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CASE REPORT
Year : 2016  |  Volume : 17  |  Issue : 2  |  Page : 69-71

Endovascular treatment of renal artery stenosis due to fibromuscular dysplasia - Is stent implantation underused in this circumstance?


1 Department of Cardiology, Tınaztepe Hospital, Izmir, Turkey
2 Department of Cardiology, Sakarya University Training and Research Hospital, Izmir, Turkey

Correspondence Address:
Dr. Efe Edem
Ahmet Priştina Bulvarı No: 51, Tınaztepe Buca Izmir
Turkey
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/1995-705X.185118

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Fibromuscular dysplasia (FMD) is a nonatherosclerotic and noninflammatory arterial disease that commonly affects the renal and carotid arteries. The primary target in treating patients with renal artery FMD is the control of blood pressure in order to prevent end-organ damage, which can be caused by poorly controlled hypertension. Invasive endovascular treatment should be taken into consideration both when hypertension cannot be controlled with medication. According to current opinion, hypertension attributed to renal artery FMD is often successfully treated solely with percutaneous renal balloon angioplasty (PRBA), with no requirement for stent implantation under most circumstances. However, an FMD recurrence after PRBA occurs frequently in these patients.


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