Double Steal Syndrome: Two Case Presentations
- *Corresponding Author:
- Ashley D. Willoughby
Department of Surgery/General Surgery
Tripler Army Medical Center
1 Jarrett White Road
Tripler AMC, HI 96859, USA
Tel: (808) 433-3479
Fax: (808) 433-6152
E-mail: [email protected]
Received Date: June 02, 2014; Accepted Date: July 07, 2014; Published Date: July 09, 2014
Citation: Willoughby AD, Kellicut DC, DO BHC, Katras A, Shimabukuro M, et al. (2014) Double Steal Syndrome: Two Case Presentations. J Vasc Med Surg 2:143. doi: 10.4172/2329-6925.1000143
Copyright: © 2014 Willoughby AD, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Double steal syndrome is a phenomenon that has been minimally described in the literature and here we present two cases. The first case presented with symptoms and early evidence of reversal of flow on carotid duplex in the right proximal internal carotid artery with significant innominate stenosis. The second case was an asymptomatic patient with clear retrograde flow observed in the right proximal internal carotid artery with innominate stenosis. Both patients were also found to have reversal of flow in the vertebral artery of the ipsilateral side. Intervention consisted of stent placement at the proximal origin of the innominate artery. Both patients remained on clopidogrel according to post-procedure instructionsand returned to the clinic within the first week for follow up carotid duplex demonstrating decreased innominate velocity with antegrade right internal carotid and vertebral artery flow.