Abstract
A 66-year-old woman presented with back pain and arm claudication. Severe stenosis of the left proximal subclavian artery was detected incidentally by thorax computed tomography. Doppler ultrasonography and phase contrast magnetic resonance angiography (PCMRA) evaluation revealed partial subclavian steal. The stenosis was successfully treated with percutaneous stenting. Imaging findings are described and a brief review of the literature emphasizing the role of PCMRA in diagnosing partial steal is discussed.
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References
Contorni L. The vertebro-vertebral collateral circulation in obliteration of the subclavian artery at its origin. Minerva Chir 1960;15:268–271.
Fisher C. A new vascular syndrome: the subclavian steal. N Engl J Med 1961;265:912–913.
Buckenham TM, Wright IA. Ultrasound of the extracranial vertebral artery. Br J Radiol 2004;77:15–20.
Kliewer MA, Hertzberg BS, Kim DH, Bowie JD, Courneya DL, Carroll BA. Vertebral artery Doppler waveform changes indicating subclavian steal physiology. AJR Am J Roentgenol 2000;174:815–819.
Horrow MM, Stassi J. Sonography of the vertebral arteries: a window to disease of the proximal great vessels. AJR Am J Roentgenol 2001;177:53–59.
Rohren EM, Kliewer MA, Carroll BA, Hertzberg BS. A spectrum of Doppler waveforms in the carotid and vertebral arteries. AJR Am J Roentgenol 2003;181:1695–1704.
Virmani R, Carroll TJ, Hung J, Hopkins J, Diniz L, Carr J. Diagnosis of subclavian steal syndrome using dynamic timeresolved magnetic resonance angiography: a technical note. Magn Reson Imaging 2008;26:287–292.
Flynn PD, Delany DJ, Gray HH. Magnetic resonance angiography in subclavian steal syndrome. Br Heart J 1993;70: 193–194.
Van Grimberge F, Dymarkowski S, Budts W, Bogaert J. Role of magnetic resonance in the diagnosis of subclavian steal syndrome. J Magn Reson Imaging 2000;12:339–342.
Sixt S, Rastan A, Schwarzwälder U, Bürgelin K, Noory E, Schwarz T, et al. Results after balloon angioplasty or stenting of atherosclerotic subclavian artery obstruction. Catheter Cardiovasc Interv 2009;73:395–403.
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Akin, K., Kosehan, D., Kirbas, I. et al. Diagnosis and percutaneous treatment of partial subclavian steal: Doppler ultrasonography and phase contrast magnetic resonance angiography findings and a brief review of the literature. Jpn J Radiol 29, 207–211 (2011). https://doi.org/10.1007/s11604-010-0521-2
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DOI: https://doi.org/10.1007/s11604-010-0521-2