Conflict of interest: Nothing to report.
Peripheral Vascular Disease
Assessment of renal artery fibromuscular dysplasia: Angiography, intravascular ultrasound (with virtual histology), and pressure wire measurements†
Article first published online: 30 DEC 2008
Copyright © 2008 Wiley-Liss, Inc.
Catheterization and Cardiovascular Interventions
Volume 74, Issue 2, pages 260–264, 1 August 2009
How to Cite
Prasad, A., Zafar, N. and Mahmud, E. (2009), Assessment of renal artery fibromuscular dysplasia: Angiography, intravascular ultrasound (with virtual histology), and pressure wire measurements. Cathet. Cardiovasc. Intervent., 74: 260–264. doi: 10.1002/ccd.21968
- Issue published online: 29 JUL 2009
- Article first published online: 30 DEC 2008
- Accepted manuscript online: 30 DEC 2008 12:00AM EST
- Manuscript Accepted: 21 DEC 2008
- Manuscript Received: 11 DEC 2008
- fibromuscular dysplasia;
- IVUS-virtual histology;
- pressure wire;
- renovascular hypertension
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 oftendisplays “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. © 2008 Wiley-Liss, Inc.