Fibromuscular dysplasia surgery: Difference between revisions
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==Indications== | ==Indications== | ||
there are no evidence-based guidelines and randomized, controlled trials comparing revascularization and medical therapy in | there are no evidence-based guidelines and randomized, controlled trials comparing revascularization and medical therapy in patients with FMD; but surgery is usually reserved for patients with either:<ref name="PersuGiavarini2014">{{cite journal|last1=Persu|first1=Alexandre|last2=Giavarini|first2=Alessandra|last3=Touzé|first3=Emmanuel|last4=Januszewicz|first4=Andrzej|last5=Sapoval|first5=Marc|last6=Azizi|first6=Michel|last7=Barral|first7=Xavier|last8=Jeunemaitre|first8=Xavier|last9=Morganti|first9=Alberto|last10=Plouin|first10=Pierre-François|last11=de Leeuw|first11=Peter|title=European consensus on the diagnosis and management of fibromuscular dysplasia|journal=Journal of Hypertension|volume=32|issue=7|year=2014|pages=1367–1378|issn=0263-6352|doi=10.1097/HJH.0000000000000213}}</ref> | ||
*HTN of recent onset with goal of cure | |||
*HTN of recent onset with the goal of cure | |||
*drug resistance or intolerance | *drug resistance or intolerance | ||
*renal | *renal artery dissection | ||
*Renal artery aneurysm | *Renal artery aneurysm | ||
*preservation of renal function or prevent renal size reduction | *preservation of renal function or prevent renal size reduction | ||
Revision as of 14:51, 2 August 2018
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Fibromuscular dysplasia Microchapters |
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Diagnosis |
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Treatment |
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ASA/ACCF/AHA Guideline Recommendations |
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Management of Patients With Fibromuscular Dysplasia of the Extracranial Carotid Arteries |
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Case Studies |
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Fibromuscular dysplasia surgery On the Web |
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American Roentgen Ray Society Images of Fibromuscular dysplasia surgery |
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Risk calculators and risk factors for Fibromuscular dysplasia surgery |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Mohsen Basiri M.D.
Overview
Revascularization by surgical intervention or percutaneous transluminal angioplasty (PTA) , are not the first-line treatment options for patients with FMD, however in cases of FMD-related RAS with signs of downstream reduction of renal function or in case of drug-resistant HTN vascular reconstruction should be considered.
Indications
there are no evidence-based guidelines and randomized, controlled trials comparing revascularization and medical therapy in patients with FMD; but surgery is usually reserved for patients with either:[1]
- HTN of recent onset with the goal of cure
- drug resistance or intolerance
- renal artery dissection
- Renal artery aneurysm
- preservation of renal function or prevent renal size reduction
References
- ↑ Persu, Alexandre; Giavarini, Alessandra; Touzé, Emmanuel; Januszewicz, Andrzej; Sapoval, Marc; Azizi, Michel; Barral, Xavier; Jeunemaitre, Xavier; Morganti, Alberto; Plouin, Pierre-François; de Leeuw, Peter (2014). "European consensus on the diagnosis and management of fibromuscular dysplasia". Journal of Hypertension. 32 (7): 1367–1378. doi:10.1097/HJH.0000000000000213. ISSN 0263-6352.