Subclavian steal syndrome: A case report and review of advances in diagnostic and treatment approaches

Issei Komatsubara, Jun Kondo, Maki Akiyama, Hidemi Takeuchi, Kunio Nogami, Shinichi Usui, Satoshi Hirohata, Shozo Kusachi

Research output: Contribution to journalArticlepeer-review

2 Citations (Scopus)

Abstract

Using recently developed diagnostic and treatment methods, we successfully diagnosed and treated a case of subclavian steal syndrome. Syncope and left upper arm weakness suggested ischemia of the cerebral and left upper arm circulation. Volume-plethysmographic blood pressure measurements clarified the differences between the upper arms simultaneously. A high-resolution Doppler instrument revealed a retrograde left vertebral artery waveform, indicating subclavian steal syndrome. Aortography demonstrated proximal left subclavian artery occlusion. The patient was treated with stent implantation via a femoral approach using the latest equipment. Advances in diagnostic and treatment approaches for this syndrome are reviewed in connection with this case.Summary: We present a case of subclavian steal syndrome successfully diagnosed using the latest technology and treated with stent implantation. The syndrome and its treatment are reviewed.

Original languageEnglish
Pages (from-to)54-58
Number of pages5
JournalCardiovascular Revascularization Medicine
Volume17
Issue number1
DOIs
Publication statusPublished - Jan 1 2016

Keywords

  • Doppler flow signal
  • Plethysmography
  • Syncope
  • Vertebral artery

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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