Cianci R, Stivali G, Gigante A, Di Donato D, Polidori L, Clemenzia G, Borghesi F, Renzulli R, Martina P, Gasperini M L, Barbano B
Department of Nephrology, University "La Sapienza", Rome, Italy.
Eur Rev Med Pharmacol Sci. 2009 Jul-Aug;13(4):317-9.
Fibromuscular dysplasia (FMD) is a non-inflammatory, non-atherosclerotic vascular disease that has been reported in renal and internal carotid arteries and in almost every arterial bed, primarily affecting young to middle-aged people, mainly female individuals. These patients may be asymptomatic or may present with hypertension. A 29 year-old hypertensive woman was referred for a renal color Doppler ultrasound (CDU) scan because of a suspicion of renovascular hypertension and we revealed the presence of three separate stenosis on the right renal artery. Digital selective angiography (DSA) and percutaneous transluminal angioplasty (PTA) were performed but an incomplete dilation of the vessel was obtained. Because of the suboptimal result, it was decided to stent the lesions during two different procedures. Percutaneous transluminal renal angioplasty is the primary treatment of renal FMD, but should not be excluded primary stent implantation as an alternative technique to surgical revascularization.
纤维肌发育不良（FMD）是一种非炎症性、非动脉粥样硬化性血管疾病，已在肾动脉和颈内动脉以及几乎每个动脉床中被报道，主要影响年轻至中年人群，主要为女性个体。这些患者可能无症状或可能表现为高血压。一名29岁的高血压女性因怀疑肾血管性高血压而被转诊进行肾脏彩色多普勒超声（CDU）扫描，我们发现右肾动脉存在三处独立狭窄。进行了数字选择性血管造影（DSA）和经皮腔内血管成形术（PTA），但血管扩张不完全。由于结果不理想，决定在两次不同的手术中对病变进行支架置入。经皮腔内肾血管成形术是肾FMD的主要治疗方法，但不应排除将原发性支架置入作为手术血运重建的替代技术。
