Fibromuskulär dysplasi - angiopati som oftast drabbar njurartärerna. Angioplastik ger goda resultat då läkemedel inte förmår kuva hypertonin
Engelsk titel: Fibromuscular dysplasia - angiopathy that most commonly affects renal arteries. Good results of angioplasty when drug therapy cannot control the hypertension
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Författare:
Gottsäter A
;
Alhadad A
;
Lindblad B
Email: anders.gottsater@med.lu.se
Språk: Swe
Antal referenser: 115
Dokumenttyp:
Översikt
UI-nummer: 09101772
Sammanfattning
Fibromuscular dysplasia (FMD) is a non-atherosclerotic, non-inflammatory angiopathy of medium sized arteries that most commonly affects renal or carotid arteries. Renal FMD can cause renovascular hypertension and carotid FMD can cause cerebral ischaemia. Screening for renal FMD can be performed with ultrasound, captopril renography, MR- or CT-angiography, but digital subtraction angiography is still “gold standard” for diagnosis. Patients with renal FMD and renovascular hypertension should be treated to blood pressure <140/90 mmHg. Invasive endovascular or surgical treatment is considered if hypertension cannot be controlled with antihypertensive drugs, in patients with intolerance or non-compliance with medication, and in patients with impaired renal function. Percutaneous transluminal angioplasty (PTA) has successively become the treatment of choice for FMD, and has good results. Open surgical treatment is mostly performed after complications of PTA.