The Teaching Point

Fibromuscular dysplasia (FMD) is a rare non-inflammatory, non-atherosclerotic disease characterized by muscular hyperplasia in one or more layers and accounting for less than 10% of renal artery stenosis. Characteristic imaging findings include focal stenosis or a "string of beads" appearance indicating multiple stenoses and aneurysms. Renal artery recanalization in symptomatic patients with FMD by means of percutaneous transluminal angioplasty should be attempted even in the later course of the disease as affected patients are typically young and as this condition usually has a good prognosis.






Bookmark and Share

From the manuscript

Rescue from hemodialysis by late recanalization of renal artery occlusion

Free full text article: Rescue from hemodialysis by late recanalization of renal artery occlusion

Abstract
We report on a patient with terminal renal insufficiency undergoing hemodialysis since four months. Imaging studies showed complete renal artery occlusion of a single kidney with collateral perfusion. Interventional recanalization of the renal artery was successful with a drop of serum creatinine from 1138 to 163 mol/l sparing the patient from further hemodialysis.






References



1. Slovut DP, Olin JW. Fibromuscular dysplasia. N Engl J Med 2004; 350: 1862-1871
Get full text
Find similar topics on Read this article on PubMed :: Find similar articles on Google scholarScholar :: Search for similar topics with the Radiology specific search engine Radiology search engine


2. Lassiter FD. The String-of-Beads Sign. Radiology 1998; 206: 437-438
Get full text
Find similar topics on Read this article on PubMed :: Find similar articles on Google scholarScholar :: Search for similar topics with the Radiology specific search engine Radiology search engine


3. Olin JW. Recognizing and managing fibromuscular dysplasia. Clev Clin J Med 2007; 74: 273-274
Get full text
Find similar topics on Read this article on PubMed :: Find similar articles on Google scholarScholar :: Search for similar topics with the Radiology specific search engine Radiology search engine


4. Das CJ, Neyaz Z, Thapa P, Sharma S, Vashist S. Fibromuscular dysplasia of the renal arteries: a radiological review. Int Urol Nephrol 2007; 39: 233-238
Get full text
Find similar topics on Read this article on PubMed :: Find similar articles on Google scholarScholar :: Search for similar topics with the Radiology specific search engine Radiology search engine


5. Safian RD, Textor SC. Renal artery stenosis. N Engl J Med 2001; 344: 431-442
Get full text
Find similar topics on Read this article on PubMed :: Find similar articles on Google scholarScholar :: Search for similar topics with the Radiology specific search engine Radiology search engine


6. Hirsch AT, Haskal CJ, Hertzer NR. ACC/ AHA 2005 Guidelines for the management of patients with peripheral arterial disease (lower extremity, renal, mesenteric and abdominal aorta), executive summary. Circulation 2006; 113: e463-654
Get full text
Find similar topics on Read this article on PubMed :: Find similar articles on Google scholarScholar :: Search for similar topics with the Radiology specific search engine Radiology search engine


7. Olin JW, Pierce M. Contemporary management of fibromuscular dysplasia. Curr Opin Cardiol 2008; 23: 527-536
Get full text
Find similar topics on Read this article on PubMed :: Find similar articles on Google scholarScholar :: Search for similar topics with the Radiology specific search engine Radiology search engine


8. Sela E, Fajer S, Karmeli R. Successful delayed revascularization for renal artery occlusion. Eur J Vasc Endovasc Surg 2002; 23: 79-81
Get full text
Find similar topics on Read this article on PubMed :: Find similar articles on Google scholarScholar :: Search for similar topics with the Radiology specific search engine Radiology search engine




Search for articles with similar topics:

Keyword search:

1. Fibromuscular dysplasia

2. renal artery occlusion

3. percutaneous transluminal angioplasty (PTA)

4. string of beads


This article belongs to the Interventional section.


Search for more in the Internet

Peer-reviewed Radiology Search




Discuss it!

Bookmark and Share




© Journal of Radiology Case Reports - The Interactive Radiology Journal
Affiliated journal of Radiolopolis - The International Radiology Community


The Journal of Radiology Case Reports