SUBCLAVIAN STEAL: A HARMLESS HAEMODYNAMIC PHENOMENON?

Natan M. Bornstein; John W. Norris

doi:10.1016/S0140-6736(86)90002-4

SUBCLAVIAN STEAL: A HARMLESS HAEMODYNAMIC PHENOMENON?

Natan M. Bornstein^*, John W. Norris

^*Corresponding author for this work

University of Toronto

Research output: Contribution to journal › Article › peer-review

108 Scopus citations

Abstract

500 patients with asymptomatic neck bruits were followed prospectively for up to 4 years with periodical standardised clinical assessments and continuous-wave carotid doppler ultrasonography, a reliable method for detecting subclavian steal. 9% of patients (45/500) had severe subclavian stenosis, and 64% of these (32/45) had a positive subclavian-steal test, with a preponderance of left-sided lesions (27/32). No patients had symptoms as a result of arm exercise during the steal test, and no patients had stroke during follow-up. Although reversed flow down one vertebral artery is relatively common in patients with generalised extracranial atherosclerosis, it is usually asymptomatic or causes, at most, vertebrobasilar transient ischaemic attacks.

Original language	English
Pages (from-to)	303-305
Number of pages	3
Journal	The Lancet
Volume	328
Issue number	8502
DOIs	https://doi.org/10.1016/S0140-6736(86)90002-4
State	Published - 9 Aug 1986
Externally published	Yes

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

Access to Document

10.1016/S0140-6736(86)90002-4

Cite this

@article{c40244f7c1d142628b5fc86aed66a60c,

title = "SUBCLAVIAN STEAL: A HARMLESS HAEMODYNAMIC PHENOMENON?",

abstract = "500 patients with asymptomatic neck bruits were followed prospectively for up to 4 years with periodical standardised clinical assessments and continuous-wave carotid doppler ultrasonography, a reliable method for detecting subclavian steal. 9% of patients (45/500) had severe subclavian stenosis, and 64% of these (32/45) had a positive subclavian-steal test, with a preponderance of left-sided lesions (27/32). No patients had symptoms as a result of arm exercise during the steal test, and no patients had stroke during follow-up. Although reversed flow down one vertebral artery is relatively common in patients with generalised extracranial atherosclerosis, it is usually asymptomatic or causes, at most, vertebrobasilar transient ischaemic attacks.",

author = "Bornstein, {Natan M.} and Norris, {John W.}",

year = "1986",

month = aug,

day = "9",

doi = "10.1016/S0140-6736(86)90002-4",

language = "אנגלית",

volume = "328",

pages = "303--305",

journal = "The Lancet",

issn = "0140-6736",

publisher = "Elsevier B.V.",

number = "8502",

}

TY - JOUR

T1 - SUBCLAVIAN STEAL

T2 - A HARMLESS HAEMODYNAMIC PHENOMENON?

AU - Bornstein, Natan M.

AU - Norris, John W.

PY - 1986/8/9

Y1 - 1986/8/9

N2 - 500 patients with asymptomatic neck bruits were followed prospectively for up to 4 years with periodical standardised clinical assessments and continuous-wave carotid doppler ultrasonography, a reliable method for detecting subclavian steal. 9% of patients (45/500) had severe subclavian stenosis, and 64% of these (32/45) had a positive subclavian-steal test, with a preponderance of left-sided lesions (27/32). No patients had symptoms as a result of arm exercise during the steal test, and no patients had stroke during follow-up. Although reversed flow down one vertebral artery is relatively common in patients with generalised extracranial atherosclerosis, it is usually asymptomatic or causes, at most, vertebrobasilar transient ischaemic attacks.

AB - 500 patients with asymptomatic neck bruits were followed prospectively for up to 4 years with periodical standardised clinical assessments and continuous-wave carotid doppler ultrasonography, a reliable method for detecting subclavian steal. 9% of patients (45/500) had severe subclavian stenosis, and 64% of these (32/45) had a positive subclavian-steal test, with a preponderance of left-sided lesions (27/32). No patients had symptoms as a result of arm exercise during the steal test, and no patients had stroke during follow-up. Although reversed flow down one vertebral artery is relatively common in patients with generalised extracranial atherosclerosis, it is usually asymptomatic or causes, at most, vertebrobasilar transient ischaemic attacks.

UR - http://www.scopus.com/inward/record.url?scp=0022485187&partnerID=8YFLogxK

U2 - 10.1016/S0140-6736(86)90002-4

DO - 10.1016/S0140-6736(86)90002-4

M3 - ???researchoutput.researchoutputtypes.contributiontojournal.article???

AN - SCOPUS:0022485187

SN - 0140-6736

VL - 328

SP - 303

EP - 305

JO - The Lancet

JF - The Lancet

IS - 8502

ER -

SUBCLAVIAN STEAL: A HARMLESS HAEMODYNAMIC PHENOMENON?

Abstract

UN SDGs

Access to Document

Other files and links

Fingerprint

Cite this