title: Subclavian steal syndrome: an update.
abstract: The clinical findings in this series of 22 cases of subclavian steal syndrome showed a predominance of men (13:9), a mean age of 51 years, and a predominance of left subclavian artery obstruction. There was a blood pressure differential of more than 20 mm Hg and diminished pulses ipsilaterally in most. Main indications for surgical repair were transient neurologic symptoms. Twenty-one of our patients had surgical repair of the subclavian steal syndrome; six had concomitant carotid artery surgery. The most common surgical procedure performed consisted of a carotid subclavian bypass graft. One patient had only carotid revascularization; 19 patients have had good long-term results. One patient, with tetralogy, died and three had complications. The asymptomatic or mildly symptomatic patient may be given a trial of medical treatment. Symptomatic patients can have extrathoracic bypass with a very low risk. Surgery is indicated if significant associated carotid lesions are present.
mesh_terms: D000328:Adult; D000368:Aged; D001807:Blood Vessel Prosthesis; D002339:Carotid Arteries / Q000601:surgery; D002548:Cerebral Revascularization; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D011093:Polyethylene Terephthalates; D011859:Radiography; D012501:Saphenous Vein / Q000637:transplantation; D013349:Subclavian Steal Syndrome / Q000000981:diagnostic imaging / Q000601:surgery*; D014182:Transplantation, Autologous
chemical_list: D011093:Polyethylene Terephthalates