Subclavian steal syndrome

Case contributed by Dr Donna D'Souza

Presentation

Presents with dizziness and ataxia exacerbated by arm movements.

Patient Data

Gender: Male
Modality: CT

Occlusion of the proximal left subclavian artery with collateral from the left vertebral artery.

Modality: DSA (angiography)

Occlusion of the proximal left subclavian artery

Case Discussion

Imaging showed occlusion of the proximal left subclavian artery and retrograde flow in the ipsilateral vertebral artery on Doppler (ultrasound images not available). Unfortunately the chronically occluded segment could not be recanalised by endovascular techniques from either above (brachial approach) or below (groin approach), so he went on to have bypass surgery.

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Case Information

rID: 5011
Case created: 16th Nov 2008
Last edited: 23rd Nov 2015
Inclusion in quiz mode: Included

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