Overview
What is subclavian steal syndrome?
What is the pathophysiology of subclavian steal syndrome?
What is the role of vasodilation in the pathogenesis of subclavian steal syndrome?
What is coronary subclavian steal?
What causes subclavian steal syndrome?
What are modifiable risk factors for atherosclerotic plaques, leading to subclavian steal syndrome?
What are the less common causes of subclavian steal syndrome?
What is the prevalence of subclavian steal syndrome?
What is the prognosis of for subclavian steal syndrome?
Presentation
Which history findings are characteristic of subclavian steal syndrome?
Which physical findings are characteristic of subclavian steal syndrome?
Workup
Which tests are performed in the workup of subclavian steal syndrome?
What is the role of ultrasonography in the diagnosis of subclavian steal syndrome?
What is the role of angiography in the diagnosis of subclavian steal syndrome?
What is the role of chest radiography in the diagnosis of subclavian steal syndrome?
Treatment
What are the treatment options for subclavian steal syndrome?
What is the role of subclavian endarterectomy in the treatment of subclavian steal syndrome?
What is the role of subclavian transposition in the treatment of subclavian steal syndrome?
What is the role of axillary-axillary bypass in the treatment of subclavian steal syndrome?
What is the role of arch aortography in the surgical treatment of subclavian steal syndrome?
How is surgical bypass performed for the treatment of subclavian steal syndrome?
What is included in postoperative care following surgical bypass for subclavian steal syndrome?
What is the efficacy of endovascular (catheter-based) treatment for subclavian steal syndrome?
How are endovascular procedures performed in the treatment of subclavian steal syndrome?
What are the complications of surgery for subclavian steal syndrome?
What are the complications of endovascular treatment of subclavian steal syndrome?
What is included in long-term monitoring of patients with subclavian steal syndrome?
Medications
What are the goals of drug treatment for subclavian steal syndrome?
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Irregular proximal subclavian stenosis.
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Retrograde blood flow from left vertebral artery into left subclavian artery in patient with subclavian steal syndrome.
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Successful stent treatment of subclavian stenosis, with restored antegrade flow into vertebral artery.