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Intimal dissection following percutaneous transluminal carotid angioplasty for fibromuscular dysplasia
Neuroradiology
|January 1, 1985
Abstract:
Fibromuscular dysplasia (FMD) is an unusual form of segmental arteriopathy and may affect the internal carotid artery (ICA). We report a case of carotid FMD in which percutaneous transluminal angioplasty (PTA) was complicated by an intimal tear and required surgical exploration. PTA is a useful form of treatment, but there is a risk of intimal dissection. If this occurs, it may be necessary to excise the intimal flap surgically.
Insights
Fibromuscular dysplasia (FMD) can affect the carotid artery. A case report details how angioplasty for FMD led to an intimal tear, necessitating surgical repair.
Area of Science:
- Vascular Surgery
- Interventional Cardiology
- Radiology
Background:
- Fibromuscular dysplasia (FMD) is a non-atherosclerotic arteriopathy affecting medium and large arteries.
- Internal carotid artery (ICA) involvement in FMD can lead to significant cerebrovascular events.
- Percutaneous transluminal angioplasty (PTA) is a common endovascular treatment for symptomatic FMD.
Observation:
- A case of FMD affecting the internal carotid artery (ICA) is presented.
- Percutaneous transluminal angioplasty (PTA) was performed for the carotid FMD.
- The PTA procedure resulted in a complication: an intimal tear.
Findings:
- The intimal tear necessitated urgent surgical exploration.
- Surgical intervention involved the excision of the intimal flap.
- This case highlights a potential risk associated with PTA in FMD.
Implications:
- While PTA is effective for FMD, vigilance for complications like intimal dissection is crucial.
- Prompt surgical management may be required for managing PTA-induced intimal tears.
- Understanding these risks can inform procedural planning and patient selection for FMD treatment.