| Assessment of renal artery fibromuscular dysplasia: angiography, intravascular ultrasound (with virtual histology), and pressure wire measurements. | |
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MedLine Citation:
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PMID: 19213069 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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Anand Prasad; Nayab Zafar; Ehtisham Mahmud |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions Volume: 74 ISSN: 1522-726X ISO Abbreviation: Catheter Cardiovasc Interv Publication Date: 2009 Aug |
Date Detail:
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Created Date: 2009-08-04 Completed Date: 2009-10-15 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 100884139 Medline TA: Catheter Cardiovasc Interv Country: United States |
Other Details:
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Languages: eng Pagination: 260-4 Citation Subset: IM |
Copyright Information:
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(c) 2008 Wiley-Liss, Inc. |
Affiliation:
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Division of Cardiovascular Medicine, University of California, San Diego, CA 92103-8784, USA. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Aged Angioplasty, Transluminal, Percutaneous Coronary / instrumentation Antihypertensive Agents / therapeutic use Blood Pressure* Drug Therapy, Combination Female Fibromuscular Dysplasia / complications, diagnosis*, physiopathology, therapy Humans Hypertension, Renovascular / drug therapy, etiology*, physiopathology Image Interpretation, Computer-Assisted Predictive Value of Tests Renal Artery / physiopathology, radiography*, ultrasonography* Renal Artery Obstruction / diagnosis*, etiology, physiopathology, therapy Severity of Illness Index Stents Ultrasonography, Interventional* / instrumentation User-Computer Interface |
| Chemical | |
Reg. No./Substance:
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0/Antihypertensive Agents |
| Comments/Corrections | |
Comment In:
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Catheter Cardiovasc Interv. 2009 Aug 1;74(2):265-6
[PMID:
19642172
]
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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