Abstract
Brachiocephalic and subclavian artery stenoses are less common manifestations of peripheral arterial disease (PAD) compared to lower extremity PAD. However, even among asymptomatic patients, a diagnosis of PAD portends worse long-term mortality. Symptoms may include subclavian steal syndrome and arm claudication. Among patients with internal mammary coronary bypass grafts, symptoms may include those of myocardial ischemia. Symptomatic subclavian stenosis can be readily treated using endovascular techniques with durable outcomes.
Keywords:
Endovascular; Peripheral arterial disease; Subclavian steal; Subclavian stenosis.
Copyright © 2021. Published by Elsevier Inc.
MeSH terms
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Blood Vessel Prosthesis
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Blood Vessel Prosthesis Implantation* / adverse effects
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Blood Vessel Prosthesis Implantation* / instrumentation
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Brachiocephalic Trunk / diagnostic imaging
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Brachiocephalic Trunk / physiopathology
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Brachiocephalic Trunk / surgery*
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Cardiovascular Agents / adverse effects
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Cardiovascular Agents / therapeutic use*
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Endovascular Procedures* / adverse effects
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Endovascular Procedures* / instrumentation
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Humans
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Intermittent Claudication / diagnostic imaging
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Intermittent Claudication / epidemiology
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Intermittent Claudication / physiopathology
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Intermittent Claudication / therapy*
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Peripheral Arterial Disease / diagnostic imaging
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Peripheral Arterial Disease / epidemiology
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Peripheral Arterial Disease / physiopathology
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Peripheral Arterial Disease / therapy*
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Risk Factors
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Stents
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Subclavian Artery / diagnostic imaging
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Subclavian Artery / physiopathology
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Subclavian Artery / surgery*
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Subclavian Steal Syndrome / diagnostic imaging
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Subclavian Steal Syndrome / epidemiology
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Subclavian Steal Syndrome / physiopathology
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Subclavian Steal Syndrome / therapy*
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Treatment Outcome
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Vascular Patency
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Veins / transplantation*