Journal of vascular and interventional radiology : JVIR · 2014
Clinical features and endovascular management of iliac artery fibromuscular dysplasia.
СтатьяПоддержка NIH: внешняя программаНазвание и аннотация: Перевод в очереди
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Ketha Siva S, Bjarnason Haraldur, Oderich Gustavo S, Misra Sanjay
Аннотация
PURPOSE: To identify the spectrum of clinical presentation of iliac artery fibromuscular dysplasia (FMD) and to evaluate the outcomes of endovascular management of iliac artery FMD for claudication.
MATERIALS AND METHODS: All patients in a single institution with a diagnosis of FMD between January 1980 and December 2010 were identified. Iliac artery FMD was present in 14 patients. Associated risk factors included hypertension (79%), hyperlipidemia (64%), smoking history (36%), coronary artery disease (21%), diabetes (0%), and obesity (36%).
RESULTS: In eight (57%) patients, iliac artery FMD was incidentally found on imaging. Lifestyle-limiting claudication involving one or both extremities was present in six (43%) patients. All six patients were reported to have mild peripheral arterial disease based on ankle-brachial index measurements (0.7-0.9). These six patients underwent 10 endovascular procedures for claudication, including angioplasty (n = 8) and self-expanding stent placement (n = 2). Mean symptom-free survival was 56.3 months.
CONCLUSIONS: Iliac artery FMD that is amenable to endovascular treatment may be found incidentally or may manifest with disabling claudication.
MATERIALS AND METHODS: All patients in a single institution with a diagnosis of FMD between January 1980 and December 2010 were identified. Iliac artery FMD was present in 14 patients. Associated risk factors included hypertension (79%), hyperlipidemia (64%), smoking history (36%), coronary artery disease (21%), diabetes (0%), and obesity (36%).
RESULTS: In eight (57%) patients, iliac artery FMD was incidentally found on imaging. Lifestyle-limiting claudication involving one or both extremities was present in six (43%) patients. All six patients were reported to have mild peripheral arterial disease based on ankle-brachial index measurements (0.7-0.9). These six patients underwent 10 endovascular procedures for claudication, including angioplasty (n = 8) and self-expanding stent placement (n = 2). Mean symptom-free survival was 56.3 months.
CONCLUSIONS: Iliac artery FMD that is amenable to endovascular treatment may be found incidentally or may manifest with disabling claudication.
Предметные рубрики MeSH
AdultAgedAnkle Brachial IndexDisease-Free SurvivalEndovascular ProceduresFemaleFibromuscular DysplasiaHumansIliac ArteryIncidental FindingsIntermittent ClaudicationMaleMiddle AgedMinnesotaMultidetector Computed TomographyPredictive Value of TestsRetrospective StudiesStentsTime FactorsTreatment Outcome