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Endovascular therapy for fibromuscular dysplasia of the bilateral external iliac
arteries visualized with optical coherence tomography
#MMPMID25819398
Niizeki T
; Ishino M
; Kitahara T
; Yamauchi S
; Ikeno E
; Kubota I
Am J Case Rep
2015[Mar]; 16
(?): 187-90
PMID25819398
show ga
BACKGROUND: Fibromuscular dysplasia (FMD) is a non-inflammatory,
non-atherosclerotic, degenerative vascular disease that most frequently affects
renal and carotid arteries in women aged 30-50 years, and rarely complicating
arteries of the lower limbs. CASE REPORT: A 60-year-old woman was admitted with
intermittent claudication of both legs. We performed pelvic and bilateral
lower-extremities angiography, which revealed that the bilateral external iliac
arteries (EIAs) had the 'string of beads' appearance with a diagnosis of FMD.
Endovascular therapy (EVT) was performed for the bilateral EIAs. Optical
coherence tomography (OCT) images showed thickening and thinning of the middle
layer, while three-dimensional OCT images showed a 'haustra coli'-like
appearance. After successful balloon angioplasty, claudication completely
disappeared. CONCLUSIONS: We report a rare case of EVT successfully performed for
FMD of the bilateral EIAs. Our findings suggest that OCT may provide unique
diagnostic clues in FMD patients.