Subclavian steal syndrome

Written and reviewed by Dr Ibrahim Imam, Consultant Neurologist. Last reviewed .

Subclavian steal syndrome. This is blood flow reversal in the vertebral artery. Fully referenced neurology checklist.

Pathology

  • This is blood flow reversal in the vertebral artery
  • It usually results from stenosis or occlusion of the subclavian artery
  • The stenosis is proximal to the origin of the vertebral artery
  • It is usually left sided
  • It may be bilateral

Causes

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Features of vertebrobasilar insufficiency with arm exercise

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Other neurological features

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Cardiovascular features

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Investigations

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Treatment

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References

  1. Toole JF, McGraw CP. The steal syndromes. Annu Rev Med 1975; 26:321-329.
  2. Kargiotis O, Siahos S, Safouris A, Feleskouras A, Magoufis G, Tsivgoulis G. Subclavian steal syndrome with or without arterial stenosis: a review. J Neuroimaging 2016; 26:473-480.
  3. Aseem WM, Makaroun MS. Bilateral subclavian steal syndrome through different paths and from different sites-a case report. Angiology 1999; 50:149-152.
  4. Amini R, Gornik HL, Gilbert L, Whitelaw S, Shishehbor M. Bilateral subclavian steal syndrome. Case Rep Cardiol 2011; 2011:146267.
  5. Maliska CM 3rd, Blebea J, Taubman KE. Mastication steal syndrome. Ann Vasc Surg 2017; 38:321.e9-321.e11.
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