Assessment of renal artery fibromuscular dysplasia: Angiography, intravascular ultrasound (with virtual histology), and pressure wire measurements

Anand Prasad, Nayab Zafar, Ehtisham Mahmud

Research output: Contribution to journalArticlepeer-review

18 Scopus citations

Abstract

Fibromuscular dysplasia (FMD) of the renal arteries is classically associated with secondary hypertension in younger individuals, which may be treatable and even curable by percutaneous transluminal renal angioplasty. Angiography of these renal arteries often displays "beaded" luminal abnormalities. The angiographic findings, however, may not accurately reflect the severity or precise location of the intraluminal obstruction. We present a case of an older individual with longstanding hypertension and FMD, in whom the use of a coronary pressure wire and intravascular ultrasound enabled precise localization and treatment of the hemodynamically significant stenosis. Virtual histology of FMD in the renal vasculature is also reported.

Original languageEnglish (US)
Pages (from-to)260-264
Number of pages5
JournalCatheterization and Cardiovascular Interventions
Volume74
Issue number2
DOIs
StatePublished - Aug 1 2009
Externally publishedYes

Keywords

  • Fibromuscular dysplasia
  • IVUS-virtual histology
  • Pressure wire
  • Renovascular hypertension

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Cardiology and Cardiovascular Medicine

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