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: 65 relevant articles (3 outcomes, 2 trials/studies)

Relationship Network

Disease Context: Research Results

Related Diseases

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

Experts

1.	Labinskyy, Volodymyr: 1 article (01/2016)
2.	Rahimi, Saum A: 1 article (01/2016)
3.	Hinojosa, Carlos A: 1 article (01/2016)
4.	Galindo-Uribe, Jaime: 1 article (01/2016)
5.	Anaya-Ayala, Javier E: 1 article (01/2016)
6.	Guerrero-Hernandez, Manuel: 1 article (01/2016)
7.	Lee, Leonard Y: 1 article (01/2016)
8.	Shah, Noor: 1 article (01/2016)
9.	Laparra-Escareno, Hugo: 1 article (01/2016)
10.	Tanaka, Makoto: 1 article (02/2015)

Drugs and Biologics

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

1.	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."
2.	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."
3.	Polytetrafluoroethylene (Teflon)FDA Link 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." 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."
4.	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."
5.	tranilast (N 5')IBA 08/01/2005 - "Patients who had coronary-subclavian steal syndrome after coronary artery bypass (group B, n = 32) underwent either surgical (n = 5) or endovascular (n = 27) brachiocephalic reconstruction only. "
6.	glucuronyl glucosamine glycan sulfate (Vessel)IBA 11/01/2012 - "We report a case of coronary-subclavian steal syndrome, which had been masked by a malfunctioning hemodialysis access vessel and then reappeared after a successful angioplasty of multiple stenoses in the arteriovenous fistula of the left arm in a 61-year-old man. "

Therapies and Procedures

1.	Angioplasty (Angioplasty, Transluminal) 01/01/1999 - "The aim of this study was to assess the efficacy of percutaneous transluminal angioplasty (PTA) and stenting in the management of the coronary-subclavian steal syndrome (CSSS). " 01/01/2012 - "Coronary subclavian steal syndrome unamenable to angioplasty successfully managed with subclavian-subclavian bypass." 05/01/2006 - "Percutaneous angioplasty and stenting of left subclavian artery lesions for the treatment of patients with concomitant vertebral and coronary subclavian steal syndrome." 09/15/1996 - "Percutaneous transluminal angioplasty of the left subclavian artery to prevent or treat the coronary-subclavian steal syndrome." 01/01/1995 - "Use of angioplasty in the prevention and treatment of coronary--subclavian steal syndrome."
2.	Atherectomy 06/01/1993 - "Directional atherectomy appears to be a safe and effective treatment for coronary-subclavian steal syndrome. " 06/01/1993 - "This study addresses the efficacy of directional atherectomy in the subclavian artery for the relief of angina in patients with the coronary-subclavian steal syndrome. " 06/01/1993 - "Atherectomy of the subclavian artery for patients with symptomatic coronary-subclavian steal syndrome." 12/01/2004 - "Directional atherectomy with the SilverHawk plaque excision device in the treatment of a proximal subclavian-vertebral artery stenosis in coronary-subclavian steal syndrome (CSSS)."
3.	Transplants (Transplant) 08/01/2012 - "Coronary subclavian steal syndrome refers to decreased or reversed internal mammary artery flow, which causes angina related to severe subclavian steno-occlusive disease in patients with in situ internal mammary-to-coronary artery graft. " 08/01/2012 - "A new form of coronary subclavian steal syndrome: a saphenous vein graft-coronary-subclavian unidirectional steal syndrome." 01/01/2012 - "Coronary subclavian steal syndrome with retrograde blood flow in the left internal mammary-coronary bypass graft is a rare but severe complication of cardiac surgery. " 01/01/2012 - "He underwent cardiac catheterization for NSTEMI which showed patent left internal mammary artery graft to left anterior descending coronary artery with retrograde flow, and diagnosis of coronary subclavian steal syndrome was made. " 10/01/2010 - "Coronary subclavian steal syndrome (CSSS) is a well documented cause of graft function failure in patients after left internal mammary artery (LIMA)--left anterior descending (LAD) coronary artery grafting. "
4.	Coronary Artery Bypass (Coronary Artery Bypass Surgery) 01/01/2016 - "Coronary subclavian steal syndrome is a rare but important condition that occurs after a left internal mammary artery (LIMA) to coronary artery bypass in the setting of a stenotic left subclavian artery. " 01/01/2015 - "Coronary subclavian steal syndrome is a rare cause of recurrent angina after coronary artery bypass grafting. " 04/01/2013 - "Coronary-subclavian steal syndrome results from atherosclerotic disease of the proximal subclavian artery, causing reversal of flow in an internal mammary artery used as conduit for coronary artery bypass. " 01/01/2009 - "Coronary-subclavian steal syndrome results from atherosclerotic disease of the proximal subclavian artery causing reversal of flow in an internal mammary artery used as conduit for coronary artery bypass. " 03/31/2008 - "[Coronary subclavian steal syndrome: two cases after coronary artery bypass grafting]."
5.	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. " 06/01/2007 - "Two cases of coronary-subclavian steal syndrome are presented, 1 treated percutaneously with angioplasty and stent, and 1 treated with a combined endovascular-surgical procedure." 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."