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Subclavian Artery Disease is
a vascular condition in which one or both subclavian arteries become
narrowed or blocked, reducing blood flow to the arms, neck, and, in some
cases, the brain. The most common cause is atherosclerosis, although
inflammatory diseases, congenital abnormalities, or previous radiation therapy
may also contribute. Many individuals have no symptoms during the early stages,
but progressive narrowing can lead to arm fatigue, pain during activity,
numbness, weakness, coldness, or a noticeable difference in blood pressure
between the arms. When blood flow to the brain is affected, dizziness,
fainting, blurred vision, or balance problems may occur due to subclavian
steal syndrome.
Diagnosis begins with a
physical examination and comparison of blood pressure in both arms. Imaging
studies such as Doppler ultrasound, CT angiography, MR angiography, or conventional
angiography help identify the location and severity of arterial narrowing.
Treatment depends on symptom severity and the extent of blockage. Lifestyle
changes, including smoking cessation, healthy eating, regular exercise, and
management of diabetes, hypertension, and high cholesterol, are essential.
Medications may reduce cardiovascular risk, while significant blockages can be
treated with angioplasty and stenting or surgical bypass. Early diagnosis and
appropriate treatment improve circulation, relieve symptoms, and reduce the
risk of stroke and limb complications.