Symptomatic fibromuscular dysplasia of the external iliac artery.

Abstract:

:The aim of this article is to report a case of symptomatic fibromuscular dysplasia (FMD) involving the external iliac arteries (EIAs). An 88-year-old woman was admitted to the vascular service, with a painful right posterior ankle ulcer that had progressively worsened during the course of a month. Her medical history included diabetes and hypertension. Bilateral lower-extremity pulses were absent, and femoral and tibial Doppler waveforms were monophasic. Pelvic and bilateral lower-extremity angiograms were obtained, which revealed findings in both EIAs consistent with a diagnosis of extrarenal FMD. Percutaneous transluminal angioplasty with subsequent stenting of the right EIA was performed, using a self-expanding stent. Completion digital subtraction angiography demonstrated a widely patent right EIA with brisk flow of contrast across the stent. Postprocedural arterial duplex scan showed a biphasic waveform pattern in the common femoral artery. FMD can involve the EIA and be associated with critical limb ischemia. FMD of the EIA responds well to endovascular management.

journal_name

Ann Vasc Surg

authors

Rastogi N,Kabutey NK,Kim D,Farber A

doi

10.1016/j.avsg.2011.09.010

subject

Has Abstract

pub_date

2012-05-01 00:00:00

pages

574.e9-13

issue

4

eissn

0890-5096

issn

1615-5947

pii

S0890-5096(12)00041-6

journal_volume

26

pub_type

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