Reversed Vertebral Artery Flow and Cerebral Vascular Insufficiency
Authors: JAMES F. TOOLE
Journal: Annals of Internal Medicine (1964)

Editorials1 July 1964Reversed Vertebral Artery Flow and Cerebral Vascular InsufficiencyJAMES F. TOOLE, M.D., F.A.C.P.JAMES F. TOOLE, M.D., F.A.C.P.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-61-1-159 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptDoctors Siekert, Millikan, and Whisnant, whose article appears in this issue of the ANNALS, have made many significant contributions to our understanding of the etiology and treatment of the atherosclerotic forms of cerebral vascular disease. Their publications span the years when there has been such a great reawakening of interest in this problem.Prior to 1950, "strokes" or "C.V.A.'s" were thought to follow thrombosis of small intracranial arteries, so that the physician directed his therapy at the prevention of the complications of bed rest and not at the primary cerebral-vascular problem. Then Wright and his co-workers (1, 2) published their...References1. FOLEYWRIGHT WTIS: The treatment of cerebral thrombosis and embolism with anticoagulant drugs: preliminary observations. Med. Clin. N. Amer. 34: 909, 1950. CrossrefMedlineGoogle Scholar2. WRIGHTMCDEVITT ISE: Cerebral vascular diseases: their significance, diagnosis, and present treatment, including the selective use of anticoagulant substances. Ann. Intern. Med. 41: 682, 1954. LinkGoogle Scholar3. FISHER CM: Occlusion of the internal carotid artery. Arch. Neurol. (Chicago) 65: 346, 1951. CrossrefGoogle Scholar4. GURDJIANWEBSTER EJ: Stroke resulting from internal carotid artery thrombosis in the neck. JAMA 151: 541, 1953. MedlineGoogle Scholar5. DEBAKEYCRAWFORDFIELDS MEESWS: Surgical treatment of lesions producing arterial insufficiency of the internal carotid, common carotid, vertebral, innominate, and subclavian arteries. Ann. Intern. Med. 51: man. New Eng. J. Med. 263: 944, 1960. Google Scholar6. HUTCHINSONYATES ECPO: Carotico-vertebral stenosis. Lancet 1: 2, 1957. CrossrefGoogle Scholar7. REIVICHHOLLINGROBERTSTOOLE MHBJ: Reversal of blood flow through the vertebral artery and its effect on cerebral circulation. New Eng. J. Med. 2: 878, 1961. CrossrefGoogle Scholar8. EDITORIAL: New Eng. J. Med. 265: 912, 1961. CrossrefGoogle Scholar9. HEYMANYOUNGDILLONGORCEKLEIN AWMJL: Cerebral vascular disease caused by occlusive lesions of the subclavian and innominate arteries. Arch. Neurol. (Chicago) 1964 (In press). CrossrefMedlineGoogle Scholar10. MILLIKANSIEKERT CR: Studies in cerebral vascular disease. I. Syndrome of intermittent insufficiency of the basilar arterial system. Proc. Mayo Clin. 30: 61, 1955. MedlineGoogle Scholar11. SAMMARTINOTOOLE WJ: Reversed vertebral flow, the effect of limb exercise and hypertensive agents. Arch. Neurol. (Chicago) 1964 (In press). CrossrefMedlineGoogle Scholar12. CONRADTOOLEJANEWAYGREEN MJRH: Acute and chronic effects of arterial occlusion on vascular hemodynamics. Fed. Proc. 23: 207, 1964. Google Scholar13. WILLIAMSSCOTTTAKARO CST: Subclavian steal. Circulation 28: 14, 1963. CrossrefMedlineGoogle Scholar14. ROB C: Incipient strokes: technique of surgical therapy. Cerebral vascular diseases. Third Princeton Conference, New York, Grune & Stratton, 1961, p. 110. Google Scholar15. HARDESTYROBERTSTOOLEROYSTER WBJH: Studies on carotid artery blood flow in 436, 1959. Google Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: Wake Forest College The Bowman Gray School of Medicine Winston-Salem, North Carolina PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited bySurgery in extracranial cerebrovascular diseaseReversible basilar artery blood flow in subclavian steal syndromeStenosis and occlusion of the subclavian artery: ultrasonographic and clinical findingsZum Problem des Vasospasmus im A. vertebralis-basilaris-Gefäßbereich (mit Literaturübersicht)Current Status of Surgery for Subclavian Steal SyndromeSubclavian Steal SyndromeThe Subclavian Steal SyndromeSubclavian-steal-SyndromPseudocoarctation of the aorta with bicuspid aortic valve and kinked left subclavian artery: A possible cause of subclavian stealCongenital aortic arch abnormalities with the "subclavian-steal" pattern of blood flow."Subclavian Steal Syndrome" with Reversal of Blood Flow in the Right Carotid ArteryCARLOS M. RAMIREZ-BOETTNER, M.D., OMAR D. SOSA, M.D., JACQUES BALANZÁ, M.D., RICARDO MORENO CÁLCENA, M.D.The subclavian steal syndromeBrachial-basilar insufficiency and the subclavian steal syndromeREVERSED BLOOD-FLOW IN THE VERTEBRAL ARTERIES CAUSING RECURRENT BRAIN-STEM ISCHÆMIA 1 July 1964Volume 61, Issue 1Page: 159-162KeywordsArteriesEtiologyStrokeThrombosisVascular diseasesVascular insufficiency Issue Published: 1 July 1964 PDF downloadLoading ...