The interventional therapy for axillary stenosis with fibromuscular dysplasia of renal artery

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• 作者：Akihiro Higashimori (1)
  Yoshiaki Yokoi (1)
  
• 关键词：Peripheral vascular disease ; Stent ; Balloon angioplasty ; FMD
• 刊名：Cardiovascular Intervention and Therapeutics
• 出版年：2013
• 出版时间：April 2013
• 年：2013
• 卷：28
• 期：2
• 页码：184-187
• 全文大小：308KB
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  17. Hirsch AT, Haskal ZJ, Hertzer NR, Bakal CW, Creager MA, Halperin JL, Hiratzka LF, Murphy WR, Olin JW, Puschett JB, Rosenfield KA, Sacks D, Stanley JC, Taylor LM Jr, White CJ, White J, White RA, Antman EM, Smith SC Jr, Adams CD, Anderson JL, Faxon DP, Fuster V, Gibbons RJ, Hunt SA, Jacobs AK, Nishimura R, Ornato JP, Page RL, Riegel B; American Association for Vascular Surgery; Society for Vascular Surgery; Society for Cardiovascular Angiography and Interventions; Society for Vascular Medicine and Biology; Society of Interventional Radiology; ACC/AHA Task Force on Practice Guidelines Writing Committee to Develop Guidelines for the Management of Patients With Peripheral Arterial Disease; American Association of Cardiovascular and Pulmonary Rehabilitation; National Heart, Lung, and Blood Institute; Society for Vascular Nursing; TransAtlantic Inter-Society Consensus; Vascular Disease FoundationCirculation. ACC/AHA 2005 Practice Guidelines for the management of patients with peripheral arterial disease (lower extremity, renal, mesenteric, and abdominal aortic): a collaborative report from the American Association for Vascular Surgery/Society for Vascular Surgery, Society for Cardiovascular Angiography and Interventions, Society for Vascular Medicine and Biology, Society of Interventional Radiology, and the ACC/AHA Task Force on Practice Guidelines (Writing Committee to Develop Guidelines for the Management of Patients With Peripheral Arterial Disease): endorsed by the American Association of Cardiovascular and Pulmonary Rehabilitation; National Heart, Lung, and Blood Institute; Society for Vascular Nursing; Trans Atlantic Inter-Society Consensus; and Vascular Disease Foundation. 2006;113:e463-54.
  
• 作者单位：Akihiro Higashimori (1)
  Yoshiaki Yokoi (1)
  
  1. Department of Cardiology, Kishiwada Tokushukai Hospital, 4-27-1 Kamori, Kishiwada, Osaka, 596-8522, Japan
  

文摘

A 55-year-old female, presented with a 1-year history of paresthesia and intermittent weakness of her left hand. She had hypertension, and the angiographic findings revealed a “string of beads-appearance in the right renal artery. She underwent balloon angioplasty for left axillary artery stenosis, but it was complicated by dissection. Stenting for axillary artery established TIMI 3 flow to the brachial artery. This case was a result of noninflammatory and probably nonatherosclerotic disease, and the findings in this cases is consistent with those of fibromuscular dysplasia affecting the axillary arterial segment. In summary, we present details of a case presenting with brachial ischemia caused by axillary artery stenosis. We also describe the meticulous investigation required for treating this segmental arterial disease.