Fibromuscular dysplasia surgery: Difference between revisions

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{{Fibromuscular dysplasia}}
{{Fibromuscular dysplasia}}
{{CMG}}; {{AE}}  
{{CMG}}; {{AE}}{{M.B}}  


==Overview==
==Overview==
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==Indications==
==Indications==
There are no evidence-based guidelines and randomized, controlled trials comparing revascularization and medical therapy in patients with FMD; but revascularization is usually reserved for patients with either:<ref name="PersuGiavarini2014">{{cite journal|last1=Persu|first1=Alexandre|last2=Giavarini|first2=Alessandra|last3=Touzé|first3=Emmanuel|last4=Januszewicz|first4=Andrzej|last5=Sapoval|first5=Marc|last6=Azizi|first6=Michel|last7=Barral|first7=Xavier|last8=Jeunemaitre|first8=Xavier|last9=Morganti|first9=Alberto|last10=Plouin|first10=Pierre-François|last11=de Leeuw|first11=Peter|title=European consensus on the diagnosis and management of fibromuscular dysplasia|journal=Journal of Hypertension|volume=32|issue=7|year=2014|pages=1367–1378|issn=0263-6352|doi=10.1097/HJH.0000000000000213}}</ref>


*there are no evidence-based guidelines and randomized, controlled trials comparing revascularization and medical therapy in patints with FMD; but ssurgery is usually reserved for patients with either:.
*HTN of recent onset with the goal of cure
**HTN of recent onset with goal of cure
*Drug resistance or intolerance
**drug resistance or intolerance
*[[Renal artery]] dissection
**renal artey dissection
*[[Renal artery]] [[aneurysm]]
**Renal artery aneurysm
*Preservation of [[Kidney|renal]] function or prevent renal size reduction
**preservation of renal function or prevent renal size reduction
 
==References==
==References==
{{Reflist|2}}
{{Reflist|2}}

Latest revision as of 23:35, 19 August 2018

Fibromuscular dysplasia Microchapters

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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

Revascularization by surgical intervention or percutaneous transluminal angioplasty (PTA) , are not the first-line treatment options for patients with FMD, however in cases of FMD-related RAS with signs of downstream reduction of renal function or in case of drug-resistant HTN vascular reconstruction should be considered.

Indications

There are no evidence-based guidelines and randomized, controlled trials comparing revascularization and medical therapy in patients with FMD; but revascularization is usually reserved for patients with either:[1]

References

  1. Persu, Alexandre; Giavarini, Alessandra; Touzé, Emmanuel; Januszewicz, Andrzej; Sapoval, Marc; Azizi, Michel; Barral, Xavier; Jeunemaitre, Xavier; Morganti, Alberto; Plouin, Pierre-François; de Leeuw, Peter (2014). "European consensus on the diagnosis and management of fibromuscular dysplasia". Journal of Hypertension. 32 (7): 1367–1378. doi:10.1097/HJH.0000000000000213. ISSN 0263-6352.

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