Reversed Blood Flow in the Vertebral Arteries
Authors: ROBERT G. SIEKERT
Journal: Annals of Internal Medicine (1964)

Article1 July 1964Reversed Blood Flow in the Vertebral ArteriesROBERT G. SIEKERT, M.D., F.A.C.P., CLARK H. MILLIKAN, M.D., F.A.C.P., JACK P. WHISNANT, M.D., F.A.C.P.ROBERT G. SIEKERT, M.D., F.A.C.P., CLARK H. MILLIKAN, M.D., F.A.C.P., JACK P. WHISNANT, M.D., F.A.C.P.Author, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-61-1-64 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptIn 1961, Baker (1), Toole (2), and Fields (3) each showed arteriograms in which it was observed that, when the subclavian artery was severely narrowed or occluded proximal to the origin of the vertebral artery, the flow of contrast medium (that is, blood) in the vertebral artery ipsilateral to the involved subclavian artery was in the direction opposite from the normal.Toole's two patients were later reported on in detail by Reivich, Holling, Roberts, and Toole (4). Their first patient had experienced 15-min episodes of paralysis of the left upper limb. These attacks of monoparesis werenotbrought on by...References1. BAKER HL: Arteriography—technique and complications, in Cerebral Vascular Diseases MILLIKAN, C. H., SIEKERT, R. G., WHISNANT, J. P. Grune & Stratton, Inc., New York, 1961, pp. 26-31. Google Scholar2. TOOLE JF: Discussion, Ibid., pp. 31-33, 38-39. Google Scholar3. FIELDS WS: Discussion, Ibid., p. 38. Google Scholar4. REIVICHHOLLINGROBERTSTOOLE MHEBJF: Reversal of blood flow through the vertebral artery and its effect on cerebral circulation. New Eng. J. Med. 265: 878, 1961. CrossrefMedlineGoogle Scholar5. EDITORIAL: A new vascular syndrome—"The subclavian steal." Ibid., 1961. Google Scholar6. MANNICKSUTERHUME JACGDM: The "subclavian steal" syndrome: a further documentation. JAMA 182: 254, 1962. CrossrefGoogle Scholar7. NORTHDEBAKEYFIELDSCRAWFORD RRMEWSES: Brachial-basilar insufficiency syndrome. Neurology 12: 810, 1962. CrossrefMedlineGoogle Scholar8. WILLIAMSSCOTTTAKARO CLSMT: Subclavian steal. Circulation 28: 14, 1963. CrossrefMedlineGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAuthors: ROBERT G. SIEKERT, M.D., F.A.C.P.; CLARK H. MILLIKAN, M.D., F.A.C.P.; JACK P. WHISNANT, M.D., F.A.C.P.Affiliations: Rochester, MinnesotaFrom the Mayo Clinic and Mayo Foundation, Rochester, Minnesota.Requests for reprints should be addressed to Mayo Clinic, Rochester, Minnesota. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited byExtracranial occlusive diseaseVertebrobasilar DiseaseSystemic Sclerosis, Transient Neurological Symptoms, and Macrovascular DiseaseVertebrobasilar DiseaseKlinik des akuten ischämischen InsultsReversible basilar artery blood flow in subclavian steal syndromeStenosis and occlusion of the subclavian artery: ultrasonographic and clinical findingsSUBCLAVIAN STEAL: A HARMLESS HAEMODYNAMIC PHENOMENON?Unusual clinical signs in left subclavian artery occlusion: clinical and angiographic correlation.The hemodynamics of arterial stealAngina cerebri. Part IIThe Subclavian Steal SyndromeThe Subclavian Steal SyndromeContribution of the Circle of Willis to the Subclavian Steal SyndromeSubclavian-steal-SyndromProximal Subclavian Artery Occlusion and the Steal SyndromeCardiovascular SystemThe subclavian steal syndrome"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 syndrome 1 July 1964Volume 61, Issue 1Page: 64-72KeywordsArteriesBloodBlood flowCerebral ischemiaIschemiaParalysisVision ePublished: 1 December 2008 Issue Published: 1 July 1964 PDF downloadLoading ...