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Investigation and management of subclavian steal syndrome

✍ Scribed by C. P. Delaney; N. F. Couse; D. Mehigan; Mr T. V. Keaveny

Publisher: John Wiley and Sons
Year: 1994
Tongue: English
Weight: 328 KB
Volume: 81
Category: Article
ISSN: 0007-1323
DOI: 10.1002/bjs.1800810804

No coin nor oath required. For personal study only.

✦ Synopsis

Patients with subclavian steal syndrome present with symptoms of vertebrobasilar ischemia. Although a n g b graphy has traditionally been used to confirm the diagnosis of subclavian steal and plan reconstrudve surgery in symptomatic patients, duplex ultrasonography now offers rapid diagnosis and also permits examination of the other extracranial vessels. The treatment of subclavian steal syndrome is surgical. Extra-anatomic bypass procedures are used to increase inflow to the subclavian artery, abolishing the steal phenomenon. Carotid-subclavian bypass or transposition and subclavian-subclavian or axilloaxillary bypass are the procedures of choice; selection is governed by the presence of coexistent carotid artery disease. Percutaneous transluminal balloon angloplasty of

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