Near-infrared spectroscopy in subclavian steal syndrome anesthetic management

Authors

DOI:

https://doi.org/10.25751/rspa.21021

Keywords:

Anesthesia, Hypertension, Subclavian steal, Cerebral oximetry

Abstract

Subclavian steal is a rare condition caused by steno-occlusive disease in the proximal subclavian artery and systemic hypertension can be a physiologic response to maintain adequate cerebral perfusion.

Perioperative arterial pressure targets should be individualized specially in hypertensive patients and remains challenging in most patients. Cerebral oxymetry monitor can be a powerful tool in detection and correction of cerebral ischemia associated with arterial pressure drops.

Downloads

References

1. Osiro S, Zurada A, Gielecki J, Shoja M, Tubbs SR, Loukas M. A review of subclavian steal syndrome with clinical correlation. Med Sci Monit. 2012;18(5):57–63.
2. Chafizadeh G, Rassekh E, Massih M, Behravesh M. Subclavian Steal Syndrome or Brachiobasilar Insufficiency Syndrome. Dis Chest. 2013;53(5):649–51.
3. Lapage K, Wouters P. The patient with hypertension undergoing surgery. Curr Opin Anaesthesiol. 2016;29(3):397–402.
4. Ruland S, Aiyagari V. Cerebral autoregulation and blood pressure lowering. Hypertension. 2007;49(5):977–8.
5. Murkin JM, Arango M. Near-infrared spectroscopy as an index of brain and tissue oxygenation. Br J Anaesth. 2009;103(SUPPL.1):i3–13.

Downloads

Published

2021-04-07

How to Cite

Alves, S. S., Martins, F., & Faria, T. (2021). Near-infrared spectroscopy in subclavian steal syndrome anesthetic management . Journal of the Portuguese Society of Anesthesiology, 30(1). https://doi.org/10.25751/rspa.21021

Issue

Vol. 30 No. 1 (2021): Revista da Sociedade Portuguesa de Anestesiologia

Section

Case Report

License

Copyright (c) 2021 Sara Sousa Alves, Filipa Martins, Tiago Faria

Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

Articles are freely available to be read, downloaded and shared from the time of publication.

The RSPA reserves the right to commercialize the article as an integral part of the journal (in the preparation of reprints, for example). The author should accompany the submission letter with a declaration of copyright transfer for commercial purposes.

Articles are published under the terms of the Creative Commons Attribution Non-Commercial License (CC BY-NC).

After publication in RSPA, authors are allowed to make their articles available in repositories of their home institutions, as long as they always mention where they were published.

Most read articles by the same author(s)