Health Dictionary
Reliable, easy-to-read patient information on common medical conditions — written in plain language, free of jargon, and grounded in current evidence. Browse the most frequent diagnoses, understand what they mean for everyday life, and learn which steps and questions help you have a focused conversation with your doctor.
Fibromuscular dysplasia surgery
Introduction
Overview
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
Indications
There are no evidence-based guidelines and randomized, controlled trials comparing revascularization and medical therapy in patients with FMD; but revascularization 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
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.
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Mohsen Basiri M.D.