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Radiology, Vol 157, 657-660, Copyright © 1985 by Radiological Society of North America

ARTICLES

Intimal fibromuscular dysplasia and Takayasu arteritis: delayed response to percutaneous transluminal renal angioplasty

MF Srur, TA Sos, S Saddekni, DJ Cohn, G Rozenblit and EB Wetter

Percutaneous transluminal renal angioplasty has been shown to be an effective technique to dilate renal artery lesions, particularly those due to fibromuscular dysplasia. However, four of 70 patients in this study experienced atypical responses to angioplasty. Their lesions initially resisted dilation and had incomplete dilatation immediately after angioplasty. Long-term follow-up (1 week to 2 years) angiograms, however, demonstrated fully dilated arteries. In cases of focal nonatherosclerotic lesions from intimal or adventitial fibroplasia, initial incomplete dilatation may be satisfactory in the long term whereas repeated inflations may result in undesirable complications.


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M. Isobe, H. Takenaka, O. Kinoshita, M. Sekiguchi, M. Ohta, and H. Imamura
Successful Stenting of Bilateral Renal Artery Stenosis Due to Fibromuscular Dysplasia Assessed by Use of Pressure Guidewire Technique: A Case Report
Angiology, January 1, 1998; 49(1): 69 - 74.
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