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{
    "pk": 647,
    "title": "Double Steal Phenomenon: Emergency Department Management of Recurrent Transient Ischemic Attack",
    "subtitle": null,
    "abstract": "Double steal phenomenon is a rare condition where occlusion of the innominate (brachiocephalic) artery leads to hemodynamic changes in which blood flow is shunted from the intracranial circulation down the right vertebral artery and subsequently up the right carotid and subclavian circulation. This is a case of a 67-year-old female presenting emergently with recurrent transient ischemic attacks due to double steal phenomenon. Emergency department recognition of the double steal phenomenon and large vessel occlusion by computed tomography angiogram of the head and neck allowed for early treatment, which was critical in avoiding irreversible cerebral infarction.",
    "language": "en",
    "license": {
        "name": "Creative Commons Attribution 4.0",
        "short_name": "CC BY 4.0",
        "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.",
        "url": "https://creativecommons.org/licenses/by/4.0"
    },
    "keywords": [],
    "section": "Case Reports",
    "is_remote": true,
    "remote_url": "https://escholarship.org/uc/item/87b900hq",
    "frozenauthors": [
        {
            "first_name": "Amit",
            "middle_name": "R.",
            "last_name": "Rawal",
            "name_suffix": "",
            "institution": "North Florida Regional Medical Center, Department of Emergency Medicine, Gainesville, Florida",
            "department": "None"
        },
        {
            "first_name": "Collin",
            "middle_name": "",
            "last_name": "Bufano",
            "name_suffix": "",
            "institution": "North Florida Regional Medical Center, Department of Emergency Medicine, Gainesville, Florida",
            "department": "None"
        },
        {
            "first_name": "Omar",
            "middle_name": "",
            "last_name": "Saeed",
            "name_suffix": "",
            "institution": "University of Tennessee Health Science Center, Department of Internal Medicine, Memphis, Tennessee",
            "department": "None"
        },
        {
            "first_name": "Asif",
            "middle_name": "A.",
            "last_name": "Khan",
            "name_suffix": "",
            "institution": "North Florida Regional Medical Center, Department of Vascular and Interventional Neurology, Gainesville, Florida",
            "department": "None"
        }
    ],
    "date_submitted": "2019-01-29T16:14:14-05:00",
    "date_accepted": "2019-01-29T16:14:14-05:00",
    "date_published": "2019-03-13T13:23:59-04:00",
    "render_galley": null,
    "galleys": [
        {
            "label": "",
            "type": "",
            "path": "https://journalpub.escholarship.org/uciem_cpcem/article/647/galley/407/download/"
        }
    ]
}