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Role of digital subtraction angiography in diagnosis of fibromusculardysplasia
- Source :
- Indian Journal of Vascular and Endovascular Surgery, Vol 8, Iss 5, Pp 80-82 (2021)
- Publication Year :
- 2021
- Publisher :
- Wolters Kluwer Medknow Publications, 2021.
-
Abstract
- 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.
Details
- Language :
- English
- ISSN :
- 09720820 and 23940999
- Volume :
- 8
- Issue :
- 5
- Database :
- Directory of Open Access Journals
- Journal :
- Indian Journal of Vascular and Endovascular Surgery
- Publication Type :
- Academic Journal
- Accession number :
- edsdoj.85e93f7a2edd4edd9924b6d56d979906
- Document Type :
- article
- Full Text :
- https://doi.org/10.4103/ijves.ijves_170_20