Carotid artery fibromuscular dysplasia

被引：20

作者：

Stahlfeld, Kurt R. ^{[1
]}

Means, John R. ^{[1
]}

Didomenico, Paul ^{[1
]}

机构：

[1] Mercy Hosp, Dept Surg, Pittsburgh, PA 15219 USA

来源：

AMERICAN JOURNAL OF SURGERY | 2007年 / 193卷 / 01期

关键词：

carotid artery; fibromuscular dysplasia; carotid bruit; magnetic resonance angiography; digital subtraction angiography;

D O I：

10.1016/j.amjsurg.2006.03.015

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

Extracranial carotid artery fibromuscular dysplasia (FMD) is a rare finding that is frequently incidental and asymptomatic. It usually occurs in middle-age women and is secondary to medial fibrodysplasia or, less commonly, intimal fibrodysplasia. The carotid artery may be elongated or kinked and associated aneurysms have been reported. Symptoms including transient ischemic attack or stroke are uncommon and are due to low flow or embolization of platelet aggregates. Digital subtraction angiography demonstrates high-grade stenosis with the characteristic "string of beads" pattern. Antiplatelet medication with sequential imaging is the accepted therapy for asymptornatic lesions. Graduated endoluminal dilation under direct vision should be reserved for patients with documented lateralizing symptoms. (c) 2007 Excerpta Medica Inc. All rights reserved.

引用

页码：71 / 72

页数：2