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Korean J Fam Med > Volume 30(12); 2009 > Article
Korean Journal of Family Medicine 2009;30(12):979-984.
DOI: https://doi.org/10.4082/kjfm.2009.30.12.979    Published online December 20, 2009.
A Case of Successful Correction of Subclavian Steal Syndrome by Percutaneus Transluminal Angioplasty with Stenting Who Found Incidentally Significant Interarm Blood Pressure Difference.
Won Back Kim, Mi Kyeong Oh, Soo Hee Lee, Jin Roh, Haa Gyoung Kim, Jin Young Kim, Sang Sig Cheong, Seung Mun Jung
1Department of Family Medicine, Gangneung Asan Hospital, University of Ulsan College of Medicine, Gangneung, Korea. omk@gnah.co.kr
2Department of Cardiology, Gangneung Asan Hospital, University of Ulsan College of Medicine, Gangneung, Korea.
3Department of Radiology, Gangneung Asan Hospital, University of Ulsan College of Medicine, Gangneung, Korea.
양팔의 혈압 차이로 발견한 빗장밑 동맥 도루 증후군 (Subclavian Steal Syndrome)을 스텐트 삽입술로 치료한 환자 증례
김원백, 오미경, 이수희, 노진, 김하경, 김진영, 정상식, 정승문
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Abstract
A case of successful correction of subclavian steal syndrome by percutaneous transluminal angioplasty with stenting in a male patient who found incidentally signifi cant interarm blood pressure difference. Small difference in blood pressure (BP) between two arms is a relatively common. Significant interarm BP difference is a potential marker of peripheral vascular disease such as subclavian artery stenosis and a predictor of cardiovascular disease. The subclavian steal syndrome is a condition that results from stenosis of subclavian artery proximal to the vertebral artery. The resulting symptoms are vertebrobasilar insuffi ciency symptoms due to reversal of blood fl ow from the contralateral vertebral and basilar artery into the ipsilateral upper extremity vessels and arm ischemic symptoms. Stenotic lesion of subclavian artery has traditionally been treated surgically. However recent trends are undergoing a paradigm shift from open surgery to endovascular approach. We report a patient with subclavian steal syndrome who found incidentally 35 mmHg interarm systolic BP difference. It was successfully treated by percutaneus transradial angioplasty with stenting on stenotic lesion of the subclavian artery.
Key Words: Interarm Blood Pressure Difference; Subclavian Steal Syndrome; Peripheral Vascular Disease
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