Subclavian Artery Stenosis

Subclavian artery stenosis is the narrowing or blockage of the arteries supplying blood to the arms. Most patients will not have any symptoms. Sometimes we will suspect subclavian artery stenosis if there is a large blood pressure difference between arms. And sometimes patients will have symptoms including arm pain, hand discoloration or even not enough blood flow to the brain.
Treatment starts with medicine. You should quit smoking. Most patients will need aspirin or a similar medication and a statin to reduce cholesterol. If there is hypertension, you should treat it.
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0:00 - Introduction
0:10 - What is subclavian artery stenosis?
0:46 - Causes of subclavian artery stenosis
1:13 - Symptoms
1:28 - Blood pressure difference
1:48 - Arm pain
2:10 - Hand or finger discoloration
2:27 - Not enough blood flow to the brain
2:44 - Medical treatment
3:57 - Procedures
4:51 - Summary
*Remember: This video is NOT meant as medical advice. There are many more factors that go into choosing a blood thinner. These are obviously prescription medications and you must always consult your physician.

[@PedroRosa-sn8lb]

Always good contente for us. Thx Ido

[@Angiologist]

Always :)

[@mikerudd4943]

My radiologist just caught this for the first time when looking at my cancer in my liver during chest ct

[@Angiologist]

I am sorry to hear about your cancer. I wish you all the best!

[@michelenichele294]

Thank you for sharing your knowledge with us. And you explain everything so clearly. Thank you 🙏 😊👏🏻

[@Angiologist]

So nice of you. Thank you for taking the time to comment.

[@user-wf7mu3ly3o]

Excellent! I shared this with all our medical assistants are asked to take blood pressures in both arms.

[@Angiologist]

Awesome! Thank you so much. I am sure you will gain benefit from this at very little effort.

[@parraszubair]

Hi sir i am 25 years old girl suffering from Familial Hypercholestrolemia homozygous and i had open heart surgery to replace aortic valve and to enlarge aortic root. Also got three stents in my right and left coronary arteries.
But despite of all this my symptoms of severe drowsiness, blurred vision, confusion, trembling fingers,extreme fatigue, loss of consciousness feel like going to faint and i also face shortness of breath on doing little bit walking.
In echocardiography report, they have written that i am having severe stenosis and narrowing in proximal right subclavian artery with 4.5 m/s velocity and 82 peak gradient and 52 mean gradient. While my cardiologist is saying that the picture taken by sonographer are not showing any narrowing and should come for stress echo test for second time. I am reluctant to go for 2nd stress echo because they did it few moments back but couldn’t gave me any findings. I don’t trust my cardiologist and her team anymore.Now I think they are ignoring my subclavian issue and just beating the bush. From past 10 months they are not able to detect actual cause and when i request them to investigate the matter they have only one thing Stress echo test and when i ask about high velocity and gradient in subclavian, cardiologist says only one thing that i am not sure that you are having any blockage or not . Like after 10 months still they are not sure even they did many blunders in my echo reports first they said blockage is in left subclavian but interventional cardiologist couldn’t find any blockage in left subclavian then later on told that it is in right one and now denying again.
My question is what may be the cause of High velocity and high gradient in proximal right subclavian artery if I don’t have any stenosis? Do you think one may have such alarming numbers without any stenosis or blockages?
I hope you will guide me . I shall be greatful to you forever.

[@Angiologist]

Sorry to hear about your very complicated course. You can imagine I cannot answer your question without delving into the actual data. You will have to find a local vascular physician to review this. Sorry and all the best.

[@parraszubair]

@@AngiologistThankyou sir for advice

[@Angiologist]

Of course. All the best...

[@5050toms]

I’m not a doctor but I’m also struggling with this issue. You can do an ct angiogram with dye to find out how much percentage is blocked. Most probably it’s almost 70%. They can do stent or surgery. Reduce your tension and anxiety. It can cause more problems. If it is below 70, then it can mange with meditation. Reduce the cholesterol levels and blood sugar levels.
You shall be healed.

[@Laveranlan]

hi dr ido, your videos and thumbnail can be edited better and can be improved, do you need help in editing?
just subscribed your channel.

[@Angiologist]

No thank you.