Coronary-Subclavian Steal Syndrome

A complication of INTERNAL MAMMARY-CORONARY ARTERY ANASTOMOSIS whereby an occlusion or stenosis of the proximal SUBCLAVIAN ARTERY causes a reversal of the blood flow away from the CORONARY CIRCULATION, through the grafted INTERNAL MAMMARY ARTERY (internal thoracic artery), and back to the distal subclavian distribution.

Also Known As:

Networked: 68 relevant articles (0 outcomes, 1 trials/studies)

Disease Context: Research Results

Related Diseases

1.	Subclavian Steal Syndrome (Subclavian Steal)
2.	Myocardial Ischemia (Ischemic Heart Diseases)
3.	Myocardial Infarction
4.	Ischemia
5.	Pathologic Constriction (Stenosis)

Experts

1.	Diniz, Thomas Rezende: 1 article (10/2022)
2.	Hawerroth, Maria da Graça Lepre: 1 article (10/2022)
3.	Maia, Maria Ambrosina Cardoso: 1 article (10/2022)
4.	Oliveira, Walter Alvarenga de: 1 article (10/2022)
5.	Santos, Luciano Batista Silveira: 1 article (10/2022)
6.	Sonoda, Lucas Yuji: 1 article (10/2022)
7.	Vargas, Túlio Torres: 1 article (10/2022)
8.	Gill, Harkanwar: 1 article (05/2022)
9.	Gill, Harman S: 1 article (05/2022)
10.	Kotha, Vamshi: 1 article (05/2022)

Drugs and Biologics

Drugs and Important Biological Agents (IBA) related to Coronary-Subclavian Steal Syndrome:

1.	Anesthetics (Anesthetic Agents)IBA 07/01/2017 - "Anesthetic management of high-risk patients with coronary-subclavian steal syndrome presents safety and technical challenges. " 06/01/1988 - "Coronary-subclavian steal syndrome: anesthetic implications and management in the perioperative period."
2.	Technetium Tc 99m Sestamibi (Cardiolite)FDA LinkGeneric 03/01/2000 - "The use of duplex scanning and 99mTc-sestamibi may serve as an adjunct in evaluating coronary subclavian steal syndrome as well as documenting transient vertebral subclavian steal in this patient population."
3.	Paclitaxel (Taxol)FDA LinkGeneric 11/01/2011 - "Use of a cutting balloon and a paclitaxel-coated balloon to treat recurrent subclavian in-stent restenosis causing coronary subclavian steal syndrome."
4.	Polytetrafluoroethylene (Teflon)FDA Link 08/01/2012 - "From 2003 to 2010, AAB using a polytetrafluoroethylene (PTFE) graft was performed in 11 patients with coronary subclavian steal syndrome. " 08/01/2012 - "Axillo-axillary bypass with polytetrafluoroethylene graft for coronary subclavian steal syndrome." 08/01/2012 - "Our results showed that AAB using a PTFE graft provides an effective and durable treatment option for coronary subclavian steal syndrome when attempted endovascular therapy of the occluded proximal subclavian artery is unsuccessful."
5.	Complement System Proteins (Complement)IBA 04/01/2012 - "The finding of a total left axillary artery occlusion complement the pathogenesis of myocardial ischemia produced by limited anterograde flow and not driven by the common flow reversal mechanism of a typical coronary-subclavian steal syndrome."

Therapies and Procedures

1.	Lithotripsy (Extracorporeal Shockwave Lithotripsy) 06/04/2023 - "The present study exemplifies a case of recanalization of the left subclavian artery in a patient with coronary-subclavian steal syndrome with a heavily calcified ostial lesion treated with intravascular lithotripsy (IVL). " 06/04/2023 - "To report a case of coronary-subclavian steal syndrome (CSSS) due to a history of a left internal mammary artery (LIMA) to left anterior descending (LAD) artery coronary bypass (CABG) and a heavily calcified ostial left subclavian artery (LSA) occlusion, that was treated with intravascular lithotripsy (IVL) technique and to summarize the current trends of IVL treatment for supra-aortic vessels. "
2.	Coronary Artery Bypass (Coronary Artery Bypass Surgery) 05/01/2023 - "An 81-year-old female who had undergone coronary artery bypass grafting 15 years previously was admitted and diagnosed with coronary subclavian steal syndrome. " 01/01/2023 - "Coronary subclavian steal syndrome (CSSS) is an often easily overlooked cause of angina that may occur after a coronary artery bypass graft (CABG) procedure. " 10/08/2022 - "Coronary subclavian steal syndrome is an uncommon cause of angina in patients with a previous coronary artery bypass graft procedure. " 05/01/2022 - "Coronary subclavian steal syndrome is an uncommon complication occurring in patients with coronary artery bypass graft (CABG). " 04/01/2021 - "Coronary subclavian steal syndrome (CSSS) is a rare complication of the internal mammary artery (IMA) grafting in coronary artery bypass surgery. "
3.	Renal Dialysis (Hemodialysis) 02/01/2015 - "Coronary subclavian steal syndrome detected during coronary bypass surgery in a hemodialysis patient." 09/01/2013 - "Coronary-subclavian steal syndrome in a hemodialysis patient, a case report and review of literature." 11/01/2012 - "This case suggests that coronary-subclavian steal syndrome should be considered before a coronary artery bypass grafting surgery using internal mammary artery conduit is done, especially when hemodialysis using the left arm vessels is expected." 02/01/2023 - "Although a problem with the ITA can possibly occur, using the ITA ipsilateral to an arteriovenous fistula (AVF) in the upper extremity of patients on hemodialysis can cause coronary subclavian steal syndrome (CSSS). " 01/01/2017 - "Coronary-subclavian steal syndrome in a hemodialysis patient with ipsilateral subclavian artery occlusion and contralateral vertebral artery stenosis "Case Report"."
4.	Stents 11/01/2011 - "Recurrent in-stent restenosis (ISR) resulted in the coronary subclavian steal syndrome (CSSS), with angina due to compromised blood flow in the left internal mammary artery/radial composite bypass graft. " 05/25/2005 - "Percutaneous transluminal angioplasty and stent implantation for coronary subclavian steal syndrome: unusual approach." 01/01/1999 - "Coronary-subclavian steal syndrome: treatment with percutaneous transluminal angioplasty and stent placement." 10/01/1994 - "Restenosis following subclavian artery angioplasty for treatment of coronary-subclavian steal syndrome: definitive treatment with Palmaz-stent placement." 05/01/2022 - "The case demonstrates successful application of subclavian atherectomy with use of embolic protective device, alleviating the need of stent, for treatment of Coronary subclavian steal syndrome in patient with remote history of CABG."
5.	Myocardial Revascularization 01/01/2013 - "Coronary subclavian steal syndrome is a rare ischemic cause in patients after myocardial revascularization surgery. " 12/01/1994 - "Coronary subclavian steal syndrome is a possible sequel in patients who have undergone myocardial revascularization with an internal mammary artery. " 04/01/2014 - "The Coronary-subclavian Steal Syndrome is a variation of the Subclavian Steal Syndrome and is characterized by inversion of flow in the Internal Thracic artery that has been used as conduct in a myocardial revascularization. " 07/01/1988 - "With the increased use of the internal mammary artery for myocardial revascularization, the potential exists for recurrence of angina pectoris in patients who have or in whom develops high-grade stenosis or occlusion of the subclavian artery, because of the coronary-subclavian steal syndrome. "