Subclavian artery steal syndrome: treatment by percutaneous transluminal angioplasty. 1988

R A Erbstein, and M H Wholey, and S Smoot
Department of Radiological Sciences and Diagnostic Imaging, Shadyside Hospital, Pittsburgh, PA 15232.

We present our experience with 24 patients in whom percutaneous transluminal angioplasty was performed in the proximal subclavian artery. Seventeen patients had symptoms of subclavian steal syndrome, and seven had symptoms of upper extremity ischemia. Eighteen (75%) had excellent clinical results, with 80-100% restoration of the expected lumen diameter. Three patients required repeat dilatation because of recurrent symptoms. The only complication was a single case of brachial artery occlusion. Our results suggest that subclavian artery angioplasty is a safe and effective method for treating subclavian artery steal syndrome and upper extremity ischemia.

UI MeSH Term Description Entries
D008297 Male Males
D008875 Middle Aged An adult aged 45 - 64 years. Middle Age
D005260 Female Females
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000368 Aged A person 65 years of age or older. For a person older than 79 years, AGED, 80 AND OVER is available. Elderly
D000369 Aged, 80 and over Persons 80 years of age and older. Oldest Old
D000800 Angioplasty, Balloon Use of a balloon catheter for dilation of an occluded artery. It is used in treatment of arterial occlusive diseases, including renal artery stenosis and arterial occlusions in the leg. For the specific technique of BALLOON DILATION in coronary arteries, ANGIOPLASTY, BALLOON, CORONARY is available. Balloon Angioplasty,Dilation, Transluminal Arterial,Arterial Dilation, Transluminal,Arterial Dilations, Transluminal,Dilations, Transluminal Arterial,Transluminal Arterial Dilation,Transluminal Arterial Dilations
D013349 Subclavian Steal Syndrome A clinically significant reduction in blood supply to the BRAIN STEM and CEREBELLUM (i.e., VERTEBROBASILAR INSUFFICIENCY) resulting from reversal of blood flow through the VERTEBRAL ARTERY from occlusion or stenosis of the proximal subclavian or brachiocephalic artery. Common symptoms include VERTIGO; SYNCOPE; and INTERMITTENT CLAUDICATION of the involved upper extremity. Subclavian steal may also occur in asymptomatic individuals. (From J Cardiovasc Surg 1994;35(1):11-4; Acta Neurol Scand 1994;90(3):174-8) Basilar Steal Syndrome,Brachial-Basilar Insufficiency Syndrome,Subclavian Artery Stenosis,Subclavian Steal,Subclavian Steal Phenomenon,Subclavian-Carotid Artery Steal Syndrome,Artery Stenoses, Subclavian,Artery Stenosis, Subclavian,Basilar Steal Syndromes,Brachial Basilar Insufficiency Syndrome,Brachial-Basilar Insufficiency Syndromes,Insufficiency Syndrome, Brachial-Basilar,Insufficiency Syndromes, Brachial-Basilar,Phenomenon, Subclavian Steal,Steal Phenomenon, Subclavian,Steal Syndrome, Basilar,Steal Syndrome, Subclavian,Steal Syndromes, Basilar,Steal Syndromes, Subclavian,Steal, Subclavian,Stenoses, Subclavian Artery,Stenosis, Subclavian Artery,Subclavian Artery Stenoses,Subclavian Carotid Artery Steal Syndrome,Subclavian Steal Syndromes,Syndrome, Brachial-Basilar Insufficiency,Syndromes, Brachial-Basilar Insufficiency

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