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KMID : 0359720090270030260
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Journal of the Korean Neurological Association
2009 Volume.27 No. 3 p.260 ~ p.263
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Subclavian Steal Syndrome Treated by Axilloaxillary Bypass Surgery : The Role of Duplex Sonography
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Kim Bum-Joon
Kwon Sun-Uck
Kang Dong-Wha
Park Sea-Mi
Kim Jong-Sung
Cho Yong-Pil
Sohn Ho-Yon
Lee Eun-Jae
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Abstract
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We report herein a case of subclavian steal syndrome due to occlusive disease in multiple branches of the aortic arch, which was successfully treated by axilloaxillary bypass and subclavian stent insertion. The hemodynamic changes were evaluated using duplex sonography and transcranial Doppler before and after each procedure. The waveform and parameters of blood flow revealed an objective improvement in cerebral perfusion. These findings correlated well with clinical outcome. Neurosonologic evaluation can provide objective evidence for improved hemodynamic status after treatment.
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KEYWORD
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Subclavian steal syndrome, Axilloaxillary bypass, Duplex ultrasonography
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