{"id":11049,"date":"2025-08-27T22:29:43","date_gmt":"2025-08-27T19:29:43","guid":{"rendered":"https:\/\/dryavuzbesogul.com\/subklavian-steal-sendromu\/"},"modified":"2025-08-28T21:03:09","modified_gmt":"2025-08-28T18:03:09","slug":"subklavian-steal-sendromu","status":"publish","type":"post","link":"https:\/\/dryavuzbesogul.com\/en\/subklavian-steal-sendromu\/","title":{"rendered":"Subklavian Steal Sendromu (Subklavian \u00c7alma Sendromu)"},"content":{"rendered":"<p>Subklavian steal sendromu, omuz ve kol b\u00f6lgesine kan ta\u015f\u0131yan subklavian arterde ciddi darl\u0131k veya t\u0131kanma oldu\u011funda, kan\u0131n vertebral arter yoluyla ters y\u00f6nde akarak kolu beslemesi durumudur. Bu \u201ckan \u00e7alma\u201d mekanizmas\u0131, beyne giden kan ak\u0131\u015f\u0131n\u0131 azaltarak n\u00f6rolojik belirtilere yol a\u00e7abilir.<\/p>\n<p>Belirtiler aras\u0131nda ba\u015f d\u00f6nmesi, dengesizlik, g\u00f6rme bulan\u0131kl\u0131\u011f\u0131, konu\u015fma bozuklu\u011fu ve bay\u0131lma ataklar\u0131 yer alabilir. Etkilenen kolda yorgunluk, g\u00fc\u00e7s\u00fczl\u00fck ve so\u011fukluk hissi de s\u0131k g\u00f6r\u00fcl\u00fcr. \u015eikayetler genellikle kol kullan\u0131m\u0131nda artar.<\/p>\n<p>Hastal\u0131k, ateroskleroz, damar iltihaplar\u0131 veya do\u011fu\u015ftan damar anomalileri sonucu geli\u015febilir. Risk fakt\u00f6rleri aras\u0131nda sigara, hipertansiyon, diyabet ve ileri ya\u015f bulunur.<\/p>\n<p>Tan\u0131, Doppler ultrason, BT anjiyografi veya MR anjiyografi ile konur. Tedavi, semptomlar\u0131n \u015fiddetine g\u00f6re ila\u00e7 tedavisi, anjiyoplasti-stent yerle\u015ftirme veya cerrahi revask\u00fclarizasyon y\u00f6ntemlerini i\u00e7erebilir. Erken m\u00fcdahale, inme riskini azaltmada \u00f6nemlidir.<\/p>\n<table>\n<tbody>\n<tr>\n<td>T\u0131bbi Ad\u0131<\/td>\n<td>Subklavian Steal Sendromu<\/td>\n<\/tr>\n<tr>\n<td>T\u00fcr\u00fc<\/td>\n<td>Vask\u00fcler dola\u015f\u0131m bozuklu\u011fu<\/td>\n<\/tr>\n<tr>\n<td>Etkilenen Sistem<\/td>\n<td>Kardiyovask\u00fcler ve n\u00f6rovask\u00fcler sistem<\/td>\n<\/tr>\n<tr>\n<td>Nedenleri<\/td>\n<td>Subklavian arterde aterosklerotik darl\u0131k\/t\u0131kan\u0131kl\u0131k; nadiren takayasu arteriti, travma, cerrahi komplikasyon gibi nedenler\u00a0 sonucu karotis arterin kan ak\u0131m\u0131ndan subklavian artere ka\u00e7ak<\/td>\n<\/tr>\n<tr>\n<td>Belirtiler<\/td>\n<td>Kol egzersizi sonras\u0131 ba\u015f d\u00f6nmesi, senkop, bulan\u0131k g\u00f6rme, dizartri, kol uyu\u015fmas\u0131\/kuvvet kayb\u0131, nab\u0131z fark\u0131 (iki kol aras\u0131nda), vertebrobaziler yetmezlik bulgular\u0131<\/td>\n<\/tr>\n<tr>\n<td>Tan\u0131 Y\u00f6ntemleri<\/td>\n<td>Doppler ultrasonografi, BT anjiyografi, MR anjiyografi, selektif anjiyografi<\/td>\n<\/tr>\n<tr>\n<td>Tedavi Y\u00f6ntemleri<\/td>\n<td>Semptomatik olgularda endovask\u00fcler giri\u015fim (anjiyoplasti + stent), cerrahi revask\u00fclarizasyon; asemptomatik olgularda izlem<\/td>\n<\/tr>\n<tr>\n<td>Komplikasyonlar<\/td>\n<td>Serebrovask\u00fcler olaylar, kol iskemisi, inme<\/td>\n<\/tr>\n<tr>\n<td>\u0130zlem<\/td>\n<td>Periyodik vask\u00fcler de\u011ferlendirme, semptom takibi, risk fakt\u00f6rlerinin kontrol\u00fc (hipertansiyon, dislipidemi, sigara kullan\u0131m\u0131)<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<div id=\"ez-toc-container\" class=\"ez-toc-v2_0_82_2 counter-hierarchy ez-toc-counter ez-toc-custom ez-toc-container-direction\">\n<div class=\"ez-toc-title-container\">\n<p class=\"ez-toc-title\" style=\"cursor:inherit\">Yaz\u0131 \u0130\u00e7eri\u011fi<\/p>\n<span class=\"ez-toc-title-toggle\"><a href=\"#\" class=\"ez-toc-pull-right ez-toc-btn ez-toc-btn-xs ez-toc-btn-default ez-toc-toggle\" aria-label=\"Toggle Table of Content\"><span class=\"ez-toc-js-icon-con\"><span class=\"\"><span class=\"eztoc-hide\" style=\"display:none;\">Toggle<\/span><span class=\"ez-toc-icon-toggle-span\"><svg style=\"fill: #ffffff;color:#ffffff\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" class=\"list-377408\" width=\"20px\" height=\"20px\" viewBox=\"0 0 24 24\" fill=\"none\"><path d=\"M6 6H4v2h2V6zm14 0H8v2h12V6zM4 11h2v2H4v-2zm16 0H8v2h12v-2zM4 16h2v2H4v-2zm16 0H8v2h12v-2z\" fill=\"currentColor\"><\/path><\/svg><svg style=\"fill: #ffffff;color:#ffffff\" class=\"arrow-unsorted-368013\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"10px\" height=\"10px\" viewBox=\"0 0 24 24\" version=\"1.2\" baseProfile=\"tiny\"><path d=\"M18.2 9.3l-6.2-6.3-6.2 6.3c-.2.2-.3.4-.3.7s.1.5.3.7c.2.2.4.3.7.3h11c.3 0 .5-.1.7-.3.2-.2.3-.5.3-.7s-.1-.5-.3-.7zM5.8 14.7l6.2 6.3 6.2-6.3c.2-.2.3-.5.3-.7s-.1-.5-.3-.7c-.2-.2-.4-.3-.7-.3h-11c-.3 0-.5.1-.7.3-.2.2-.3.5-.3.7s.1.5.3.7z\"\/><\/svg><\/span><\/span><\/span><\/a><\/span><\/div>\n<nav><ul class='ez-toc-list ez-toc-list-level-1 ' ><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-1\" href=\"https:\/\/dryavuzbesogul.com\/en\/subklavian-steal-sendromu\/#Subklavian_Steal_Sendromu_Subklavian_Calma_Sendromu_Nedir\" >Subklavian Steal Sendromu (Subklavian \u00c7alma Sendromu) Nedir?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"https:\/\/dryavuzbesogul.com\/en\/subklavian-steal-sendromu\/#Subklavian_Steal_Sendromu_nasil_bir_durumdur\" >Subklavian Steal Sendromu nas\u0131l bir durumdur?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"https:\/\/dryavuzbesogul.com\/en\/subklavian-steal-sendromu\/#Subklavian_Steal_%E2%80%9Cfenomeni%E2%80%9D_ile_%E2%80%9Csendromu%E2%80%9D_arasinda_Subklavian_Steal_Sendromu_acisindan_ne_fark_bulunur\" >Subklavian Steal &#8220;fenomeni&#8221; ile &#8220;sendromu&#8221; aras\u0131nda Subklavian Steal Sendromu a\u00e7\u0131s\u0131ndan ne fark bulunur?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-4\" href=\"https:\/\/dryavuzbesogul.com\/en\/subklavian-steal-sendromu\/#Subklavian_Steal_Sendromu_neden_genellikle_sol_tarafta_ortaya_cikar\" >Subklavian Steal Sendromu neden genellikle sol tarafta ortaya \u00e7\u0131kar?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-5\" href=\"https:\/\/dryavuzbesogul.com\/en\/subklavian-steal-sendromu\/#Subklavian_Steal_Sendromu_icin_en_yaygin_neden_nedir\" >Subklavian Steal Sendromu i\u00e7in en yayg\u0131n neden nedir?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-6\" href=\"https:\/\/dryavuzbesogul.com\/en\/subklavian-steal-sendromu\/#Subklavian_Steal_Sendromuna_yol_acabilen_diger_nadir_durumlar_nelerdir\" >Subklavian Steal Sendromu&#8217;na yol a\u00e7abilen di\u011fer nadir durumlar nelerdir?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-7\" href=\"https:\/\/dryavuzbesogul.com\/en\/subklavian-steal-sendromu\/#Subklavian_Steal_Sendromu_gelisimi_icin_kimler_daha_fazla_risk_tasir\" >Subklavian Steal Sendromu geli\u015fimi i\u00e7in kimler daha fazla risk ta\u015f\u0131r?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-8\" href=\"https:\/\/dryavuzbesogul.com\/en\/subklavian-steal-sendromu\/#Subklavian_Steal_Sendromu_ne_gibi_norolojik_belirtilere_yol_acar\" >Subklavian Steal Sendromu ne gibi n\u00f6rolojik belirtilere yol a\u00e7ar?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-9\" href=\"https:\/\/dryavuzbesogul.com\/en\/subklavian-steal-sendromu\/#Subklavian_Steal_Sendromu_etkilenen_kolda_hangi_belirtilere_neden_olur\" >Subklavian Steal Sendromu etkilenen kolda hangi belirtilere neden olur?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-10\" href=\"https:\/\/dryavuzbesogul.com\/en\/subklavian-steal-sendromu\/#Koroner-Subklavian_Steal_Sendromu_gibi_ozel_bir_durum_kimleri_etkiler\" >Koroner-Subklavian Steal Sendromu gibi \u00f6zel bir durum kimleri etkiler?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-11\" href=\"https:\/\/dryavuzbesogul.com\/en\/subklavian-steal-sendromu\/#Subklavian_Steal_Sendromu_tanisinda_doktor_muayenesi_neden_bu_kadar_onemlidir\" >Subklavian Steal Sendromu tan\u0131s\u0131nda doktor muayenesi neden bu kadar \u00f6nemlidir?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-12\" href=\"https:\/\/dryavuzbesogul.com\/en\/subklavian-steal-sendromu\/#Subklavian_Steal_Sendromu_suphesi_oldugunda_hangi_goruntuleme_testleri_istenir\" >Subklavian Steal Sendromu \u015f\u00fcphesi oldu\u011funda hangi g\u00f6r\u00fcnt\u00fcleme testleri istenir?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-13\" href=\"https:\/\/dryavuzbesogul.com\/en\/subklavian-steal-sendromu\/#Subklavian_Steal_Sendromu_her_hastada_tedavi_edilmek_zorunda_midir\" >Subklavian Steal Sendromu her hastada tedavi edilmek zorunda m\u0131d\u0131r?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-14\" href=\"https:\/\/dryavuzbesogul.com\/en\/subklavian-steal-sendromu\/#Subklavian_Steal_Sendromu_icin_ameliyatsiz_tedavi_secenekleri_nelerdir\" >Subklavian Steal Sendromu i\u00e7in ameliyats\u0131z tedavi se\u00e7enekleri nelerdir?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-15\" href=\"https:\/\/dryavuzbesogul.com\/en\/subklavian-steal-sendromu\/#Subklavian_Steal_Sendromu_tedavisinde_modern_kapali_yontemler_nelerdir\" >Subklavian Steal Sendromu tedavisinde modern kapal\u0131 y\u00f6ntemler nelerdir?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-16\" href=\"https:\/\/dryavuzbesogul.com\/en\/subklavian-steal-sendromu\/#Subklavian_Steal_Sendromu_icin_acik_cerrahi_ne_zaman_ve_neden_gereklidir\" >Subklavian Steal Sendromu i\u00e7in a\u00e7\u0131k cerrahi ne zaman ve neden gereklidir?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-17\" href=\"https:\/\/dryavuzbesogul.com\/en\/subklavian-steal-sendromu\/#Subklavian_Steal_Sendromu_ameliyatlarinda_hangi_teknikler_kullanilir\" >Subklavian Steal Sendromu ameliyatlar\u0131nda hangi teknikler kullan\u0131l\u0131r?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-18\" href=\"https:\/\/dryavuzbesogul.com\/en\/subklavian-steal-sendromu\/#Subklavian_Steal_Sendromu_ameliyati_sonrasi_hastalari_nasil_bir_surec_bekler\" >Subklavian Steal Sendromu ameliyat\u0131 sonras\u0131 hastalar\u0131 nas\u0131l bir s\u00fcre\u00e7 bekler?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-19\" href=\"https:\/\/dryavuzbesogul.com\/en\/subklavian-steal-sendromu\/#Subklavian_Steal_Sendromu_tedavi_edildikten_sonra_uzun_donemde_sonuclar_nasildir\" >Subklavian Steal Sendromu tedavi edildikten sonra uzun d\u00f6nemde sonu\u00e7lar nas\u0131ld\u0131r?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-20\" href=\"https:\/\/dryavuzbesogul.com\/en\/subklavian-steal-sendromu\/#Sikca_Sorulan_Sorular\" >S\u0131k\u00e7a Sorulan Sorular<\/a><ul class='ez-toc-list-level-3' ><li class='ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-21\" href=\"https:\/\/dryavuzbesogul.com\/en\/subklavian-steal-sendromu\/#Subklavian_Steal_Sendromu_nedir\" >Subklavian Steal Sendromu nedir?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-22\" href=\"https:\/\/dryavuzbesogul.com\/en\/subklavian-steal-sendromu\/#Bu_sendrom_neden_%E2%80%9Csteal%E2%80%9D_calma_olarak_adlandirilir\" >Bu sendrom neden \u201csteal\u201d (\u00e7alma) olarak adland\u0131r\u0131l\u0131r?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-23\" href=\"https:\/\/dryavuzbesogul.com\/en\/subklavian-steal-sendromu\/#Belirtileri_nelerdir\" >Belirtileri nelerdir?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-24\" href=\"https:\/\/dryavuzbesogul.com\/en\/subklavian-steal-sendromu\/#Hangi_damarda_sorun_vardir\" >Hangi damarda sorun vard\u0131r?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-25\" href=\"https:\/\/dryavuzbesogul.com\/en\/subklavian-steal-sendromu\/#Bu_durum_hangi_tarafi_daha_sik_etkiler\" >Bu durum hangi taraf\u0131 daha s\u0131k etkiler?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-26\" href=\"https:\/\/dryavuzbesogul.com\/en\/subklavian-steal-sendromu\/#Nasil_teshis_edilir\" >Nas\u0131l te\u015fhis edilir?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-27\" href=\"https:\/\/dryavuzbesogul.com\/en\/subklavian-steal-sendromu\/#Kolda_tansiyon_farki_bu_sendromun_gostergesi_midir\" >Kolda tansiyon fark\u0131 bu sendromun g\u00f6stergesi midir?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-28\" href=\"https:\/\/dryavuzbesogul.com\/en\/subklavian-steal-sendromu\/#Beyin_belirtileri_neden_ortaya_cikar\" >Beyin belirtileri neden ortaya \u00e7\u0131kar?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-29\" href=\"https:\/\/dryavuzbesogul.com\/en\/subklavian-steal-sendromu\/#Sendromun_en_buyuk_riski_nedir\" >Sendromun en b\u00fcy\u00fck riski nedir?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-30\" href=\"https:\/\/dryavuzbesogul.com\/en\/subklavian-steal-sendromu\/#Tedavi_yontemleri_nelerdir\" >Tedavi y\u00f6ntemleri nelerdir?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-31\" href=\"https:\/\/dryavuzbesogul.com\/en\/subklavian-steal-sendromu\/#Tum_vakalarda_mudahale_gerekir_mi\" >T\u00fcm vakalarda m\u00fcdahale gerekir mi?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-32\" href=\"https:\/\/dryavuzbesogul.com\/en\/subklavian-steal-sendromu\/#Hangi_uzmanlik_alani_ilgilenir\" >Hangi uzmanl\u0131k alan\u0131 ilgilenir?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-33\" href=\"https:\/\/dryavuzbesogul.com\/en\/subklavian-steal-sendromu\/#Egzersizle_belirtiler_artar_mi\" >Egzersizle belirtiler artar m\u0131?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-34\" href=\"https:\/\/dryavuzbesogul.com\/en\/subklavian-steal-sendromu\/#Bu_sendrom_yaslilarda_mi_daha_yaygindir\" >Bu sendrom ya\u015fl\u0131larda m\u0131 daha yayg\u0131nd\u0131r?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-35\" href=\"https:\/\/dryavuzbesogul.com\/en\/subklavian-steal-sendromu\/#Subklavian_Steal_Sendromu_olumcul_mudur\" >Subklavian Steal Sendromu \u00f6l\u00fcmc\u00fcl m\u00fcd\u00fcr?<\/a><\/li><\/ul><\/li><\/ul><\/nav><\/div>\n<h2><span class=\"ez-toc-section\" id=\"Subklavian_Steal_Sendromu_Subklavian_Calma_Sendromu_Nedir\"><\/span>Subklavian Steal Sendromu (Subklavian \u00c7alma Sendromu) Nedir?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Subklavian steal sendromu, k\u00f6pr\u00fcc\u00fck kemi\u011fi alt\u0131ndaki subklavian arterde darl\u0131k veya t\u0131kan\u0131kl\u0131k oldu\u011funda ortaya \u00e7\u0131kan bir dola\u015f\u0131m bozuklu\u011fudur. Bu durumda beyne giden kan, ters y\u00f6nde akarak kola y\u00f6nelir ve &#8220;\u00e7alma&#8221; etkisi olu\u015fur. Sonu\u00e7 olarak beyinde yeterli kanlanma sa\u011flanamaz. Hastalarda ba\u015f d\u00f6nmesi, g\u00f6rme bozuklu\u011fu, bay\u0131lma, kol a\u011fr\u0131s\u0131 ve g\u00fc\u00e7s\u00fczl\u00fck g\u00f6r\u00fclebilir. Tan\u0131 doppler ultrason, BT anjiyo veya MR anjiyo ile konur. Tedavi, damar\u0131n stent ile a\u00e7\u0131lmas\u0131 veya cerrahi y\u00f6ntemlerle yap\u0131l\u0131r.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Subklavian_Steal_Sendromu_nasil_bir_durumdur\"><\/span>Subklavian Steal Sendromu nas\u0131l bir durumdur?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Subklavian Steal Sendromu&#8217;nu anlamak i\u00e7in v\u00fccudumuzdaki kan dola\u015f\u0131m\u0131n\u0131 bir otoyol a\u011f\u0131 gibi d\u00fc\u015f\u00fcnelim. Kalp, bu a\u011f\u0131n merkezindeki ana pompad\u0131r ve kan\u0131 b\u00fcy\u00fck atardamarlar arac\u0131l\u0131\u011f\u0131yla t\u00fcm v\u00fccuda g\u00f6nderir. Kollar\u0131m\u0131za kan ta\u015f\u0131yan ana otoyollardan biri, k\u00f6pr\u00fcc\u00fck kemi\u011fimizin hemen alt\u0131ndan ge\u00e7en &#8220;subklavian arter&#8221;dir. Ayn\u0131 zamanda, beynimizin arka k\u0131sm\u0131n\u0131 besleyen \u00e7ok \u00f6nemli bir yan yol olan &#8220;vertebral arter&#8221; de bu subklavian arter otoyolundan ayr\u0131l\u0131r.<\/p>\n<p>\u015eimdi, bu otoyolun \u00fczerinde, yani subklavian arterde, genellikle damar sertli\u011fine (ateroskleroz) ba\u011fl\u0131 bir daralma veya tam bir t\u0131kan\u0131kl\u0131k (bir kaza veya yol \u00e7al\u0131\u015fmas\u0131 gibi) oldu\u011funu hayal edin. T\u0131kan\u0131kl\u0131\u011f\u0131n ilerisindeki kola giden kan ak\u0131\u015f\u0131 ciddi \u015fekilde azal\u0131r ve o koldaki kan bas\u0131nc\u0131 d\u00fc\u015fer. V\u00fccudumuz, kan ak\u0131\u015f\u0131 azalan kola yard\u0131m etmek i\u00e7in bir \u00e7\u00f6z\u00fcm arar. Bu noktada beyne giden vertebral arter yan yolu devreye girer. Koldaki kan bas\u0131nc\u0131 o kadar d\u00fc\u015fer ki beyne gitmesi gereken y\u00fcksek bas\u0131n\u00e7l\u0131 kan, bu yan yoldan geriye do\u011fru akarak, yani &#8220;U d\u00f6n\u00fc\u015f\u00fc&#8221; yaparak kan a\u00e7l\u0131\u011f\u0131 \u00e7eken kola y\u00f6nlenir. \u0130\u015fte bu ters ak\u0131m, kolun beyne ait kan\u0131 &#8220;\u00e7almas\u0131&#8221; olarak adland\u0131r\u0131l\u0131r ve sendromun temelini olu\u015fturur.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Subklavian_Steal_%E2%80%9Cfenomeni%E2%80%9D_ile_%E2%80%9Csendromu%E2%80%9D_arasinda_Subklavian_Steal_Sendromu_acisindan_ne_fark_bulunur\"><\/span>Subklavian Steal &#8220;fenomeni&#8221; ile &#8220;sendromu&#8221; aras\u0131nda Subklavian Steal Sendromu a\u00e7\u0131s\u0131ndan ne fark bulunur?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Bu iki terim aras\u0131ndaki ayr\u0131m\u0131 bilmek, gereksiz endi\u015felerden ka\u00e7\u0131nmak i\u00e7in \u00e7ok \u00f6nemlidir.<\/p>\n<p>Subklavian Steal Fenomeni: Bu kan \u00e7alma durumunun var oldu\u011fu, ancak ki\u015fide hi\u00e7bir \u015fikayete yol a\u00e7mad\u0131\u011f\u0131 anlam\u0131na gelir. Genellikle ba\u015fka bir sebeple yap\u0131lan boyun damar\u0131 ultrasonu gibi testlerde tesad\u00fcfen saptan\u0131r. V\u00fccudun dola\u015f\u0131m sistemi, bu durumu kendi i\u00e7indeki di\u011fer ba\u011flant\u0131larla (Willis poligonu ad\u0131 verilen beyin taban\u0131ndaki g\u00fcvenlik a\u011f\u0131 sayesinde) ba\u015far\u0131yla telafi ediyordur. Bu a\u015famada olan ki\u015filerin genellikle tedaviye ihtiyac\u0131 olmaz, sadece takip edilmeleri yeterlidir.<\/p>\n<p>Subklavian Steal Sendromu: Bu ise, kan \u00e7alma mekanizmas\u0131n\u0131n art\u0131k telafi edilemedi\u011fi ve ki\u015finin g\u00fcnl\u00fck hayat\u0131n\u0131 etkileyen belirgin \u015fikayetlere (ba\u015f d\u00f6nmesi, kolda a\u011fr\u0131 gibi) yol a\u00e7t\u0131\u011f\u0131 klinik tablodur. Tedavi karar\u0131, durum &#8220;fenomen&#8221; a\u015famas\u0131ndan &#8220;sendrom&#8221; a\u015famas\u0131na ge\u00e7ti\u011finde al\u0131n\u0131r.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Subklavian_Steal_Sendromu_neden_genellikle_sol_tarafta_ortaya_cikar\"><\/span>Subklavian Steal Sendromu neden genellikle sol tarafta ortaya \u00e7\u0131kar?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Hastalar\u0131n s\u0131k\u00e7a merak etti\u011fi bu durumun basit bir anatomik sebebi vard\u0131r. \u00c7al\u0131\u015fmalar sendromun sa\u011f tarafa k\u0131yasla sol tarafta yakla\u015f\u0131k \u00fc\u00e7 d\u00f6rt kat daha fazla g\u00f6r\u00fcld\u00fc\u011f\u00fcn\u00fc g\u00f6stermektedir. Bu kalpten \u00e7\u0131kan ana atardamar\u0131m\u0131z olan aortun yap\u0131s\u0131yla ilgilidir. Sa\u011f kola giden damar, aorttan daha yumu\u015fak bir kavisle ayr\u0131l\u0131rken, sol subklavian arter do\u011frudan aorttan daha keskin, neredeyse 90 derecelik bir a\u00e7\u0131yla \u00e7\u0131kar.<\/p>\n<p>Bu durumu bir nehrin ak\u0131\u015f\u0131na benzetebiliriz. Nehir yata\u011f\u0131ndaki keskin bir viraj, suyun o b\u00f6lgede daha \u00e7alkant\u0131l\u0131 akmas\u0131na ve zamanla o viraj\u0131n kenarlar\u0131n\u0131n daha \u00e7ok a\u015f\u0131nmas\u0131na neden olur. Benzer \u015fekilde sol subklavian arterin bu keskin \u00e7\u0131k\u0131\u015f a\u00e7\u0131s\u0131, kan ak\u0131\u015f\u0131nda y\u0131llar i\u00e7inde s\u00fcrekli bir t\u00fcrb\u00fclans yarat\u0131r. Bu \u00e7alkant\u0131l\u0131 ak\u0131m, damar duvar\u0131n\u0131 strese sokarak damar sertli\u011fi (ateroskleroz) plaklar\u0131n\u0131n o b\u00f6lgede birikmesini kolayla\u015ft\u0131r\u0131r. Bu anatomik yatk\u0131nl\u0131k, sendromun neden ezici bir \u00e7o\u011funlukla sol tarafta g\u00f6r\u00fcld\u00fc\u011f\u00fcn\u00fc a\u00e7\u0131klar.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Subklavian_Steal_Sendromu_icin_en_yaygin_neden_nedir\"><\/span>Subklavian Steal Sendromu i\u00e7in en yayg\u0131n neden nedir?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Subklavian Steal Sendromu&#8217;nun vakalar\u0131n %95&#8217;inden fazlas\u0131n\u0131 olu\u015fturan tek ve en bask\u0131n nedeni, halk aras\u0131nda damar sertli\u011fi veya damar kire\u00e7lenmesi olarak bilinen aterosklerozdur. Ateroskleroz, atardamarlar\u0131n i\u00e7 duvarlar\u0131nda ya\u011f, kolesterol ve kalsiyum gibi maddelerin birikerek &#8220;plak&#8221; ad\u0131 verilen yap\u0131lar olu\u015fturmas\u0131d\u0131r. Bu plaklar zamanla b\u00fcy\u00fcyerek damar\u0131 daralt\u0131r veya tamamen t\u0131kar. Bu nedenle subklavian arterde darl\u0131k saptanmas\u0131, asl\u0131nda t\u00fcm v\u00fccudu etkileyebilen sistemik bir damar hastal\u0131\u011f\u0131n\u0131n habercisidir ve hastan\u0131n kalp ve beyin damarlar\u0131 a\u00e7\u0131s\u0131ndan da risk alt\u0131nda olabilece\u011fini g\u00f6steren \u00f6nemli bir uyar\u0131 i\u015faretidir.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Subklavian_Steal_Sendromuna_yol_acabilen_diger_nadir_durumlar_nelerdir\"><\/span>Subklavian Steal Sendromu&#8217;na yol a\u00e7abilen di\u011fer nadir durumlar nelerdir?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Ateroskleroz en s\u0131k neden olsa da \u00f6zellikle gen\u00e7 hastalarda veya tipik risk fakt\u00f6rleri olmayan ki\u015filerde akla gelmesi gereken ba\u015fka durumlar da vard\u0131r. Ba\u015fl\u0131ca di\u011fer nedenler \u015funlard\u0131r:<\/p>\n<ul>\n<li aria-level=\"1\">Takayasu arteriti (b\u00fcy\u00fck damarlar\u0131 tutan bir romatizmal hastal\u0131k)<\/li>\n<li aria-level=\"1\">Torasik outlet sendromu (boyun ve omuz aras\u0131ndaki damar ve sinir s\u0131k\u0131\u015fmas\u0131)<\/li>\n<li aria-level=\"1\">Ge\u00e7irilmi\u015f baz\u0131 kalp ameliyatlar\u0131 (\u00f6rne\u011fin Fallot tetralojisi onar\u0131m\u0131)<\/li>\n<li aria-level=\"1\">Do\u011fu\u015ftan gelen damar anomalileri<\/li>\n<li aria-level=\"1\">Aort diseksiyonu (ana atardamar\u0131n duvar\u0131nda y\u0131rt\u0131lma)<\/li>\n<\/ul>\n<h2><span class=\"ez-toc-section\" id=\"Subklavian_Steal_Sendromu_gelisimi_icin_kimler_daha_fazla_risk_tasir\"><\/span>Subklavian Steal Sendromu geli\u015fimi i\u00e7in kimler daha fazla risk ta\u015f\u0131r?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Bu sendromun risk fakt\u00f6rleri, asl\u0131nda do\u011frudan do\u011fruya damar sertli\u011finin (ateroskleroz) risk fakt\u00f6rleridir. Bu fakt\u00f6rlerin \u00e7o\u011fu de\u011fi\u015ftirilebilir veya kontrol alt\u0131na al\u0131nabilir oldu\u011fu i\u00e7in bilinmeleri \u00e7ok \u00f6nemlidir. Risk grubunda yer alan ki\u015filer i\u00e7in ba\u015fl\u0131ca fakt\u00f6rler:<\/p>\n<ul>\n<li aria-level=\"1\">\u0130leri ya\u015f<\/li>\n<li aria-level=\"1\">Sigara kullan\u0131m\u0131 (en \u00f6nemli kontrol edilebilir risk fakt\u00f6r\u00fc)<\/li>\n<li aria-level=\"1\">Y\u00fcksek tansiyon (hipertansiyon)<\/li>\n<li aria-level=\"1\">Y\u00fcksek kolesterol (hiperlipidemi)<\/li>\n<li aria-level=\"1\">Diyabet (\u015feker hastal\u0131\u011f\u0131)<\/li>\n<li aria-level=\"1\">Erkek cinsiyet<\/li>\n<li aria-level=\"1\">Ailede erken ya\u015fta damar hastal\u0131\u011f\u0131 \u00f6yk\u00fcs\u00fc<\/li>\n<li aria-level=\"1\">Hareketsiz ya\u015fam tarz\u0131 ve obezite<\/li>\n<\/ul>\n<p>Bu risk fakt\u00f6rlerinden bir veya birka\u00e7\u0131na sahip olmak, sadece subklavian arter i\u00e7in de\u011fil kalp krizi ve inme gibi hayat\u0131 tehdit eden durumlar i\u00e7in de tehlike \u00e7anlar\u0131n\u0131n \u00e7ald\u0131\u011f\u0131 anlam\u0131na gelir.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Subklavian_Steal_Sendromu_ne_gibi_norolojik_belirtilere_yol_acar\"><\/span>Subklavian Steal Sendromu ne gibi n\u00f6rolojik belirtilere yol a\u00e7ar?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Belirtilerin en \u00f6nemli \u00f6zelli\u011fi, genellikle etkilenen kolun kullan\u0131lmas\u0131yla tetiklenmeleri ve aktivite durdu\u011funda birka\u00e7 dakika i\u00e7inde tamamen kaybolmalar\u0131d\u0131r. Beyinden kan \u00e7al\u0131nmas\u0131na ba\u011fl\u0131 olarak beynin arka k\u0131sm\u0131n\u0131n (beyincik ve beyin sap\u0131) fonksiyonlar\u0131 ge\u00e7ici olarak bozulur. Bu durumun yol a\u00e7t\u0131\u011f\u0131 n\u00f6rolojik belirtiler \u015funlard\u0131r:<\/p>\n<ul>\n<li aria-level=\"1\">Ba\u015f d\u00f6nmesi (vertigo)<\/li>\n<li aria-level=\"1\">G\u00f6z kararmas\u0131<\/li>\n<li aria-level=\"1\">Bay\u0131lma veya bay\u0131lacak gibi olma (senkop\/presenkop)<\/li>\n<li aria-level=\"1\">Denge kayb\u0131 ve y\u00fcr\u00fcmede sendeleme (ataksi)<\/li>\n<li aria-level=\"1\">Bulan\u0131k veya \u00e7ift g\u00f6rme<\/li>\n<li aria-level=\"1\">Konu\u015fma g\u00fc\u00e7l\u00fc\u011f\u00fc veya peltek konu\u015fma (dizartri)<\/li>\n<li aria-level=\"1\">Nadiren yutma g\u00fc\u00e7l\u00fc\u011f\u00fc (disfaji)<\/li>\n<\/ul>\n<p>Bu belirtiler genellikle kal\u0131c\u0131 hasara yol a\u00e7an bir inmeden farkl\u0131 olarak gelip ge\u00e7icidir. Hastan\u0131n, &#8220;sadece sol kolumla po\u015fet ta\u015f\u0131rken ba\u015f\u0131m d\u00f6n\u00fcyor&#8221; gibi spesifik bir \u015fikayetle ba\u015fvurmas\u0131, tan\u0131 i\u00e7in \u00e7ok de\u011ferli bir ipucudur.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Subklavian_Steal_Sendromu_etkilenen_kolda_hangi_belirtilere_neden_olur\"><\/span>Subklavian Steal Sendromu etkilenen kolda hangi belirtilere neden olur?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>T\u0131pk\u0131 bacak damarlar\u0131ndaki darl\u0131\u011f\u0131n y\u00fcr\u00fcy\u00fcnce bald\u0131rda a\u011fr\u0131ya yol a\u00e7mas\u0131 gibi, subklavian arterdeki darl\u0131k da kolun kanlanmas\u0131n\u0131 bozarak benzer \u015fikayetlere neden olur. Kolun kan ak\u0131\u015f\u0131n\u0131n yetersiz kalmas\u0131na (iskemi) ba\u011fl\u0131 belirtiler genellikle eforla ortaya \u00e7\u0131kar. En s\u0131k g\u00f6r\u00fclen kol belirtileri a\u015fa\u011f\u0131daki gibidir:<\/p>\n<ul>\n<li aria-level=\"1\">Kolda eforla gelen a\u011fr\u0131, kramp veya yorgunluk (kol kladikasyosu)<\/li>\n<li aria-level=\"1\">Kolda ve elde genel bir g\u00fc\u00e7s\u00fczl\u00fck hissi<\/li>\n<li aria-level=\"1\">Parmaklarda uyu\u015fma ve kar\u0131ncalanma<\/li>\n<li aria-level=\"1\">Etkilenen elin di\u011ferine g\u00f6re daha so\u011fuk ve soluk olmas\u0131<\/li>\n<li aria-level=\"1\">Nabz\u0131n o kolda zay\u0131f veya hi\u00e7 al\u0131namamas\u0131<\/li>\n<li aria-level=\"1\">\u0130leri vakalarda parmak u\u00e7lar\u0131nda iyile\u015fmeyen yaralar<\/li>\n<\/ul>\n<p>Bu belirtiler hastan\u0131n g\u00fcnl\u00fck ya\u015fam aktivitelerini (yaz\u0131 yazmak, sa\u00e7 taramak, bir \u015feyi ta\u015f\u0131mak gibi) \u00f6nemli \u00f6l\u00e7\u00fcde k\u0131s\u0131tlayabilir.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Koroner-Subklavian_Steal_Sendromu_gibi_ozel_bir_durum_kimleri_etkiler\"><\/span>Koroner-Subklavian Steal Sendromu gibi \u00f6zel bir durum kimleri etkiler?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Bu Subklavian Steal Sendromu&#8217;nun hayati \u00f6nem ta\u015f\u0131yan, nadir fakat \u00e7ok ciddi bir alt tipidir. Yaln\u0131zca ge\u00e7mi\u015finde koroner bypass ameliyat\u0131 olmu\u015f ve bu ameliyatta sol g\u00f6\u011f\u00fcs duvar\u0131 atardamar\u0131 (LIMA) kullan\u0131lm\u0131\u015f hastalar\u0131 etkiler. LIMA, do\u011fal olarak sol subklavian arterden \u00e7\u0131kan bir dald\u0131r ve bypass sonras\u0131 kalbin kanlanmas\u0131nda kilit rol oynar.<\/p>\n<p>E\u011fer bu ameliyattan y\u0131llar sonra, hastan\u0131n sol subklavian arterinde, LIMA&#8217;n\u0131n \u00e7\u0131k\u0131\u015f noktas\u0131ndan \u00f6nce bir darl\u0131k geli\u015firse, hasta sol kolunu kulland\u0131\u011f\u0131nda korkutucu bir mekanizma devreye girer. Koldaki kan ihtiyac\u0131, kan\u0131 do\u011frudan kalbi besleyen LIMA bypass damar\u0131ndan geriye do\u011fru \u00e7eker. Bu kelimenin tam anlam\u0131yla kalbin kan\u0131n\u0131n &#8220;\u00e7al\u0131nmas\u0131d\u0131r&#8221; ve hasta efor sarf etti\u011finde g\u00f6\u011f\u00fcs a\u011fr\u0131s\u0131 (anjina) veya kalp krizi ile sonu\u00e7lanabilir. Bu nedenle bypass \u00f6yk\u00fcs\u00fc olan ve kol \u015fikayetleri ile birlikte eforla gelen g\u00f6\u011f\u00fcs a\u011fr\u0131s\u0131 ya\u015fayan bir hastada bu durumdan mutlaka \u015f\u00fcphelenilmelidir.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Subklavian_Steal_Sendromu_tanisinda_doktor_muayenesi_neden_bu_kadar_onemlidir\"><\/span>Subklavian Steal Sendromu tan\u0131s\u0131nda doktor muayenesi neden bu kadar \u00f6nemlidir?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Subklavian Steal Sendromu&#8217;nun tan\u0131s\u0131, pahal\u0131 ve karma\u015f\u0131k testlerden \u00f6nce, \u00e7o\u011fu zaman tecr\u00fcbeli bir hekimin muayene masas\u0131nda ba\u015flar. Dikkatli bir fiziki muayene, \u015f\u00fcpheyi ba\u015flatan en \u00f6nemli ad\u0131md\u0131r. Muayenenin temel ta\u015f\u0131, her iki koldan da tansiyon \u00f6l\u00e7mektir. Subklavian arterdeki darl\u0131k o taraftaki kan bas\u0131nc\u0131n\u0131 d\u00fc\u015f\u00fcrece\u011fi i\u00e7in, iki kolun sistolik (b\u00fcy\u00fck) tansiyon de\u011ferleri aras\u0131nda 15-20 mmHg veya daha fazla bir fark saptanmas\u0131, sendrom i\u00e7in neredeyse tan\u0131 koydurucudur. Bunun yan\u0131 s\u0131ra etkilenen koldaki nab\u0131zlar\u0131n zay\u0131f olmas\u0131 ve k\u00f6pr\u00fcc\u00fck kemi\u011fi \u00fczerinden stetoskopla &#8220;\u00fcf\u00fcr\u00fcm&#8221; ad\u0131 verilen anormal bir damar sesinin duyulmas\u0131 da tan\u0131y\u0131 destekleyen di\u011fer \u00f6nemli bulgulard\u0131r.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Subklavian_Steal_Sendromu_suphesi_oldugunda_hangi_goruntuleme_testleri_istenir\"><\/span>Subklavian Steal Sendromu \u015f\u00fcphesi oldu\u011funda hangi g\u00f6r\u00fcnt\u00fcleme testleri istenir?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Fiziki muayene bulgular\u0131 sendromdan \u015f\u00fcphelendirdi\u011finde, tan\u0131y\u0131 do\u011frulamak ve ciddiyetini belirlemek i\u00e7in baz\u0131 g\u00f6r\u00fcnt\u00fcleme testleri gerekir:<\/p>\n<ul>\n<li aria-level=\"1\">Renkli Doppler Ultrasonografi<\/li>\n<li aria-level=\"1\">Bilgisayarl\u0131 Tomografi (BT) Anjiyografi<\/li>\n<li aria-level=\"1\">Manyetik Rezonans (MR) Anjiyografi<\/li>\n<li aria-level=\"1\">Dijital \u00c7\u0131karma Anjiyografisi (DSA &#8211; Anjiyo)<\/li>\n<\/ul>\n<p>Bu testlerden ilki ve en s\u0131k kullan\u0131lan\u0131 Renkli Doppler Ultrasonografi&#8217;dir. A\u011fr\u0131s\u0131z, radyasyonsuz ve h\u0131zl\u0131 bir y\u00f6ntem olan ultrason, hem damardaki darl\u0131\u011f\u0131 g\u00f6sterebilir hem de en \u00f6nemlisi vertebral arterdeki kan ak\u0131\u015f\u0131n\u0131n tersine d\u00f6nd\u00fc\u011f\u00fcn\u00fc, yani &#8220;\u00e7alma&#8221; fenomenini net bir \u015fekilde kan\u0131tlayabilir.<\/p>\n<p>BT Anjiyografi ve MR Anjiyografi, olas\u0131 bir tedaviye (stent veya ameliyat) rehberlik etmek amac\u0131yla damarlar\u0131n detayl\u0131, \u00fc\u00e7 boyutlu bir haritas\u0131n\u0131 \u00e7\u0131karmak i\u00e7in kullan\u0131l\u0131r. Bu testler, darl\u0131\u011f\u0131n tam yerini, uzunlu\u011funu ve \u00e7evre damarlarla olan ili\u015fkisini net bir \u015fekilde g\u00f6stererek tedavi stratejisinin belirlenmesine yard\u0131mc\u0131 olur.<\/p>\n<p>DSA (Klasik Anjiyo), damar g\u00f6r\u00fcnt\u00fclemede &#8220;alt\u0131n standart&#8221; olarak kabul edilir. Genellikle tedavi ile ayn\u0131 seansta yap\u0131l\u0131r. Kas\u0131ktan veya koldan ince bir kateterle girilerek darl\u0131k net bir \u015fekilde g\u00f6r\u00fcnt\u00fclenir ve e\u011fer uygunsa ayn\u0131 anda balon veya stent ile tedavi edilebilir.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Subklavian_Steal_Sendromu_her_hastada_tedavi_edilmek_zorunda_midir\"><\/span>Subklavian Steal Sendromu her hastada tedavi edilmek zorunda m\u0131d\u0131r?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Hay\u0131r. Bu hastalar\u0131n en \u00e7ok rahatlad\u0131\u011f\u0131 bilgilerden biridir. E\u011fer ki\u015fide &#8220;subklavian steal fenomeni&#8221; varsa, yani kan \u00e7al\u0131nmas\u0131 g\u00f6r\u00fcnt\u00fclemede saptanm\u0131\u015f ancak hi\u00e7bir \u015fikayete yol a\u00e7m\u0131yorsa (asemptomatik ise), genellikle invaziv bir m\u00fcdahale (stent veya ameliyat) gerekmez. Bu durumda tedavi, altta yatan damar sertli\u011fini kontrol alt\u0131na almaya odaklan\u0131r. Ama\u00e7 gelecekteki kalp krizi ve inme riskini azaltmakt\u0131r. Bu nedenle tedavi karar\u0131 tamamen hastan\u0131n \u015fikayetlerinin olup olmamas\u0131na ve bu \u015fikayetlerin ya\u015fam kalitesini ne \u00f6l\u00e7\u00fcde etkiledi\u011fine ba\u011fl\u0131d\u0131r.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Subklavian_Steal_Sendromu_icin_ameliyatsiz_tedavi_secenekleri_nelerdir\"><\/span>Subklavian Steal Sendromu i\u00e7in ameliyats\u0131z tedavi se\u00e7enekleri nelerdir?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Belirgin \u015fikayetleri olmayan veya \u00e7ok hafif olan hastalarda, ayr\u0131ca invaziv tedavi uygulanan t\u00fcm hastalarda tedavinin temelini konservatif yakla\u015f\u0131m ve ya\u015fam tarz\u0131 de\u011fi\u015fiklikleri olu\u015fturur. Bu hastal\u0131\u011f\u0131n ilerlemesini yava\u015flatmay\u0131 ve genel damar sa\u011fl\u0131\u011f\u0131n\u0131 korumay\u0131 hedefler. Bu yakla\u015f\u0131m\u0131n iki ana bile\u015feni vard\u0131r.<\/p>\n<p>\u0130la\u00e7 Tedavisi, a\u015fa\u011f\u0131daki ila\u00e7 gruplar\u0131n\u0131 i\u00e7erir:<\/p>\n<ul>\n<li aria-level=\"1\">Antiplatelet ajanlar (Aspirin, klopidogrel gibi kan suland\u0131r\u0131c\u0131lar)<\/li>\n<li aria-level=\"1\">Statinler (kolesterol d\u00fc\u015f\u00fcr\u00fcc\u00fc ila\u00e7lar)<\/li>\n<li aria-level=\"1\">Antihipertansifler (tansiyon ila\u00e7lar\u0131)<\/li>\n<li aria-level=\"1\">Diyabet ila\u00e7lar\u0131 (\u015feker hastalar\u0131 i\u00e7in)<\/li>\n<\/ul>\n<p>Ya\u015fam Tarz\u0131 De\u011fi\u015fiklikleri, damar sa\u011fl\u0131\u011f\u0131 i\u00e7in at\u0131labilecek en \u00f6nemli ad\u0131mlard\u0131r:<\/p>\n<ul>\n<li aria-level=\"1\">Sigaran\u0131n kesin olarak b\u0131rak\u0131lmas\u0131<\/li>\n<li aria-level=\"1\">Sa\u011fl\u0131kl\u0131 ve dengeli beslenme (Akdeniz diyeti gibi)<\/li>\n<li aria-level=\"1\">Tuz al\u0131m\u0131n\u0131n k\u0131s\u0131tlanmas\u0131<\/li>\n<li aria-level=\"1\">Haftada en az 150 dakika orta d\u00fczeyde d\u00fczenli egzersiz<\/li>\n<li aria-level=\"1\">\u0130deal kilonun korunmas\u0131<\/li>\n<\/ul>\n<h2><span class=\"ez-toc-section\" id=\"Subklavian_Steal_Sendromu_tedavisinde_modern_kapali_yontemler_nelerdir\"><\/span>Subklavian Steal Sendromu tedavisinde modern kapal\u0131 y\u00f6ntemler nelerdir?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Belirgin \u015fikayetleri olan hastalar i\u00e7in g\u00fcn\u00fcm\u00fczdeki ilk tercih, genellikle endovask\u00fcler (damar i\u00e7i) tedavi ad\u0131 verilen kapal\u0131 y\u00f6ntemlerdir. Bu minimal invaziv giri\u015fimler, b\u00fcy\u00fck bir cerrahi kesi yerine, genellikle kas\u0131k veya kol atardamar\u0131ndan bir i\u011fne ile girilerek yap\u0131l\u0131r.<\/p>\n<p>En s\u0131k uygulanan y\u00f6ntem balon anjiyoplasti ve stentlemedir. Bu i\u015flemde, ince bir tel yard\u0131m\u0131yla daralm\u0131\u015f olan damar b\u00f6lgesine ula\u015f\u0131l\u0131r. \u00d6nce ucunda s\u00f6n\u00fck bir balon bulunan bir kateterle bu darl\u0131k geni\u015fletilir. Balon, damar\u0131 daraltan pla\u011f\u0131 damar duvar\u0131na do\u011fru ezerek kan ak\u0131\u015f\u0131na yol a\u00e7ar. Ard\u0131ndan, damar\u0131n tekrar daralmas\u0131n\u0131 \u00f6nlemek i\u00e7in, o b\u00f6lgeye kal\u0131c\u0131 olarak &#8220;stent&#8221; ad\u0131 verilen, metal bir a\u011fdan olu\u015fan bir iskele yerle\u015ftirilir. Bu y\u00f6ntem y\u00fcksek ba\u015far\u0131 oran\u0131, k\u0131sa hastanede kal\u0131\u015f s\u00fcresi ve h\u0131zl\u0131 iyile\u015fme gibi \u00f6nemli avantajlar sunar.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Subklavian_Steal_Sendromu_icin_acik_cerrahi_ne_zaman_ve_neden_gereklidir\"><\/span>Subklavian Steal Sendromu i\u00e7in a\u00e7\u0131k cerrahi ne zaman ve neden gereklidir?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Endovask\u00fcler y\u00f6ntemler ilk tercih olsa da her hasta bu tedaviler i\u00e7in uygun olmayabilir. Baz\u0131 durumlarda, a\u00e7\u0131k cerrahi daha g\u00fcvenli, daha etkili ve daha kal\u0131c\u0131 bir \u00e7\u00f6z\u00fcm sunabilir. A\u00e7\u0131k cerrahi, genellikle a\u015fa\u011f\u0131daki durumlarda d\u00fc\u015f\u00fcn\u00fcl\u00fcr:<\/p>\n<ul>\n<li aria-level=\"1\">Damardaki darl\u0131\u011f\u0131n veya t\u0131kan\u0131kl\u0131\u011f\u0131n stent yerle\u015ftirmeye uygun olmayacak kadar uzun olmas\u0131.<\/li>\n<li aria-level=\"1\">Damar\u0131n daralmas\u0131 yerine tamamen t\u0131kal\u0131 olmas\u0131 ve kapal\u0131 y\u00f6ntemle ge\u00e7ilememesi.<\/li>\n<li aria-level=\"1\">Daha \u00f6nce yerle\u015ftirilen bir stentin tekrar daralmas\u0131 ve kapal\u0131 y\u00f6ntemin ba\u015far\u0131s\u0131z olmas\u0131.<\/li>\n<li aria-level=\"1\">Ayn\u0131 b\u00f6lgede ba\u015fka cerrahi m\u00fcdahalelerin de gerekmesi.<\/li>\n<\/ul>\n<h2><span class=\"ez-toc-section\" id=\"Subklavian_Steal_Sendromu_ameliyatlarinda_hangi_teknikler_kullanilir\"><\/span>Subklavian Steal Sendromu ameliyatlar\u0131nda hangi teknikler kullan\u0131l\u0131r?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>A\u00e7\u0131k cerrahi karar\u0131 verildi\u011finde, kan ak\u0131\u015f\u0131n\u0131 yeniden sa\u011flamak i\u00e7in d\u00fcnya genelinde kabul g\u00f6rm\u00fc\u015f ve uzun d\u00f6nem sonu\u00e7lar\u0131 m\u00fckemmel olan iki ana teknik vard\u0131r.<\/p>\n<p>Karotis-Subklavian Bypass: Bu en s\u0131k kullan\u0131lan cerrahi y\u00f6ntemdir. Boyundaki sa\u011fl\u0131kl\u0131 \u015fah damar\u0131 (karotis arter) ile t\u0131kan\u0131kl\u0131\u011f\u0131n ilerisindeki subklavian arter aras\u0131na, yapay bir damar (greft) kullan\u0131larak bir &#8220;k\u00f6pr\u00fc&#8221; veya &#8220;yan yol&#8221; olu\u015fturulur. Bu sayede kan, t\u0131kal\u0131 b\u00f6lgeyi atlayarak bu yeni k\u00f6pr\u00fc \u00fczerinden kola rahat\u00e7a ula\u015f\u0131r.<\/p>\n<p>Subklavian-Karotis Transpozisyonu: Bu teknik olarak daha zarif ve biyolojik olarak daha \u00fcst\u00fcn bir y\u00f6ntemdir. Bu ameliyatta yapay damar kullan\u0131lmaz. T\u0131kan\u0131kl\u0131\u011f\u0131n oldu\u011fu subklavian arter, ba\u015flang\u0131\u00e7 noktas\u0131ndan kesilir ve sa\u011flam olan ucu, do\u011frudan yan\u0131ndaki sa\u011fl\u0131kl\u0131 \u015fah damar\u0131na dikilir. En b\u00fcy\u00fck avantaj\u0131, hastan\u0131n kendi damarlar\u0131n\u0131n kullan\u0131lmas\u0131d\u0131r. Bu yapay damara ba\u011fl\u0131 enfeksiyon riskini ortadan kald\u0131r\u0131r ve bilinen en y\u00fcksek uzun d\u00f6nem a\u00e7\u0131kl\u0131k oranlar\u0131n\u0131 sunar. Anatomi uygun oldu\u011funda, bu y\u00f6ntem cerrahi tedavide &#8220;alt\u0131n standart&#8221; olarak kabul edilir.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Subklavian_Steal_Sendromu_ameliyati_sonrasi_hastalari_nasil_bir_surec_bekler\"><\/span>Subklavian Steal Sendromu ameliyat\u0131 sonras\u0131 hastalar\u0131 nas\u0131l bir s\u00fcre\u00e7 bekler?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Modern cerrahi ve anestezi teknikleri sayesinde, bu ameliyatlar sonras\u0131 iyile\u015fme s\u00fcreci genellikle olduk\u00e7a rahatt\u0131r. Hastanede kal\u0131\u015f s\u00fcresi genellikle birka\u00e7 g\u00fcnd\u00fcr. Ameliyat sonras\u0131 dikkat edilmesi gereken baz\u0131 \u00f6nemli noktalar vard\u0131r:<\/p>\n<ul>\n<li aria-level=\"1\">Ameliyat b\u00f6lgesinde a\u011fr\u0131, \u015fi\u015flik ve morarma olmas\u0131 normaldir.<\/li>\n<li aria-level=\"1\">\u0130lk birka\u00e7 hafta a\u011f\u0131r kald\u0131rmaktan ka\u00e7\u0131n\u0131lmal\u0131d\u0131r.<\/li>\n<li aria-level=\"1\">Ameliyat edilen kolda zorlay\u0131c\u0131 hareketler k\u0131s\u0131tlanmal\u0131d\u0131r.<\/li>\n<li aria-level=\"1\">Doktorun \u00f6nerdi\u011fi kan suland\u0131r\u0131c\u0131 ila\u00e7lar d\u00fczenli kullan\u0131lmal\u0131d\u0131r.<\/li>\n<li aria-level=\"1\">Kesi yerinin bak\u0131m\u0131 ve temizli\u011fi \u00f6nemlidir.<\/li>\n<\/ul>\n<p>Hastalar genellikle birka\u00e7 hafta i\u00e7inde g\u00fcnl\u00fck normal aktivitelerine d\u00f6nebilirler. Tam iyile\u015fme ve kesi yerindeki sertli\u011fin tamamen ge\u00e7mesi birka\u00e7 ay s\u00fcrebilir.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Subklavian_Steal_Sendromu_tedavi_edildikten_sonra_uzun_donemde_sonuclar_nasildir\"><\/span>Subklavian Steal Sendromu tedavi edildikten sonra uzun d\u00f6nemde sonu\u00e7lar nas\u0131ld\u0131r?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Bu sendromun tedavi sonras\u0131 sonu\u00e7lar\u0131 son derece y\u00fcz g\u00fcld\u00fcr\u00fcc\u00fcd\u00fcr. Tedavi edilen hastalar\u0131n b\u00fcy\u00fck \u00e7o\u011funlu\u011funda belirtiler kal\u0131c\u0131 olarak ortadan kalkar, ya\u015fam kaliteleri \u00f6nemli \u00f6l\u00e7\u00fcde artar ve yeniden m\u00fcdahale ihtiyac\u0131 \u00e7ok nadirdir. \u00d6zellikle a\u00e7\u0131k cerrahi y\u00f6ntemlerin 10 y\u0131ll\u0131k damar a\u00e7\u0131kl\u0131k oranlar\u0131 %95&#8217;in \u00fczerindedir. Bu tedavinin son derece etkili ve dayan\u0131kl\u0131 oldu\u011funu g\u00f6sterir. Sonu\u00e7 olarak Subklavian Steal Sendromu, do\u011fru tan\u0131 ve uygun tedavi y\u00f6ntemi se\u00e7imiyle ba\u015far\u0131yla y\u00f6netilebilen bir durumdur ve hastalar sa\u011fl\u0131kl\u0131, \u015fikayetsiz bir gelece\u011fe ad\u0131m atabilirler.<br \/>\n<h2 class=\"accordion_title\"><span class=\"ez-toc-section\" id=\"Sikca_Sorulan_Sorular\"><\/span>S\u0131k\u00e7a Sorulan Sorular<span class=\"ez-toc-section-end\"><\/span><\/h2><div class=\"accordion\">\n\t<div id=\"accordion-845893460\" class=\"accordion-item\">\n\t\t<a id=\"accordion-845893460-label\" class=\"accordion-title plain\" href=\"#accordion-item-subklavian-steal-sendromu-nedir?\" aria-expanded=\"false\" aria-controls=\"accordion-845893460-content\" >\n\t\t\t<button class=\"toggle\" aria-label=\"Toggle\"><i class=\"icon-angle-down\"><\/i><\/button>\n\t\t\t<h3 class=\"accordion-heading\" role=\"heading\" aria-level=\"3\"><span class=\"ez-toc-section\" id=\"Subklavian_Steal_Sendromu_nedir\"><\/span>Subklavian Steal Sendromu nedir?<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\t\t<\/a>\n\t\t<div id=\"accordion-845893460-content\" class=\"accordion-inner\" aria-labelledby=\"accordion-845893460-label\" >\n\t\t\t\n<p>Subklavian arterin t\u0131kanmas\u0131 veya daralmas\u0131 sonucu, vertebral arterden ters y\u00f6nde kan ak\u0131m\u0131 olu\u015farak beyin ve kola yetersiz kan gitmesine neden olan bir durumdur.<\/p>\n\t\t<\/div>\n\t<\/div>\n\t\n\t<div id=\"accordion-1215306595\" class=\"accordion-item\">\n\t\t<a id=\"accordion-1215306595-label\" class=\"accordion-title plain\" href=\"#accordion-item-bu-sendrom-neden-\u201csteal\u201d-(\u00e7alma)-olarak-adland\u0131r\u0131l\u0131r?\" aria-expanded=\"false\" aria-controls=\"accordion-1215306595-content\" >\n\t\t\t<button class=\"toggle\" aria-label=\"Toggle\"><i class=\"icon-angle-down\"><\/i><\/button>\n\t\t\t<h3 class=\"accordion-heading\" role=\"heading\" aria-level=\"3\"><span class=\"ez-toc-section\" id=\"Bu_sendrom_neden_%E2%80%9Csteal%E2%80%9D_calma_olarak_adlandirilir\"><\/span>Bu sendrom neden \u201csteal\u201d (\u00e7alma) olarak adland\u0131r\u0131l\u0131r?<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\t\t<\/a>\n\t\t<div id=\"accordion-1215306595-content\" class=\"accordion-inner\" aria-labelledby=\"accordion-1215306595-label\" >\n\t\t\t\n<p>T\u0131kan\u0131kl\u0131k nedeniyle beyne gitmesi gereken kan, kola y\u00f6nlendirilir; bu da adeta kan\u0131n \u201c\u00e7al\u0131nmas\u0131\u201d gibi bir durumu ifade eder.<\/p>\n\t\t<\/div>\n\t<\/div>\n\t\n\t<div id=\"accordion-494674253\" class=\"accordion-item\">\n\t\t<a id=\"accordion-494674253-label\" class=\"accordion-title plain\" href=\"#accordion-item-belirtileri-nelerdir?\" aria-expanded=\"false\" aria-controls=\"accordion-494674253-content\" >\n\t\t\t<button class=\"toggle\" aria-label=\"Toggle\"><i class=\"icon-angle-down\"><\/i><\/button>\n\t\t\t<h3 class=\"accordion-heading\" role=\"heading\" aria-level=\"3\"><span class=\"ez-toc-section\" id=\"Belirtileri_nelerdir\"><\/span>Belirtileri nelerdir?<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\t\t<\/a>\n\t\t<div id=\"accordion-494674253-content\" class=\"accordion-inner\" aria-labelledby=\"accordion-494674253-label\" >\n\t\t\t\n<p>Ba\u015f d\u00f6nmesi, bay\u0131lma, g\u00f6z kararmas\u0131, kol yorgunlu\u011fu, kolda uyu\u015fma ve tansiyon fark\u0131 s\u0131k g\u00f6r\u00fcl\u00fcr.<\/p>\n\t\t<\/div>\n\t<\/div>\n\t\n\t<div id=\"accordion-3342975802\" class=\"accordion-item\">\n\t\t<a id=\"accordion-3342975802-label\" class=\"accordion-title plain\" href=\"#accordion-item-hangi-damarda-sorun-vard\u0131r?\" aria-expanded=\"false\" aria-controls=\"accordion-3342975802-content\" >\n\t\t\t<button class=\"toggle\" aria-label=\"Toggle\"><i class=\"icon-angle-down\"><\/i><\/button>\n\t\t\t<h3 class=\"accordion-heading\" role=\"heading\" aria-level=\"3\"><span class=\"ez-toc-section\" id=\"Hangi_damarda_sorun_vardir\"><\/span>Hangi damarda sorun vard\u0131r?<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\t\t<\/a>\n\t\t<div id=\"accordion-3342975802-content\" class=\"accordion-inner\" aria-labelledby=\"accordion-3342975802-label\" >\n\t\t\t\n<p>Genellikle sol subklavian arterde, bazen sa\u011fda daralma veya t\u0131kanma olur.<\/p>\n\t\t<\/div>\n\t<\/div>\n\t\n\t<div id=\"accordion-1569741994\" class=\"accordion-item\">\n\t\t<a id=\"accordion-1569741994-label\" class=\"accordion-title plain\" href=\"#accordion-item-bu-durum-hangi-taraf\u0131-daha-s\u0131k-etkiler?\" aria-expanded=\"false\" aria-controls=\"accordion-1569741994-content\" >\n\t\t\t<button class=\"toggle\" aria-label=\"Toggle\"><i class=\"icon-angle-down\"><\/i><\/button>\n\t\t\t<h3 class=\"accordion-heading\" role=\"heading\" aria-level=\"3\"><span class=\"ez-toc-section\" id=\"Bu_durum_hangi_tarafi_daha_sik_etkiler\"><\/span>Bu durum hangi taraf\u0131 daha s\u0131k etkiler?<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\t\t<\/a>\n\t\t<div id=\"accordion-1569741994-content\" class=\"accordion-inner\" aria-labelledby=\"accordion-1569741994-label\" >\n\t\t\t\n<p>Sol taraf daha s\u0131k etkilenir \u00e7\u00fcnk\u00fc subklavian arter sol tarafta aorttan daha uzak \u00e7\u0131kar.<\/p>\n\t\t<\/div>\n\t<\/div>\n\t\n\t<div id=\"accordion-2061120866\" class=\"accordion-item\">\n\t\t<a id=\"accordion-2061120866-label\" class=\"accordion-title plain\" href=\"#accordion-item-nas\u0131l-te\u015fhis-edilir?\" aria-expanded=\"false\" aria-controls=\"accordion-2061120866-content\" >\n\t\t\t<button class=\"toggle\" aria-label=\"Toggle\"><i class=\"icon-angle-down\"><\/i><\/button>\n\t\t\t<h3 class=\"accordion-heading\" role=\"heading\" aria-level=\"3\"><span class=\"ez-toc-section\" id=\"Nasil_teshis_edilir\"><\/span>Nas\u0131l te\u015fhis edilir?<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\t\t<\/a>\n\t\t<div id=\"accordion-2061120866-content\" class=\"accordion-inner\" aria-labelledby=\"accordion-2061120866-label\" >\n\t\t\t\n<p>Doppler ultrasonografi, BT anjiyografi ve MR anjiyografi ile tan\u0131 konur.<\/p>\n\t\t<\/div>\n\t<\/div>\n\t\n\t<div id=\"accordion-112331711\" class=\"accordion-item\">\n\t\t<a id=\"accordion-112331711-label\" class=\"accordion-title plain\" href=\"#accordion-item-kolda-tansiyon-fark\u0131-bu-sendromun-g\u00f6stergesi-midir?\" aria-expanded=\"false\" aria-controls=\"accordion-112331711-content\" >\n\t\t\t<button class=\"toggle\" aria-label=\"Toggle\"><i class=\"icon-angle-down\"><\/i><\/button>\n\t\t\t<h3 class=\"accordion-heading\" role=\"heading\" aria-level=\"3\"><span class=\"ez-toc-section\" id=\"Kolda_tansiyon_farki_bu_sendromun_gostergesi_midir\"><\/span>Kolda tansiyon fark\u0131 bu sendromun g\u00f6stergesi midir?<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\t\t<\/a>\n\t\t<div id=\"accordion-112331711-content\" class=\"accordion-inner\" aria-labelledby=\"accordion-112331711-label\" >\n\t\t\t\n<p>Evet, etkilenen kolda genellikle di\u011fer koldan 15 mmHg veya daha fazla d\u00fc\u015f\u00fck tansiyon \u00f6l\u00e7\u00fcl\u00fcr.<\/p>\n\t\t<\/div>\n\t<\/div>\n\t\n\t<div id=\"accordion-2830198299\" class=\"accordion-item\">\n\t\t<a id=\"accordion-2830198299-label\" class=\"accordion-title plain\" href=\"#accordion-item-beyin-belirtileri-neden-ortaya-\u00e7\u0131kar?\" aria-expanded=\"false\" aria-controls=\"accordion-2830198299-content\" >\n\t\t\t<button class=\"toggle\" aria-label=\"Toggle\"><i class=\"icon-angle-down\"><\/i><\/button>\n\t\t\t<h3 class=\"accordion-heading\" role=\"heading\" aria-level=\"3\"><span class=\"ez-toc-section\" id=\"Beyin_belirtileri_neden_ortaya_cikar\"><\/span>Beyin belirtileri neden ortaya \u00e7\u0131kar?<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\t\t<\/a>\n\t\t<div id=\"accordion-2830198299-content\" class=\"accordion-inner\" aria-labelledby=\"accordion-2830198299-label\" >\n\t\t\t\n<p>Vertebral arterden tersine kan ak\u0131m\u0131 olmas\u0131, beyin sap\u0131na giden kan ak\u0131\u015f\u0131n\u0131 azalt\u0131r.<\/p>\n\t\t<\/div>\n\t<\/div>\n\t\n\t<div id=\"accordion-2819732719\" class=\"accordion-item\">\n\t\t<a id=\"accordion-2819732719-label\" class=\"accordion-title plain\" href=\"#accordion-item-sendromun-en-b\u00fcy\u00fck-riski-nedir?\" aria-expanded=\"false\" aria-controls=\"accordion-2819732719-content\" >\n\t\t\t<button class=\"toggle\" aria-label=\"Toggle\"><i class=\"icon-angle-down\"><\/i><\/button>\n\t\t\t<h3 class=\"accordion-heading\" role=\"heading\" aria-level=\"3\"><span class=\"ez-toc-section\" id=\"Sendromun_en_buyuk_riski_nedir\"><\/span>Sendromun en b\u00fcy\u00fck riski nedir?<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\t\t<\/a>\n\t\t<div id=\"accordion-2819732719-content\" class=\"accordion-inner\" aria-labelledby=\"accordion-2819732719-label\" >\n\t\t\t\n<p>Beyin kan ak\u0131m\u0131n\u0131n azalmas\u0131 nedeniyle inme (fel\u00e7) riski artabilir.<\/p>\n\t\t<\/div>\n\t<\/div>\n\t\n\t<div id=\"accordion-1462584517\" class=\"accordion-item\">\n\t\t<a id=\"accordion-1462584517-label\" class=\"accordion-title plain\" href=\"#accordion-item-tedavi-y\u00f6ntemleri-nelerdir?\" aria-expanded=\"false\" aria-controls=\"accordion-1462584517-content\" >\n\t\t\t<button class=\"toggle\" aria-label=\"Toggle\"><i class=\"icon-angle-down\"><\/i><\/button>\n\t\t\t<h3 class=\"accordion-heading\" role=\"heading\" aria-level=\"3\"><span class=\"ez-toc-section\" id=\"Tedavi_yontemleri_nelerdir\"><\/span>Tedavi y\u00f6ntemleri nelerdir?<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\t\t<\/a>\n\t\t<div id=\"accordion-1462584517-content\" class=\"accordion-inner\" aria-labelledby=\"accordion-1462584517-label\" >\n\t\t\t\n<p>Kesinlikle cerrahi tedavi yap\u0131l\u0131r. End-arterektomi veya \u00f6zellikle subklaviyan arterin \u00e7\u0131k\u0131\u015f\u0131nda ve total t\u0131kan\u0131kl\u0131klarda aorta-subklaviyan bypass yap\u0131l\u0131r. Nadiren subklaviyan arterin orta b\u00f6lgesinde k\u0131sa segment ve a\u00e7\u0131kl\u0131\u011f\u0131 olan darl\u0131klarda kateter ile stent konabilir.<\/p>\n\t\t<\/div>\n\t<\/div>\n\t\n\t<div id=\"accordion-2498587472\" class=\"accordion-item\">\n\t\t<a id=\"accordion-2498587472-label\" class=\"accordion-title plain\" href=\"#accordion-item-t\u00fcm-vakalarda-m\u00fcdahale-gerekir-mi?\" aria-expanded=\"false\" aria-controls=\"accordion-2498587472-content\" >\n\t\t\t<button class=\"toggle\" aria-label=\"Toggle\"><i class=\"icon-angle-down\"><\/i><\/button>\n\t\t\t<h3 class=\"accordion-heading\" role=\"heading\" aria-level=\"3\"><span class=\"ez-toc-section\" id=\"Tum_vakalarda_mudahale_gerekir_mi\"><\/span>T\u00fcm vakalarda m\u00fcdahale gerekir mi?<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\t\t<\/a>\n\t\t<div id=\"accordion-2498587472-content\" class=\"accordion-inner\" aria-labelledby=\"accordion-2498587472-label\" >\n\t\t\t\n<p>Hay\u0131r, hafif semptomlu hastalarda medikal tedavi ve izlem yeterli olabilir.<\/p>\n\t\t<\/div>\n\t<\/div>\n\t\n\t<div id=\"accordion-3245691563\" class=\"accordion-item\">\n\t\t<a id=\"accordion-3245691563-label\" class=\"accordion-title plain\" href=\"#accordion-item-hangi-uzmanl\u0131k-alan\u0131-ilgilenir?\" aria-expanded=\"false\" aria-controls=\"accordion-3245691563-content\" >\n\t\t\t<button class=\"toggle\" aria-label=\"Toggle\"><i class=\"icon-angle-down\"><\/i><\/button>\n\t\t\t<h3 class=\"accordion-heading\" role=\"heading\" aria-level=\"3\"><span class=\"ez-toc-section\" id=\"Hangi_uzmanlik_alani_ilgilenir\"><\/span>Hangi uzmanl\u0131k alan\u0131 ilgilenir?<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\t\t<\/a>\n\t\t<div id=\"accordion-3245691563-content\" class=\"accordion-inner\" aria-labelledby=\"accordion-3245691563-label\" >\n\t\t\t\n<p>Vask\u00fcler cerrahi, kardiyoloji ve n\u00f6roloji uzmanlar\u0131 bu sendromla ilgilenir. Tedavisi mutlaka damar cerrahi taraf\u0131ndan yap\u0131lmal\u0131d\u0131r.<\/p>\n\t\t<\/div>\n\t<\/div>\n\t\n\t<div id=\"accordion-3752807311\" class=\"accordion-item\">\n\t\t<a id=\"accordion-3752807311-label\" class=\"accordion-title plain\" href=\"#accordion-item-egzersizle-belirtiler-artar-m\u0131?\" aria-expanded=\"false\" aria-controls=\"accordion-3752807311-content\" >\n\t\t\t<button class=\"toggle\" aria-label=\"Toggle\"><i class=\"icon-angle-down\"><\/i><\/button>\n\t\t\t<h3 class=\"accordion-heading\" role=\"heading\" aria-level=\"3\"><span class=\"ez-toc-section\" id=\"Egzersizle_belirtiler_artar_mi\"><\/span>Egzersizle belirtiler artar m\u0131?<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\t\t<\/a>\n\t\t<div id=\"accordion-3752807311-content\" class=\"accordion-inner\" aria-labelledby=\"accordion-3752807311-label\" >\n\t\t\t\n<p>Evet, \u00f6zellikle kol kullan\u0131m\u0131 artt\u0131\u011f\u0131nda beyin belirtileri de yo\u011funla\u015fabilir.<\/p>\n\t\t<\/div>\n\t<\/div>\n\t\n\t<div id=\"accordion-3517893574\" class=\"accordion-item\">\n\t\t<a id=\"accordion-3517893574-label\" class=\"accordion-title plain\" href=\"#accordion-item-bu-sendrom-ya\u015fl\u0131larda-m\u0131-daha-yayg\u0131nd\u0131r?\" aria-expanded=\"false\" aria-controls=\"accordion-3517893574-content\" >\n\t\t\t<button class=\"toggle\" aria-label=\"Toggle\"><i class=\"icon-angle-down\"><\/i><\/button>\n\t\t\t<h3 class=\"accordion-heading\" role=\"heading\" aria-level=\"3\"><span class=\"ez-toc-section\" id=\"Bu_sendrom_yaslilarda_mi_daha_yaygindir\"><\/span>Bu sendrom ya\u015fl\u0131larda m\u0131 daha yayg\u0131nd\u0131r?<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\t\t<\/a>\n\t\t<div id=\"accordion-3517893574-content\" class=\"accordion-inner\" aria-labelledby=\"accordion-3517893574-label\" >\n\t\t\t\n<p>Evet, \u00f6zellikle damar sertli\u011fi olan 60 ya\u015f \u00fcst\u00fc bireylerde daha s\u0131k g\u00f6r\u00fcl\u00fcr.<\/p>\n\t\t<\/div>\n\t<\/div>\n\t\n\t<div id=\"accordion-2652417199\" class=\"accordion-item\">\n\t\t<a id=\"accordion-2652417199-label\" class=\"accordion-title plain\" href=\"#accordion-item-subklavian-steal-sendromu-\u00f6l\u00fcmc\u00fcl-m\u00fcd\u00fcr?\" aria-expanded=\"false\" aria-controls=\"accordion-2652417199-content\" >\n\t\t\t<button class=\"toggle\" aria-label=\"Toggle\"><i class=\"icon-angle-down\"><\/i><\/button>\n\t\t\t<h3 class=\"accordion-heading\" role=\"heading\" aria-level=\"3\"><span class=\"ez-toc-section\" id=\"Subklavian_Steal_Sendromu_olumcul_mudur\"><\/span>Subklavian Steal Sendromu \u00f6l\u00fcmc\u00fcl m\u00fcd\u00fcr?<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\t\t<\/a>\n\t\t<div id=\"accordion-2652417199-content\" class=\"accordion-inner\" aria-labelledby=\"accordion-2652417199-label\" >\n\t\t\t\n<p>Erken tan\u0131 ve uygun tedavi ile ya\u015fam riski d\u00fc\u015fer; ancak ihmal edilirse inme riski ta\u015f\u0131r.<\/p>\n\t\t<\/div>\n\t<\/div>\n\t\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>Subklavian steal sendromu, omuz ve kol b\u00f6lgesine kan ta\u015f\u0131yan subklavian arterde ciddi darl\u0131k veya t\u0131kanma oldu\u011funda, kan\u0131n vertebral arter yoluyla ters y\u00f6nde akarak kolu beslemesi durumudur. Bu \u201ckan \u00e7alma\u201d mekanizmas\u0131, beyne giden kan ak\u0131\u015f\u0131n\u0131 azaltarak n\u00f6rolojik belirtilere yol a\u00e7abilir. Belirtiler aras\u0131nda ba\u015f d\u00f6nmesi, dengesizlik, g\u00f6rme bulan\u0131kl\u0131\u011f\u0131, konu\u015fma bozuklu\u011fu ve bay\u0131lma ataklar\u0131 yer alabilir. Etkilenen kolda [&#8230;]\n","protected":false},"author":7,"featured_media":9619,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[234],"tags":[],"class_list":["post-11049","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-uncategorized"],"_links":{"self":[{"href":"https:\/\/dryavuzbesogul.com\/en\/wp-json\/wp\/v2\/posts\/11049","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/dryavuzbesogul.com\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/dryavuzbesogul.com\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/dryavuzbesogul.com\/en\/wp-json\/wp\/v2\/users\/7"}],"replies":[{"embeddable":true,"href":"https:\/\/dryavuzbesogul.com\/en\/wp-json\/wp\/v2\/comments?post=11049"}],"version-history":[{"count":3,"href":"https:\/\/dryavuzbesogul.com\/en\/wp-json\/wp\/v2\/posts\/11049\/revisions"}],"predecessor-version":[{"id":13310,"href":"https:\/\/dryavuzbesogul.com\/en\/wp-json\/wp\/v2\/posts\/11049\/revisions\/13310"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/dryavuzbesogul.com\/en\/wp-json\/wp\/v2\/media\/9619"}],"wp:attachment":[{"href":"https:\/\/dryavuzbesogul.com\/en\/wp-json\/wp\/v2\/media?parent=11049"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/dryavuzbesogul.com\/en\/wp-json\/wp\/v2\/categories?post=11049"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/dryavuzbesogul.com\/en\/wp-json\/wp\/v2\/tags?post=11049"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}