Subclavian steal syndrome

Department Of

Anatomy

Prerana Mishra

MBBS-2013

K.G.M.U.

.

1) Introduction

2) Classification of Subclavian Steal Phenomenon

3) Path Of Blood(Normal Vs SSS)

4) Etiology

5) Clinical Presentation

(A) Ipsilateral Upper Limb Manifestations

(B) Neurotological Syndrome

(6) Diagnosis

(7) Treatment

(8) Epidemiology

SYNONYMS-(a)Subclavian Steal

Phenomenon

(b) Suclavian Steal

Steno- Occlusive

Disease

Classification I Classification II

Vollmar and Colleagues Basis: Hemodynamic

disturbances of

vertebral artery

Vertebro-Vertebral Stage I: Occult Steal

Carotid-Basilar Stage II: Partial Steal

External Carotid-Vertebral Stage III: Complete Steal

Carotid-Subclavian

1)Atherosclerosis 2)Cervical Rib

3)Takayasu’s Arteritis

4) Congenital

(a) Interrupted Aortic

Arch

(b) Preductal Aortic

Co-arctation

1)Weak or absent pulse

2)Decreased B.P.

(<20 mm Hg)

3)Arm Claudication

4)B.P. difference between

two arms

5)Hand showing circulation

problem(Blotchy Patches)

I) NEUROLOGICAL1) Dizziness

2) Vertigo

3) Presyncope

4) Syncope

5) Ataxia

6) Dysarthria

7) Visual changes

8) Weakness

(II) OTOLOGICAL

1) Sensorineural Hearing

Loss

2) Tinnitus

1)Doppler Ultrasound

2) CT Angiography 3) Angiogram

1) Balloon Angioplasty

2) Endarterectomy

3) Bypass Surgery

4) Regular Follow-Ups

-> Increased incidence with age

-> Male : Female = 2 : 1

-> Left arm : Right Arm = 3 : 1

Clinical Anatomy- Neeta V. Kulkarni

Gross Anatomy- Kyung won Chung and Harold M chung

Clinical and surgical anatomy- Vishram Singh

www.clinicalkey.com

Gray’s Anatomy- Henry Gray

Clinical Anatomy by Regions-Richard S. Snell