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International Expert Consensus and Recommendations for Neonatal Pneumothorax Ultrasound Diagnosis and Ultrasound-guided Thoracentesis Procedure
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First international consensus on the diagnosis and management of fibromuscular dysplasia

Heather L Gornik1, Alexandre Persu2, David Adlam3,4

  • 1Division of Cardiovascular Medicine, Department of Cardiovascular Medicine, University Hospitals Cleveland Medical Center and UH Harrington Heart and Vascular Institute, Cleveland, Ohio, USA.

Journal of Hypertension
|January 15, 2019
PubMed

Insights

This updated guideline offers comprehensive diagnosis and management strategies for fibromuscular dysplasia (FMD). It harmonizes European and US expert recommendations, incorporating registry data and future research directions for this arterial disease.

Area of Science:

  • Cardiology
  • Vascular Medicine
  • Nephrology

Background:

  • Fibromuscular dysplasia (FMD) is a complex arterial disease requiring updated consensus.
  • Previous guidelines from 2014 necessitate revision based on new data and expert consensus.

Framework:

  • Harmonized recommendations from European Society of Hypertension (ESH) and Society for Vascular Medicine (SVM) experts.
  • Integration of data from the European/International FMD Registry and the US FMD Registry.

Implementation:

  • Provides practical, consensus-based clinical recommendations for FMD diagnosis and management.
  • Includes a consensus protocol for catheter-based angiography and percutaneous angioplasty for renal FMD.

Implications:

  • Offers a unified approach for European and US clinicians managing FMD.
  • Highlights ongoing research and proposes future directions for understanding FMD.
  • Aims to improve patient outcomes through standardized, evidence-based care.

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