Fibromuscular dysplasia echocardiography or ultrasound
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Fibromuscular dysplasia Microchapters |
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ASA/ACCF/AHA Guideline Recommendations |
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Management of Patients With Fibromuscular Dysplasia of the Extracranial Carotid Arteries |
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Mohsen Basiri M.D.
Overview
However, duplex (doppler with B-mode) ultrasound is less sensitive than CT-angiography and MRA for detecting atherosclerotic RAS and FMD-related RAS, but convenient availability, modest expenditure, non-irradiating and easily providing information about kidney size, the hemodynamic impact of the stenosis, and associated renal disease, makes DUS as a reasonable first-line screening imaging modality.[1]
Duplex Ultrasound
Duplex ultrasound of renal artery may be helpful in the diagnosis of fibromuscular dysplasia. An elevated blood velocities, turbulent blood flow, and tortuosity of the mid and distal portions of artery are the suggestive diagnostic criteria for fibromuscular dysplasia. [2][3]
- According to recommendation of European consensus on the diagnosis and management of fibromuscular dysplasia, the results of DUS, in the case of positive findings or even negative results despite a high clinical suspicion; the diagnosis of FMD should be confirmed by another imaging technique.[4]
References
- ↑ M. Bardelli, F. Veglio, E. Arosio, A. Cataliotti, E. Valvo & A. Morganti (2006). "New intrarenal echo-Doppler velocimetric indices for the diagnosis of renal artery stenosis". Kidney international. 69 (3): 580–587. doi:10.1038/sj.ki.5000112. PMID 16407882. Unknown parameter
|month=ignored (help) - ↑ Jeffrey W. Olin & Brett A. Sealove (2011). "Diagnosis, management, and future developments of fibromuscular dysplasia". Journal of vascular surgery. 53 (3): 826–836. doi:10.1016/j.jvs.2010.10.066. PMID 21236620. Unknown parameter
|month=ignored (help) - ↑ J. W. Olin, M. R. Piedmonte, J. R. Young, S. DeAnna, M. Grubb & M. B. Childs (1995). "The utility of duplex ultrasound scanning of the renal arteries for diagnosing significant renal artery stenosis". Annals of internal medicine. 122 (11): 833–838. PMID 7741367. Unknown parameter
|month=ignored (help) - ↑ Alexandre Persu, Alessandra Giavarini, Emmanuel Touze, Andrzej Januszewicz, Marc Sapoval, Michel Azizi, Xavier Barral, Xavier Jeunemaitre, Alberto Morganti, Pierre-Francois Plouin & Peter de Leeuw (2014). "European consensus on the diagnosis and management of fibromuscular dysplasia". Journal of hypertension. 32 (7): 1367–1378. doi:10.1097/HJH.0000000000000213. PMID 24842696. Unknown parameter
|month=ignored (help)