Fibromuscular dysplasia diagnostic study of choice: Difference between revisions
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__NOTOC__ | __NOTOC__ | ||
{{Fibromuscular dysplasia}} | {{Fibromuscular dysplasia}} | ||
{{CMG}}; {{AE}} | {{CMG}}; {{AE}}{{M.B}} | ||
== Overview == | == Overview == | ||
*Imaging modilities are the methods for diagnosing FMD. | *Imaging modilities are the methods for diagnosing FMD. | ||
*Duplex ultrasonography, accompanied by computed tomographic angiography (CTA), and magnetic | *[[Duplex ultrasound|Duplex ultrasonography]], accompanied by [[CT angiography|computed tomographic angiography]] ([[CT angiography|CTA]]), and [[magnetic resonance angiography]] ([[Magnetic resonance angiography|MRA]]), are imaging techniques for detecting FMD lesions but the gold standard remains catheter-based angiography. | ||
resonance angiography (MRA), are imaging techniques for detecting FMD lesions but the gold standard remains catheter-based angiography. | |||
== Diagnostic Study of Choice == | == Diagnostic Study of Choice == | ||
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* The following result of Catheter-based angiography is confirmatory of fibromuscular dysplasia: | * The following result of Catheter-based angiography is confirmatory of fibromuscular dysplasia: | ||
* Multifocal FMD: Imaging may reveal the classic string of beads appearance. (image 1) | |||
* Focal FMD: Imaging may reveal a concentric, smooth, band-like focal stenosis or a tubular stenosis (image 2) | |||
* Extreme arterial tortuosity. This is most common in the carotid, vertebral, and coronary arteries (image 3) | |||
==References== | ==References== |
Revision as of 15:38, 18 June 2018
Fibromuscular dysplasia Microchapters |
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Management of Patients With Fibromuscular Dysplasia of the Extracranial Carotid Arteries |
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Mohsen Basiri M.D.
Overview
- Imaging modilities are the methods for diagnosing FMD.
- Duplex ultrasonography, accompanied by computed tomographic angiography (CTA), and magnetic resonance angiography (MRA), are imaging techniques for detecting FMD lesions but the gold standard remains catheter-based angiography.
Diagnostic Study of Choice
Study of choice
- Catheter-based angiography is the gold standard test for the diagnosis of renovascular fibromuscular dysplasia.
- The following result of Catheter-based angiography is confirmatory of fibromuscular dysplasia:
- Multifocal FMD: Imaging may reveal the classic string of beads appearance. (image 1)
- Focal FMD: Imaging may reveal a concentric, smooth, band-like focal stenosis or a tubular stenosis (image 2)
- Extreme arterial tortuosity. This is most common in the carotid, vertebral, and coronary arteries (image 3)