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.

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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.

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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

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