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Subclavian stenosis blood pressure

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An interbrachial pressure difference of 15 mm Hg can raise suspicion for unilateral subclavian artery stenosis, but the diagnosis of bilateral subclavian artery stenosis can be challenging. We present a case of a 75-year-old woman who presented with refractory hypotension after surgery. Subclavian artery occlusion or significant stenosis proximal to the origin of the vertebral artery results in lower pressure in the distal subclavian artery. Blood flows from the contralateral vertebral artery to the basilar artery and may flow in a retrograde direction down the ipsilateral vertebral artery. Objective: This study aimed to evaluate the effect of stenting on blood pressure in hypertensive patients with symptomatic proximal subclavian or vertebral artery stenosis. Bilateral subclavian artery stenosis found by inter-arm blood pressure difference during distal pancreatectomy Do-Hun Kim 1, Mi-Ja Yun , Hyo-Seok Na2, Jung-Won Lee , and Hyo-Ju Hong1 Department of Anesthesiology and Pain Medicine, 1National Medical Center, Seoul, 2Seoul National University Bundang Hospital, Seongnam, Korea These findings suggest that bilateral brachial blood pressure measurements should routinely be performed in patients with an elevated risk profile, both to screen for subclavian artery stenosis and to avoid missing a hypertension or peripheral artery disease diagnosis because of unilateral pressure measurement in an obstructed arm. Blood pressure difference > 15 mm Hg between arms indicates subclavian stenosis.

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Subclavian stenosis blood pressure

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Subclavian stenosis blood pressure

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Subclavian stenosis blood pressure

Critical stenosis or occlusion of the subclavian artery proximal to the vertebral artery. More common on the left side (4:1 ratio left to right), more common in males, relatively benign condition. Results in retrograde blood flow in the ipsilateral vertebral artery (collateral flow). Leads to blood pressure difference left / right arm. Bilateral subclavian artery stenosis found by inter-arm blood pressure difference during distal pancreatectomy Do-Hun Kim 1, Mi-Ja Yun , Hyo-Seok Na2, Jung-Won Lee , and Hyo-Ju Hong1 Department of Anesthesiology and Pain Medicine, 1National Medical Center, Seoul, 2Seoul National University Bundang Hospital, Seongnam, Korea The underlying pathophysiology of subclavian steal syndrome is the development of a negative pressure gradient between the vertebral-basilar and vertebral-subclavian artery junctions.
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Subclavian stenosis blood pressure

An increased prevalence of subclavian artery stenosis is associated with a history of smoking, high systolic blood pressure Background and purpose: A side-to-side difference in systolic brachial arterial blood pressure is a common finding in subclavian artery stenosis and is frequently used as a screening tool for subclavian steal syndrome (SSS). It was the goal of this retrospective study to investigate the relationship between different vertebral artery waveform types and the side-to-side difference in systolic blood pressure in patients with sonographically proven SSS. Physical examination findings suggestive of subclavian stenosis include a discrepancy of >15 mm Hg in blood pressure readings taken in both upper extremities, delayed or decreased amplitude pulses in the affected side, and a bruit in the supraclavicular fossa. 2,8 – 10 A bruit in the suboccipital area may also be heard. The skin and nails of the affected side should be examined to rule out atrophic changes attributable to arterial insufficiency.

Methods: A total of 141 patients (29 females, 112 males; mean age 71.2±10.4 years; range 47 to 92 years) who underwent per extremity blood pressures [7].
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SAS was significantly associated with smoking and higher levels of systolic blood pressure. 2013-11-01 · Bilateral subclavian artery stenosis found by inter-arm blood pressure difference during distal pancreatectomy Do-Hun Kim , 1 Mi-Ja Yun , 1 Hyo-Seok Na , 2 Jung-Won Lee , 1 and Hyo-Ju Hong 1 Do-Hun Kim Bilateral subclavian stenosis is a rare clinical condition. An interbrachial pressure difference of 15 mm Hg can raise suspicion for unilateral subclavian artery stenosis, but the diagnosis of bilateral subclavian artery stenosis can be challenging. We present a case of a 75-year-old woman who presented with refractory hypotension after surgery.