Exercise the arm and see what happens. If the same thing happens with
exercise that happens with cuff ischemia... the radiologist is wrong. I
think the 70 mm pressure gradient between both arms says it all. But once
you did the cuff hyperemia you proved the patient has a steal. Don't know
what more he wants !!!!!!

> -----Original Message-----
> From: Nancy Stiglbauer [SMTP:[log in to unmask]]
> Sent: Wednesday, May 21, 2003 4:37 PM
> To: [log in to unmask]
> Subject: sublcavian steal
>
> subclavian stenosis with 70 mm pressure gradient
> antegrade vertebral at rest
> retrograde vertebral S/P 3 min cuff ischemia
>
> radiologist says "So what! This does not mean he would steal with
> exercising the arm."
>
> Any thoughts on how cuff ischemia correlates with arm use?
>
> Thanks, Nancy Stiglbauer
>
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