1964•Annals of Internal MedicineRequires access

Reversed Vertebral Flow (Subclavian Steal) Syndrome.

James Francis Toole

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Abstract

s1 April 1964Reversed Vertebral Flow (Subclavian Steal) Syndrome.James F. Toole, M.D., F.A.C.P.James F. Toole, M.D., F.A.C.P.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-60-4-713_2 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptTwo years ago a new syndrome caused by focal stenosis or occlusion of the proximal portion of the subclavian artery was first described. In this subclavian steal syndrome, as it has been called, blood flows in retrograde fashion from the brain to the arm to produce signs and symptoms of cerebral vascular insufficiency. This occurs because a focal lesion of either subclavian artery proximal to the origin of the vertebral artery reduces or inverts the normal pressure gradient which propels blood through it in a cephalic direction to produce a siphoning or shunt from brain to skeletal muscle.A constellation... This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: Winston-Salem, North Carolina PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics 1 April 1964Volume 60, Issue 4Page: 713-713KeywordsArteriesBlood flowBrainLesionsSigns and symptomsSkeletal musclesStenosisVascular insufficiency Issue Published: 1 April 1964 PDF DownloadLoading ...

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s1 April 1964Reversed Vertebral Flow (Subclavian Steal) Syndrome.James F. Toole, M.D., F.A.C.P.James F. Toole, M.D., F.A.C.P.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-60-4-713_2 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptTwo years ago a new syndrome caused by focal stenosis or occlusion of the proximal portion of the subclavian artery was first described. In this subclavian steal syndrome, as it has been called, blood flows in retrograde fashion from the brain to the arm to produce signs and symptoms of cerebral vascular insufficiency. This occurs because a focal lesion of either subclavian artery proximal to the origin of the vertebral artery reduces or inverts the normal pressure gradient which propels blood through it in a cephalic direction to produce a siphoning or shunt from brain to skeletal muscle.A constellation... This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: Winston-Salem, North Carolina PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics 1 April 1964Volume 60, Issue 4Page: 713-713KeywordsArteriesBlood flowBrainLesionsSigns and symptomsSkeletal musclesStenosisVascular insufficiency Issue Published: 1 April 1964 PDF DownloadLoading ...

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s1 April 1964Reversed Vertebral Flow (Subclavian Steal) Syndrome.James F. Toole, M.D., F.A.C.P.James F. Toole, M.D., F.A.C.P.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-60-4-713_2 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptTwo years ago a new syndrome caused by focal stenosis or occlusion of the proximal portion of the subclavian artery was first described. In this subclavian steal syndrome, as it has been called, blood flows in retrograde fashion from the brain to the arm to produce signs and symptoms of cerebral vascular insufficiency. This occurs because a focal lesion of either subclavian artery proximal to the origin of the vertebral artery reduces or inverts the normal pressure gradient which propels blood through it in a cephalic direction to produce a siphoning or shunt from brain to skeletal muscle.A constellation... This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: Winston-Salem, North Carolina PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics 1 April 1964Volume 60, Issue 4Page: 713-713KeywordsArteriesBlood flowBrainLesionsSigns and symptomsSkeletal musclesStenosisVascular insufficiency Issue Published: 1 April 1964 PDF DownloadLoading ...

Key concepts: Medicine, Subclavian steal syndrome, Vertebral artery, Subclavian artery, Shunt (medical), Left subclavian artery, Stenosis, Occlusion

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