Near-infrared spectroscopy in subclavian steal syndrome anesthetic management




anestesia, hipertensão arterial, roubo da subclávia, oximetria cerebral


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.


Não há dados estatísticos.


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.




Como Citar

Alves, S. S., Martins, F., & Faria, T. (2021). Near-infrared spectroscopy in subclavian steal syndrome anesthetic management . Revista Da Sociedade Portuguesa De Anestesiologia, 30(1).

Artigos mais lidos do(s) mesmo(s) autor(es)