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Subclavian Artery Stenosis/Occlusion
Suvranu Ganguli, MD
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KEY FACTS

  • Terminology

    • Imaging

      • Clinical Issues

        TERMINOLOGY

        • Definitions

          • Subclavian artery luminal narrowing or obliteration
        • Associated Syndromes

          • Subclavian artery stenosis or obstruction; subclavian occlusive disease; subclavian steal syndrome; subclavian steal phenomenon; thoracic outlet syndrome

        IMAGING

        • General Features

          • CT Findings

            • MR Findings

              • Ultrasonographic Findings

                • Angiographic Findings

                  • Imaging Recommendations

                    DIFFERENTIAL DIAGNOSIS

                      PATHOLOGY

                      • General Features

                        CLINICAL ISSUES

                        • Presentation

                          • Demographics

                            • Natural History & Prognosis

                              • Treatment

                                DIAGNOSTIC CHECKLIST

                                • Consider

                                  • Image Interpretation Pearls

                                    Selected References

                                    1. Clark CE et al: Association of a difference in systolic blood pressure between arms with vascular disease and mortality: a systematic review and meta-analysis. Lancet. 379(9819):905-14, 2012
                                    2. Song L et al: Endovascular stenting vs. extrathoracic surgical bypass for symptomatic subclavian steal syndrome. J Endovasc Ther. 19(1):44-51, 2012
                                    3. Labropoulos N et al: Prevalence and impact of the subclavian steal syndrome. Ann Surg. 252(1):166-70, 2010
                                    4. du Toit DF et al: Long-term results of stent graft treatment of subclavian artery injuries: Management of choice for stable patients? J Vasc Surg. 2008
                                    5. Liava'a M et al: Progressive subclavian artery stenosis causing late coronary artery bypass graft failure as a result of coronary-subclavian artery steal. J Thorac Cardiovasc Surg. 135(2):438-9, 2008
                                    6. Palchik E et al: Subclavian artery revascularization: an outcome analysis based on mode of therapy and presenting symptoms. Ann Vasc Surg. 22(1):70-8, 2008
                                    7. Van Grimberge F et al: Role of magnetic resonance in the diagnosis of subclavian steal syndrome. J Magn Reson Imaging. 12(2):339-42, 2000
                                    Related Anatomy
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                                    Related Differential Diagnoses
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                                    References
                                    Tables

                                    Tables

                                    KEY FACTS

                                    • Terminology

                                      • Imaging

                                        • Clinical Issues

                                          TERMINOLOGY

                                          • Definitions

                                            • Subclavian artery luminal narrowing or obliteration
                                          • Associated Syndromes

                                            • Subclavian artery stenosis or obstruction; subclavian occlusive disease; subclavian steal syndrome; subclavian steal phenomenon; thoracic outlet syndrome

                                          IMAGING

                                          • General Features

                                            • CT Findings

                                              • MR Findings

                                                • Ultrasonographic Findings

                                                  • Angiographic Findings

                                                    • Imaging Recommendations

                                                      DIFFERENTIAL DIAGNOSIS

                                                        PATHOLOGY

                                                        • General Features

                                                          CLINICAL ISSUES

                                                          • Presentation

                                                            • Demographics

                                                              • Natural History & Prognosis

                                                                • Treatment

                                                                  DIAGNOSTIC CHECKLIST

                                                                  • Consider

                                                                    • Image Interpretation Pearls

                                                                      Selected References

                                                                      1. Clark CE et al: Association of a difference in systolic blood pressure between arms with vascular disease and mortality: a systematic review and meta-analysis. Lancet. 379(9819):905-14, 2012
                                                                      2. Song L et al: Endovascular stenting vs. extrathoracic surgical bypass for symptomatic subclavian steal syndrome. J Endovasc Ther. 19(1):44-51, 2012
                                                                      3. Labropoulos N et al: Prevalence and impact of the subclavian steal syndrome. Ann Surg. 252(1):166-70, 2010
                                                                      4. du Toit DF et al: Long-term results of stent graft treatment of subclavian artery injuries: Management of choice for stable patients? J Vasc Surg. 2008
                                                                      5. Liava'a M et al: Progressive subclavian artery stenosis causing late coronary artery bypass graft failure as a result of coronary-subclavian artery steal. J Thorac Cardiovasc Surg. 135(2):438-9, 2008
                                                                      6. Palchik E et al: Subclavian artery revascularization: an outcome analysis based on mode of therapy and presenting symptoms. Ann Vasc Surg. 22(1):70-8, 2008
                                                                      7. Van Grimberge F et al: Role of magnetic resonance in the diagnosis of subclavian steal syndrome. J Magn Reson Imaging. 12(2):339-42, 2000