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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Published in | Clinical practice and cases in emergency medicine Vol. 3; no. 2; pp. 144 - 148 |
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Main Authors | , , , |
Format | Journal Article |
Language | English |
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 |
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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. |
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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 |
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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 |
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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 |
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SubjectTerms | Ataxia Blood pressure Carotid arteries Case Report Clinical medicine Emergency medical care Hypertension Medical imaging Medicine Patients |
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Title | Double Steal Phenomenon: Emergency Department Management of Recurrent Transient Ischemic Attack |
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