Subclavian steal syndrome 1

General: Reversal of blood flow through the vertebral artery cau 232c25c sed by stenosis of one subclavian artery proximal to the origin of the vertebral artery; arteriosclerosis; atresia of the proximal subclavian artery; aortic coarctation; subclavian artery may siphon (steal) blood from the vertebral artery; causes fluctuating symptoms of basilar artery insufficiency.

Ocular: Ptosis; nystagmus; temporary visual loss during activity of one arm; visual disturbances.

Clinical: Brachial vascular insufficiency; claudication; tingling of the arm; syncope; decrease of blood pressure in affected arm by at least 20 mm Hg; numbness; coldness; pain; facial paresthesia; headache; syncopal attacks; vertigo; intermittent claudication of the involved upper extremity.

Breall JA, et al. Atherectomy of the subclavian artery for patients with symptomatic coronary-subclavian steal syndrome. J Am Coil Cardiol 1993; 21:1564-l567.

Delaney CP, et al. Investigation and management of subclavian steal syndrome. Br J Surg 1994; 81: 1093-l 095.

Dwyer-Joyce P. The fields in subclavian steal. Trans Ophthalmol Soc UK 1972; 92:819.

Garland JA. New vascular syndrome-the 'subclavian steal.' N Engl J Med 1961; 265:912.

Mannick JA, et al. The 'subclavian steal' syndrome: a further documentation. JAMA 1962; 182:254.

Milliare A, et al. Subclavian angioplasty immediate and late results in 50 patients. Cathet Cardiovasc Diagn 1993; 29:8-l7.

Smith JM. Subclavian steal syndrome. A review of 59 consecutive cases. J Cardiovasc Surg (Torino) 1994; 35: 11-l4.