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Innominate Steal Syndrome: A Two Patient Case Report and Review

1 University of Colorado Anschutz Medical Campus, Division of Cardiology, Aurora, CO, USA;
2 Penrose Hospital, Department of Cardiology, Colorado Springs, CO, USA

Special Issues: Percutaneous transluminal interventions of peripheral, renal and carotid artery diseases.

Like subclavian artery disease, innominate artery disease can result in reversal of flow in the ipsilateral vertebral artery. Unlike subclavian artery disease, innominate artery disease can also affect cerebral perfusion in the ipsilateral carotid territory, is less well characterized in the literature, and is more challenging to revascularize. Herein, we present two cases of ‘innominate steal’ and a summary of relevant literature focusing on innominate artery disease.
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Keywords peripheral arterial disease; aortic disease; endovascular intervention

Citation: Ryan T. Borne, Arash Aghel, Amit C. Patel, Robert K. Rogers. Innominate Steal Syndrome: A Two Patient Case Report and Review. AIMS Medical Science, 2015, 2(4): 360-370. doi: 10.3934/medsci.2015.4.360


  • 1. Hass WK, Fields WS, North RR, et al. (1968) Joint study of extracranial arterial occlusion. II. Arteriography, techniques, sites, and complications. JAMA 203: 961-968.
  • 2. Brunholzl C, von Reutern GM (1989) Hemodynamic effects of innominate artery occlusive disease. Evaluation by Doppler ultrasound. Ultrasound Med Biol 15: 201-204.
  • 3. Rooke T (2007) Vascular Medicine and Endovascular Intervention. 1st ed: Wiley-Blackwell.
  • 4. Fisher C (1961) A new vascular syndrome: the subclavian steal. England J Med 265: 912-913.    
  • 5. Blakemore WS, Hardesty WH, Bevilacqua JE, et al. (1965) Reversal of blood flow in the right vertebral artery accompanying occlusion of the innominate artery. Ann Surg 161: 353-356.    
  • 6. Cronewett, Johnston. Rutherford's Vascular Surgery. 7th ed: Saunders Elsevier.
  • 7. Palchik E, Bakken AM, Wolford HY, et al. (2008) Evolving strategies in treatment of isolated symptomatic innominate artery disease. Vascu Endov Surgery 42: 440-445.    
  • 8. Brountzos EN, Malagari K, Kelekis DA (2006) Endovascular treatment of occlusive lesions of the subclavian and innominate arteries. Cardio Inter Radio 29: 503-510.
  • 9. Patel SN, White CJ, Collins TJ, et al. (2008) Catheter-based treatment of the subclavian and innominate arteries. J Soc Cardiac Angiogra Inter 71: 963-968.
  • 10. Aiello F, Morrissey NJ (2011) Open and endovascular management of subclavian and innominate arterial pathology. Sem Vascu Surg 24: 31-35.    
  • 11. Brott TG, Halperin JL, Abbara S, et al. (2011) ASA/ACCF/AHA/AANN/AANS/ACR/ASNR/CNS/SAIP/SCAI/SIR/SNIS/SVM/SVS guideline on the management of patients with extracranial carotid and vertebral artery disease: executive summary. J Cereb Circu 42: e420-463.    
  • 12. Grosveld WJ, Lawson JA, Eikelboom BC, et al. (1988) Clinical and hemodynamic significance of innominate artery lesions evaluated by ultrasonography and digital angiography. J Cereb Circu 19: 958-962.    
  • 13. Laloux P, Richelle F, Meurice H, et al. (1995) Cerebral blood flow and perfusion reserve capacity in hemodynamic carotid transient ischemic attacks due to innominate artery stenosis. J Nuc Med 36: 1268-1271.
  • 14. Grant EG, El-Saden SM, Madrazo BL, et al. (2006) Innominate artery occlusive disease: sonographic findings. Am J Roentgenol 186: 394-400.    
  • 15. von Reutern GM, Pourcelot L (1978) Cardiac cycle-dependent alternating flow in vertebral arteries with subclavian artery stenoses. J Cereb Circu 9: 229-236.    
  • 16. Berguer R, Morasch MD, Kline RA (1998) Transthoracic repair of innominate and common carotid artery disease: immediate and long-term outcome for 100 consecutive surgical reconstructions. J Vascu Surg 27: 34-41.    
  • 17. Kieffer E, Sabatier J, Koskas F, et al. (1995) Atherosclerotic innominate artery occlusive disease: early and long-term results of surgical reconstruction. J Vascu Surg 21: 326-336.    
  • 18. Rhodes JM, Cherry KJ, Clark RC, et al. (2000) Aortic-origin reconstruction of the great vessels: risk factors of early and late complications. J Vascu Surg 31: 260-269.    
  • 19. Paukovits TM, Lukacs L, Berczi V, et al. (2010) Percutaneous endovascular treatment of innominate artery lesions: a single-centre experience on 77 lesions. Eur J vascu endovascu surg 40: 35-43.
  • 20. Brountzos EN, Petersen B, Binkert C, et al. (2004) Primary stenting of subclavian and innominate artery occlusive disease: a single center's experience. Cardiovas Inter Radio 27: 616-623.    
  • 21. Huttl K, Nemes B, Simonffy A, et al. (2002) Angioplasty of the innominate artery in 89 patients: experience over 19 years. Cardiovas Inter Radio 25: 109-114.    
  • 22. Peterson BG, Resnick SA, Morasch MD, et al. (2006) Aortic arch vessel stenting: a single-center experience using cerebral protection. Arch Surg 141: 560-563.    
  • 23. van Hattum ES, de Vries JP, Lalezari F, et al. (2007) Angioplasty with or without stent placement in the brachiocephalic artery: feasible and durable? A retrospective cohort study. J Vascu Inter Radio 18: 1088-1093.
  • 24. Ryer EJ, Oderich GS (2010) Two-wire (0.014 & 0.018-inch) technique to facilitate innominate artery stenting under embolic protection. J Inter Soc Endovas Special 17: 652-656.


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Copyright Info: 2015, Robert K. Rogers, et al., licensee AIMS Press. This is an open access article distributed under the terms of the Creative Commons Attribution Licese (http://creativecommons.org/licenses/by/4.0)

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