Fibromuscular dysplasia diagnostic study of choice
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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
Catheter-based angiography is the gold standard test for the diagnosis of renovascular fibromuscular dysplasia. Imaging modilities are the methods for diagnosing FMD. Duplex ultrasonography, accompanied by computed tomographic angiography (CTA), and magnetic resonance angiography (MRA), are imaging techniques for detecting FMD lesions but the gold standard remains catheter-based angiography.
Diagnostic Study of Choice
Study of choice
- Catheter-based angiography is the gold standard test for the diagnosis of renovascular fibromuscular dysplasia.[1]
- The following result of Catheter-based angiography is confirmatory of fibromuscular dysplasia:
- Multifocal FMD: Imaging may reveal the classic string of beads appearance. (Image 1)
Focal FMD: Imaging may reveal a concentric, smooth, band-like focal stenosis or a tubular stenosis (image 2)
References
- ↑ Jeffrey W. Olin, Heather L. Gornik, J. Michael Bacharach, Jose Biller, Lawrence J. Fine, Bruce H. Gray, William A. Gray, Rishi Gupta, Naomi M. Hamburg, Barry T. Katzen, Robert A. Lookstein, Alan B. Lumsden, Jane W. Newburger, Tatjana Rundek, C. John Sperati & James C. Stanley (2014). "Fibromuscular dysplasia: state of the science and critical unanswered questions: a scientific statement from the American Heart Association". Circulation. 129 (9): 1048–1078. doi:10.1161/01.cir.0000442577.96802.8c. PMID 24548843. Unknown parameter
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