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Cerebral IschemiaCaused by Occlusive Lesions of the Subclavian or Innominate Arteries
ALBERT HEYMAN, MD;
W. GLENN YOUNG, JR., MD;
MARCUS DILLON, MD;
JOHN A. Goree, MD;
L. J. KLEIN, MD;
GEORGE TINDALL, MD
Arch Neurol. 1964;10(6):581-589.
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The current interest in the surgical management of extracranial cerebral vascular disease is largely concerned with occlusive lesions of the cervical portion of the carotid arteries. It is becoming apparent, however, that occlusion of the innominate and subclavian arteries may also produce signs and symptoms of cerebral vascular insufficiency and that surgical removal of obstructions in these vessels may be an effective form of treatment.1-3 It is the purpose of this report to present the clinical manifestations and the radiologic and surgical aspects of this form of cerebral vascular disease. In addition, the factors influencing the development of retrograde circulation in the vertebral arteries associated with subclavian or innominate stenosis, the so-called subclavian steal,4,5 will be reviewed.
Case Material and Roentgenographic Findings
Fourteen patients were studied. All had cerebral ischemia associated with atherosclerotic disease of the subclavian or innominate arteries alone or in combination with other extracranial or
. . . [Full Text PDF of this Article]
Author Affiliations
DURHAM, NC
From the neurology, radiology, and surgical divisions of Duke University Medical Center and the Durham Veterans Administration Hospital.
Footnotes
Submitted for publication Dec 23, 1963; accepted Jan 30, 1964.
Aided by grant No. HE 7369 from the National Institutes of Health, United States Public Health Service.
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