Coronary-Subclavian Steal Syndrome in a Hemodialysis Patient, a Case Report and Review of Literature

Authors

  • Chieh Suai Tan,

    1. Vascular Imaging and Intervention Division, Massachusetts General Hospital, Harvard Medical School
    2. Department of Radiology, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts
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  • Florian Fintelmann,

    1. Vascular Imaging and Intervention Division, Massachusetts General Hospital, Harvard Medical School
    2. Department of Radiology, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts
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  • Jennifer Joe,

    1. Division of Nephrology, Massachusetts General Hospital, Harvard Medical School
    2. Department of Medicine, Massachusetts General Hospital, Harvard Medical School
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  • Suvranu Ganguli,

    1. Vascular Imaging and Intervention Division, Massachusetts General Hospital, Harvard Medical School
    2. Department of Radiology, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts
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  • Steven Wu

    1. Vascular Imaging and Intervention Division, Massachusetts General Hospital, Harvard Medical School
    2. Division of Nephrology, Massachusetts General Hospital, Harvard Medical School
    3. Department of Medicine, Massachusetts General Hospital, Harvard Medical School
    4. Department of Radiology, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts
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Address correspondence to: Steven Wu, MD, Director, Interventional Nephrology, Medical Director, Hemodialysis Vascular Access Program, Department of Medicine & Radiology, Massachusetts General Hospital, Assistant Professor of Medicine, Harvard Medical School, 55 Fruit Street, Boston, MA 02114, Tel: +781-726-8315, Fax: 617-726-8476, or e-mail: wu.steven@mgh.harvard.edu.

Abstract

Dialysis vascular access associated coronary-subclavian steal or hypoperfusion syndrome is an uncommon but potentially life threatening condition. Awareness of this syndrome is important in the management of vascular access in hemodialysis patients. We report a case of dialysis vascular access associated coronary-subclavian steal syndrome and review the literature on its pathogenesis and therapeutic implications.

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