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Case Reports
. 2017 Jul 18;3(3):129-131.
doi: 10.1016/j.jvscit.2017.02.009. eCollection 2017 Sep.

Subclavian steal syndrome without subclavian stenosis

Matt Cwinn  1 , Sudhir Nagpal  2 , Prasad Jetty  2
Affiliations
Case Reports

Subclavian steal syndrome without subclavian stenosis

Matt Cwinn et al. J Vasc Surg Cases Innov Tech. .

Abstract

Subclavian steal syndrome (SSS) has been well described in the setting of subclavian stenosis. We describe an unusual case of SSS caused by a high-flow arteriovenous dialysis fistula in the absence of subclavian stenosis, provide a review of the literature, and propose that arteriovenous fistula-induced SSS is an underdiagnosed cause of syncope in this population of patients.

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Figures

Fig 1
Fig 1
Computed tomography angiography demonstrating the brachiocephalic (B), common carotid (C), vertebral (V, arrow), and subclavian (S) arteries. Note the absence of subclavian stenosis.
Fig 2
Fig 2
Ultrasound evaluation. A, Right vertebral artery with severely dampened waveforms and to-and-fro flow, indicative of steal in transition to reversal flow. B and C, The right subclavian and innominate arteries demonstrate high-velocity, low-resistant flow without visualization of a stenosis.
See this image and copyright information in PMC

References

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