Dialysis Arteriovenous Fistula Causing Subclavian Steal Syndrome in the Absence of Subclavian Artery Stenosis

Dialysis Arteriovenous Fistula Causing Subclavian Steal Syndrome in the Absence of Subclavian Artery Stenosis

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, a...

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Main Authors: Eesha Maiodna, Sudheer Ambekar, Jeremiah N. Johnson, Mohamed Samy Elhammady
Format: Article
Language:English
Published: Hindawi Limited 2015-01-01
Series:Case Reports in Vascular Medicine
Online Access:http://dx.doi.org/10.1155/2015/720684
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spelling doaj-47405776e2bb43df97b50a972dd1e92f2020-11-24T21:43:30ZengHindawi LimitedCase Reports in Vascular Medicine2090-69862090-69942015-01-01201510.1155/2015/720684720684Dialysis Arteriovenous Fistula Causing Subclavian Steal Syndrome in the Absence of Subclavian Artery StenosisEesha Maiodna0Sudheer Ambekar1Jeremiah N. Johnson2Mohamed Samy Elhammady3Department of Neurological Surgery, University of Miami School of Medicine, Miami, FL 33136, USADepartment of Neurological Surgery, University of Miami School of Medicine, Miami, FL 33136, USADepartment of Neurological Surgery, University of Miami School of Medicine, Miami, FL 33136, USADepartment of Neurological Surgery, University of Miami School of Medicine, Miami, FL 33136, USAWe 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.http://dx.doi.org/10.1155/2015/720684
collection DOAJ
language English
format Article
sources DOAJ
author Eesha Maiodna
Sudheer Ambekar
Jeremiah N. Johnson
Mohamed Samy Elhammady
spellingShingle Eesha Maiodna
Sudheer Ambekar
Jeremiah N. Johnson
Mohamed Samy Elhammady
Dialysis Arteriovenous Fistula Causing Subclavian Steal Syndrome in the Absence of Subclavian Artery Stenosis
Case Reports in Vascular Medicine
author_facet Eesha Maiodna
Sudheer Ambekar
Jeremiah N. Johnson
Mohamed Samy Elhammady
author_sort Eesha Maiodna
title Dialysis Arteriovenous Fistula Causing Subclavian Steal Syndrome in the Absence of Subclavian Artery Stenosis
title_short Dialysis Arteriovenous Fistula Causing Subclavian Steal Syndrome in the Absence of Subclavian Artery Stenosis
title_full Dialysis Arteriovenous Fistula Causing Subclavian Steal Syndrome in the Absence of Subclavian Artery Stenosis
title_fullStr Dialysis Arteriovenous Fistula Causing Subclavian Steal Syndrome in the Absence of Subclavian Artery Stenosis
title_full_unstemmed Dialysis Arteriovenous Fistula Causing Subclavian Steal Syndrome in the Absence of Subclavian Artery Stenosis
title_sort dialysis arteriovenous fistula causing subclavian steal syndrome in the absence of subclavian artery stenosis
publisher Hindawi Limited
series Case Reports in Vascular Medicine
issn 2090-6986
2090-6994
publishDate 2015-01-01
description 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.
url http://dx.doi.org/10.1155/2015/720684
work_keys_str_mv AT eeshamaiodna dialysisarteriovenousfistulacausingsubclavianstealsyndromeintheabsenceofsubclavianarterystenosis
AT sudheerambekar dialysisarteriovenousfistulacausingsubclavianstealsyndromeintheabsenceofsubclavianarterystenosis
AT jeremiahnjohnson dialysisarteriovenousfistulacausingsubclavianstealsyndromeintheabsenceofsubclavianarterystenosis
AT mohamedsamyelhammady dialysisarteriovenousfistulacausingsubclavianstealsyndromeintheabsenceofsubclavianarterystenosis
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