Role of digital subtraction angiography in diagnosis of fibromusculardysplasia
Fibromuscular dysplasia (FMD) is a vascular disease characterized by abnormal arterial wall architecture, usually visualized angiographically as the classic “string of beads” sign. We present the diagnostic dilemma of a 51-year-old woman admitted for a spontaneous renal infarct, with initial examina...
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Wolters Kluwer Medknow Publications
2021-01-01
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Online Access: | http://www.indjvascsurg.org/article.asp?issn=0972-0820;year=2021;volume=8;issue=5;spage=80;epage=82;aulast=Wang |
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doaj-85e93f7a2edd4edd9924b6d56d9799062021-09-07T14:32:22ZengWolters Kluwer Medknow PublicationsIndian Journal of Vascular and Endovascular Surgery0972-08202394-09992021-01-0185808210.4103/ijves.ijves_170_20Role of digital subtraction angiography in diagnosis of fibromusculardysplasiaChristine WangAnimesh SinglaKrishna KotechaDaniel NguyenFibromuscular dysplasia (FMD) is a vascular disease characterized by abnormal arterial wall architecture, usually visualized angiographically as the classic “string of beads” sign. We present the diagnostic dilemma of a 51-year-old woman admitted for a spontaneous renal infarct, with initial examination and investigations equivocal. She was consequently assessed for thromboembolic and vasculitic disease, before proceeding to digital subtraction angiography (DSA). This invasive method elucidated an area of focal FMD, previously not seen on computed tomography angiography (CTA). This is unusual due to CTA's high sensitivity and specificity but could be attributed to the less common subtype of FMD which requires combined imaging modalities to arrive at a diagnosis. Hence, there may be a role for the dual use of CTA and DSA in young patients presenting with a spontaneous renal infarct in the absence of other diagnoses.http://www.indjvascsurg.org/article.asp?issn=0972-0820;year=2021;volume=8;issue=5;spage=80;epage=82;aulast=Wangdigital subtraction angiographyfibromuscular dysplasiarenal artery dissectionrenal infarction |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Christine Wang Animesh Singla Krishna Kotecha Daniel Nguyen |
spellingShingle |
Christine Wang Animesh Singla Krishna Kotecha Daniel Nguyen Role of digital subtraction angiography in diagnosis of fibromusculardysplasia Indian Journal of Vascular and Endovascular Surgery digital subtraction angiography fibromuscular dysplasia renal artery dissection renal infarction |
author_facet |
Christine Wang Animesh Singla Krishna Kotecha Daniel Nguyen |
author_sort |
Christine Wang |
title |
Role of digital subtraction angiography in diagnosis of fibromusculardysplasia |
title_short |
Role of digital subtraction angiography in diagnosis of fibromusculardysplasia |
title_full |
Role of digital subtraction angiography in diagnosis of fibromusculardysplasia |
title_fullStr |
Role of digital subtraction angiography in diagnosis of fibromusculardysplasia |
title_full_unstemmed |
Role of digital subtraction angiography in diagnosis of fibromusculardysplasia |
title_sort |
role of digital subtraction angiography in diagnosis of fibromusculardysplasia |
publisher |
Wolters Kluwer Medknow Publications |
series |
Indian Journal of Vascular and Endovascular Surgery |
issn |
0972-0820 2394-0999 |
publishDate |
2021-01-01 |
description |
Fibromuscular dysplasia (FMD) is a vascular disease characterized by abnormal arterial wall architecture, usually visualized angiographically as the classic “string of beads” sign. We present the diagnostic dilemma of a 51-year-old woman admitted for a spontaneous renal infarct, with initial examination and investigations equivocal. She was consequently assessed for thromboembolic and vasculitic disease, before proceeding to digital subtraction angiography (DSA). This invasive method elucidated an area of focal FMD, previously not seen on computed tomography angiography (CTA). This is unusual due to CTA's high sensitivity and specificity but could be attributed to the less common subtype of FMD which requires combined imaging modalities to arrive at a diagnosis. Hence, there may be a role for the dual use of CTA and DSA in young patients presenting with a spontaneous renal infarct in the absence of other diagnoses. |
topic |
digital subtraction angiography fibromuscular dysplasia renal artery dissection renal infarction |
url |
http://www.indjvascsurg.org/article.asp?issn=0972-0820;year=2021;volume=8;issue=5;spage=80;epage=82;aulast=Wang |
work_keys_str_mv |
AT christinewang roleofdigitalsubtractionangiographyindiagnosisoffibromusculardysplasia AT animeshsingla roleofdigitalsubtractionangiographyindiagnosisoffibromusculardysplasia AT krishnakotecha roleofdigitalsubtractionangiographyindiagnosisoffibromusculardysplasia AT danielnguyen roleofdigitalsubtractionangiographyindiagnosisoffibromusculardysplasia |
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1717763390656479232 |