdI2nXMwOiQRtQ-Ntw33qIpI8Qo2sJfpDbAckxKoD0qjrRQo-kX2qGjrSM5H24YKPi7H1c2G0hkOVQ5CwfUoOELBcdejUMEhDf39k1T2um-Yzn-4sopcMm2SMts48kEaj70XXnk9aoPKvNOmgp0lcK6sxVu3mjkVvB4wvP-KII3Ytk0F7Rq6a91YvzP5edVX4dbStkiP3_7_k9vwmP5yCJHcgY3F_C69QxqzCO_LXP0NKt_yHw
  priority: 102
  providerName: ProQuest
Title Double Steal Phenomenon: Emergency Department Management of Recurrent Transient Ischemic Attack
URI https://www.ncbi.nlm.nih.gov/pubmed/31061972
https://www.proquest.com/docview/2258135505
https://pubmed.ncbi.nlm.nih.gov/PMC6497192
https://doaj.org/article/e87e44f9d0ab48abb13a5a607b5f1c68
Volume 3
hasFullText 1
inHoldings 1
isFullTextHit
isPrint
link http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwnV1da9swFL20HYzCGPuety7oYW_DSRR9em9tl9INWkJZIW9CsqS2LHVCmv7_Xcl214w97cUP_sBC59r3HPnca4DPmsoQMa-VXDncUBFK7b0ox0J7jBlfS5YKhc_O5ekl_zEX8x0QfS1MNu3X7mbYLG6Hzc119laubutR7xMbzc6OJa8UMpPRLuwqxh5J9LywojVFDt0WyAhN6ahe1SEVndNqSIc8cfZ9eMqSFqrUZCsf5bb9_-Kaf1smH-WgkxfwvCOP5LAd5EvYCc0reNauvJG2oOg1GOTEbhFIcuouyOw6NKnJwrL5SqZ9qSX5hklonf3l5I__hSwjuUjL76lhE8lJLBVLku8ogJOFnhxuNrb-9QYuT6Y_j0_L7jcKZc2QD5YiCqpcGDvGAz59ztEaNZmg0U8qKwX1DPdWyNRkjE5LF5iX1k1sNaEW1Qdnb2EPRxneA4k-CIYSkGtZcYbZnkWL2lr69L2xUq6AL_1kmlXbLcOgykgomIyCSSgYajIKBRyl-X44M3W6zjuW6yvT4W2CVoHzWPmxdVxbHD2zwsqxciLSWuoCDnq0TPf43Rl8SWnKkvgq4F0L3MNdeuALUFuQbg1j-wjGYW683cXdh_--8iPspwloDZMHsLdZ34dPSGo2boChPFcDeHI0PZ9dDPLSwCAH9m-u4_oG
link.rule.ids 230,315,733,786,790,870,891,2115,12083,21416,27955,27956,31752,33777,43343,43838,53825,53827
linkProvider National Library of Medicine
linkToHtml http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwfV3fb9MwED7BkAAJIRgMAgP8wBvKVtc_wwsasKmDdUJok_pm2bHNEFNbuvL_c-ekK0WIlzw4ieL4O_u-O9-dAV5brlNGvVZLE_DCVaptjKoeKBtRZmKrBSUKj0_16Fx-mqhJ73C76sMqV2tiWajjrCUf-T7KneWC-PS7-c-aTo2i3dX-CI2bcEsKIUnOzcSsfSzWcqTTXa4Mvs7323mbKP-cN3t8TxJ939BHpWz_v7jm3yGTf-igowdwvyeP7KBD-yHcSNNtuD3ut8e34V7nhGNdbtEjcEiPw2ViFLR7yb5cpCnVW5hN37LDVdYl-4j6aFFCzdk6FIbNMvtKnniq3cSKPqO8SXaMtjBF07OD5dK3Px7D-dHh2YdR3Z-oULcCqWGtsuImpEEQMuFEDIG3aJ4pnuOw8VrxKLC1QdKmcw5WhySi9mHomyH3aIhIsQNb2Mv0FFiOSQm0BqXVjRSo-EX2aGbrSFuPjQkVvFmNq5t3hTMcGhyEgisoOELBcVdQqOA9Df31k1T0ujTMFt9cP4dcsiZJmZs48EFaj70XXnk9MEFl3mpbwe4KONfPxCu3lpsKnnQYXn9FkD3cmGEFZgPdjW5s3pl-vyg1uLVsDJLjZ___5Cu4Mzobn7iT49PPz-Eu_XEXLLkLW8vFr_QCCc0yvCxS-xuTIPOm
linkToPdf http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwnV1Lb9QwELagSFUlxLsQKOADN5TsOn7E4Vbarlqg1QpRqeJi-UmrbrOrJb3w6xk7SdmtOPWSQ-Iotmec-T7nmwlCHyQRPkBcy1ll4EC4z6VzPB9z6cBnnBU0Jgofn4jDU_bljJ-t_OorifatuSia2VXRXJwnbeXiyo4GndhoerwnWF0BMhktXBjdRw9gzZbVClFP2ytSEkDSXZoMl4SM7ML6mHpO6oIULCL3LbRJIyOqq3ItKqXi_f9DnLeFkyuRaPIY_RzG0AlQLovr1hT2z63yjnca5BP0qMeneLdr8hTd880z9LDb3MNdztJzpAB2m5nHUQw8w9Nz38Q6DvPmEz4YsjnxPsS5ZZKw438SGzwP-Hvc4Y81oXCKkzEfEx8Bx44qfbzbttpevkCnk4Mfe4d5_6eG3FKAnDkPnFTGjw1lHha4McQC7eMkuLLWghNH4WwNYFCEYKQwnjqhTanrkmggOIxuow3opX-FcHCeU2CZTIqaUQAUNGig78LFT5p1ZTL0cbCUWnQFORQQmWhilUysookVUcnEGfocjXnTMhbTTifmy1-qn23lZeUZC7Uba8Okht5TzbUYV4YHYoXM0M7gCqpf4b8VvAcloZHfZehl5xU3Txm8KkPVmr-sdWP9CnhBqu3dW_31ne98jzan-xP17ejk6xu0Feeik2fuoI12ee3fAoRqzbu0WP4CygobGw
openUrl ctx_ver=Z39.88-2004&ctx_enc=info%3Aofi%2Fenc%3AUTF-8&rfr_id=info%3Asid%2Fsummon.serialssolutions.com&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=article&rft.atitle=Double+Steal+Phenomenon%3A+Emergency+Department+Management+of+Recurrent+Transient+Ischemic+Attack&rft.jtitle=Clinical+practice+and+cases+in+emergency+medicine&rft.au=Amit+R.+Rawal&rft.au=Collin+Bufano&rft.au=Omar+Saeed&rft.au=Asif+A.+Khan&rft.date=2019-05-01&rft.pub=eScholarship+Publishing%2C+University+of+California&rft.issn=2474-252X&rft.eissn=2474-252X&rft.volume=3&rft.issue=2&rft_id=info:doi/10.5811%2Fcpcem.2019.1.40960&rft.externalDBID=DOA&rft.externalDocID=oai_doaj_org_article_e87e44f9d0ab48abb13a5a607b5f1c68
thumbnail_l http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/lc.gif&issn=2474-252X&client=summon
thumbnail_m http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/mc.gif&issn=2474-252X&client=summon
thumbnail_s http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/sc.gif&issn=2474-252X&client=summon